This report outlines how policy makers should focus on improving access to safely managed wastewater management services. Such inappropriate management of excreta is a main source of pollution of public water bodies, rivers, canals, and ponds, particularly in the urban areas of many Asian developing countries. According to a survey conducted by the Japan International Cooperation Agency (2012), in Jakarta, Indonesia, although the share of residents with access to improved sanitation facilities has reached 87% (85% to septic tanks and 2% to sewerage systems), the rivers in the city are seriously polluted.