This publication looks beyond the infrastructure in Cox’s Bazar, particularly in Rohingya camps, that has been built over nearly a decade and asks a critical question: what will it take to keep these systems functioning safely and sustainably?

It combines technical evidence with four human stories, showing how WASH is experienced through everyday realities—safe water, sanitation, dignity, public health and resilience. It also highlights the growing risks created by ageing infrastructure, climate pressures, operational challenges and shrinking funding. We would strongly encourage colleagues working on WASH, humanitarian financing, resilience, climate, public health, advocacy and fundraising to read and use the publication, particularly the human stories and evidence for advocacy and engagement.