• The policy commitment to LIGs must be clarified and strengthened.
• There needs to be common agreement on which segments of the population constitute LIGs, as well as which institutional entity is responsible for updating the definition of LIGs and monitoring their access to service.
• Current data should be collected on LIGs in terms of service, preferences, and access. These data would be used to inform strategies and coverage targets and set a baseline for measuring progress. Consultation within the LIG community should be ongoing to understand current service levels, constraints, and preferences.
• There should be a frank consideration of the role of existing or potential small-scale providers or informal service providers and the potential to use those providers for the short to medium term to fill gaps in service until coverage through PPP is expanded.
• The existence of any legal prohibitions against serving informal settlements or to tailoring service standards to the constraints of a community should be reexamined.