This paper examines the influence of water on public health throughout history. Farming, settling down and building of villages and towns meant the start of the problems mankind suffers from this very day – how to get drinkable water for humans and cattle and how to manage the waste we produce. The availability of water in large quantities has been considered an essential part of a civilized way of life in different periods: Roman baths needed a lot of water as does the current Western way of life with water closets and showers. The importance of good quality drinking water was realized already in antiquity, yet the importance of proper sanitation was not understood until the 19th century.

This article explores the possibility of incorporating traditional water management experiences into modern water management. After the literature review, two case studies are presented from Borana and Konso communities in southern Ethiopia. The study was conducted through interviews, discussions, and observations. The two cases were selected due to their long existence. Both communities have their own water source types, depending on local hydrogeological conditions. Borana is known for the so-called Ella (wells) and Konso for Harta (ponds), which have been managed for more than five centuries. All government and development partners strive to achieve sustainable services in water supply and sanitation. Therefore, they design various management packages to engage the communities and keep the systems sustainable. However, the management components are often designed with little attention to local customs and traditions. The cases in the two communities show that traditional knowledge is largely ignored when replaced by modern one. However, the concepts of cost recovery, ownership experience, equity, enforcement, integrity, and unity, which are highly pronounced in modern systems, can also be found in the traditional water managements of Borana and Konso. Naturally, one shoe never fits all. Borana and Konso experiences are working for their own community. This research implies that when we plan a project or a program for a particular community, the starting point should be the indigenous practices and thoughts on life.

Since ancient times, the need for healthy water has resulted in the development of various kinds of water supply systems. From early history, civilizations have developed water purification devices and treatment methods. The necessity for fresh water has influenced individual lives as well as communities and societies. During the last two hundred years, intensive and effective efforts have been made internationally for sufficient water quantity and quality. At the same time, human life expectancy has increased all over the globe at unprecedented rates. The present work represents an effort to sketch out how water purity and life expectancy have entangled, thus influencing one another. Water properties and characteristics have directly affected life quality and longevity. The dramatic increase in life expectancy has been, indisputably, affected by the improvement in water quality, but also in other concomitant factors, varying temporally and spatially in different parts of the world throughout the centuries. Water technologies and engineering have an unequivocal role on life expectancy. In some cases, they appear to have taken place earlier than the progress of modern medicine. Among these, improved sanitation, personal hygiene, progress in medicine, and better standards of economic living have played the greatest roles.

Community water supply takes priority over other water use purposes worldwide. Investment in water and sanitation systems in developing economies brings a multitudeof economic and social benefits. Water infrastructure systems across the world will deteriorateunless substantially more rehabilitation is done. This paper presents a structured and hierarchical framework for sustained water services development consisting of institutions, provision, water infrastructure and production of services that hopefully create better understanding of how to develop our systems and services as part of the built environment for more sustained futures