Traditionally, provision of water and sanitation at the household level to slum residents was not seen as a priority by ULBs:
the mechanisms for obtaining such services were typically absent. The vacuum was filled by middlemen, who charged
huge amounts for sub-standard services. In Ahmedabad City, India, the ULB, slum residents and NGOs have developed
an innovative system to bring accountability and reduced corruption to the provision of watsan services. The mainstay of
the system is charging affordable user fees, this ensures that the users – slum residents – have leverage to ensure quality
in the installation and maintenance of services. The paper starts by describing the traditional approach to the provision
of water and sanitation before presenting the innovation. Pro-poor accountability arrangements are then listed. Three
examples follow that show what happened when the innovation was put into practice; the first is of a slum, the second of
a middleman and the third of a resident