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SOUNDBITES

María Osorio Osorio

We are suffering a lot because of water.

Patricia Mejía Pérez

Honestly, knowing that there is much water in Guatemala but that here we have no freshwater is so sad.

María Canalari Pucarrín

We ask the government for help, that they help us with water. Because we can’t live without water.

 

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WITHOUT WATER, WE ARE NOTHING.

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Guatemala has more freshwater per capita than the world average.

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María Osorio Osorio

In our village we are in need. We don’t have piped water.

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In a country of about 18 million people, over 7 million live in a home without any indoor

connection to a water distribution network.  

Many people are forced to rely on wells, rivers, lakes, springs or rainwater.

Governance failures, including poor resource management and inadequate infrastructure, have led to drinking water scarcity and widespread contamination.

SOUNDBITES

Patricia Mejía Pérez

If we had clean water, my life would be better, we would feel better.

María Osorio Osorio

Together with my children we walk [to the well], I bring my jerrycan and they bring their ‘jumbos’ to collect water. The path to the well is really bad, it’s full of rocks, there is grass, among other stuff.

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Indigenous people, especially women, are disproportionately affected due to structural discrimination, poverty, and inequality with deep historical roots.

Patricia Mejía Pérez

It takes us a long time to arrive at the well. We carry water but not too much because we can’t make it, the well is very far away. The way back is harder, harder indeed. It’s really tough because the path is uphill, it’s so difficult. Sometimes we find snakes on the way. It’s really hard to carry the water all the way here to take it home. Children cry because they can’t make it. “It’s too heavy,” they say. They cry because of the weight. They say “we are already thirsty” and they drink the water they carry because they are just so thirsty. And we do six trips in one same day. And the water we bring lasts for three days only.

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Lack of safe water and sanitation fuels diseases like diarrhea, a leading cause of malnutrition.

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María Magdalena Cacó

We need to buy medicine because there is no medicine at the medical center. It’s so sad that the water is polluted, there are dead animals, and we drink that water. And after drinking it, we get sick. We get stomach ache, diarrhea actually.

Clara Susana Pubaca

I do have a toilet, but just a pit latrine because we have no money for a luxury toilet.

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Guatemala has one of the highest malnutrition rates in the world. Nearly 50% of children under five are chronically malnourished.

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María Magdalena Cacó

If I had piped water at home, my children would take a shower every day. I wouldn’t need to bring water from the well so I would spend more time with my children. I would feel happy.

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Guatemala should urgently enact a national water law that guarantees the human rights to water and sanitation.

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María Magdalena Cacó

To me, water is life. If we have no water, we can’t live. If we have no water, we die.

  • Widespread lack of access to safe drinking water and adequate sanitation puts the health and other rights of millions of Guatemalans, especially Indigenous people and women, at risk.
  • Guatemala is an upper-middle-income country, yet a significant portion of its population is forced to live without access to something as basic as clean water.
  • Guatemalan authorities should pass a water law that guarantees the human rights to water and sanitation.

(Guatemala City) – Widespread lack of access to safe drinking water and adequate sanitation services puts the health and other rights of millions of Guatemalans, especially Indigenous people and women, at risk, Human Rights Watch said in a report released today.

The 88-page report, “‘Without Water, We Are Nothing’: The Urgent Need for a Water Law in Guatemala,” documents the pervasive lack of access to safe and sufficient water and sanitation services in Guatemala, which disproportionately affects Indigenous people, particularly women and girls. It also details the impact of inadequate access to water and sanitation on the right to health, including for children, in a country where nearly one in two children under five suffers from chronic malnutrition.

“Guatemala is an upper-middle-income country, yet a significant portion of its population is forced to live without access to something as basic as clean water,” said Juanita Goebertus, Americas director at Human Rights Watch. “Guatemala’s authorities should urgently approve a national water law as a key step to guarantee safe, reliable, and universal access to water and sanitation services for all.”

Guatemala has more fresh water per capita than the global average but has for years failed to adequately protect and distribute these resources. Without legislation clearly establishing water rights and obligations, a clear regulatory and financing system to guarantee these rights, and accompanying enforcement mechanisms, water availability and quality around the country will continue to be compromised.

Human Rights Watch interviewed 108 people, mostly women, from predominately Indigenous communities in the departments of Jalapa, Santa Rosa, and Totonicapán. Researchers conducted follow-up interviews with experts, requested information from the government, and analyzed water, sanitation, and poverty data from the 2023 National Survey of Living Conditions by Guatemala’s National Institute of Statistics.

Data analyzed by Human Rights Watch reveals that Indigenous Guatemalans have less access to water and sanitation services than other Guatemalans, reflecting long-standing patterns of discrimination and unequal access to rights-essential public services. Based on official data, 40 percent of Guatemalans overall lack access to running water inside their homes. Fifty percent of Indigenous Guatemalans lack access to indoor running water, compared with 33 percent of non-Indigenous Guatemalans. Indigenous people are also nearly three times more likely to rely on latrines or blind pits, forms of sanitation that may be unsafe or unhealthy, while non-Indigenous people are twice as likely to have a toilet connected to a sewage system.

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© 2025 Human Rights Watch

Without reliable access to running water, millions of Guatemalans are forced to rely on wells, rivers, lakes, springs, or rainwater as their primary water source. This poses serious health risks, as the government has estimated that over 90 percent of surface water in Guatemala is contaminated.

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© 2025 Human Rights Watch

Women often bear the responsibility of collecting water for themselves and their families as well as the responsibility of childcare. Based on official survey data, two-thirds of adults who said they carried water the previous day were women.

Rosalía Maribel Osorio Chivalan, a 24-year-old woman in the municipality of Santa María Chiquimula, Totonicapán department, described her strenuous morning routine of waking up at 5 or 5:30 a.m. and making a two-hour round trip to collect water from a well, after which she sets out on another 40-minute round trip to drop her children off at school by 8 a.m.

Children often must also collect water. A 29-year-old woman and single mother of three in Santa María Chiquimula, said that her children accompany her on a two-hour round trip to get water every day, because she cannot do it alone. “Sometimes I despair to see them walking, carrying water,” she said.

Even families who have a connection to a water distribution network experience barriers to water access, including intermittent service. Human Rights Watch analysis of 2023 government data found that only 19 percent of households reported having uninterrupted 24-hour indoor water service every day in the month prior to being surveyed. 

As noted, water quality is also a major concern in Guatemala. Many women interviewed observed signs of pollution, including poor water clarity, bad odor, and contaminating debris, with limited access to treatment options. Many said that they and their children experience stomachaches, vomiting, and diarrhea after consuming this water, but that these contaminated sources were the only option available.

María Carolina Barrera Tzun, a 28-year-old woman and mother of three from Santa María Chiquimula, said that the well where she gets water for herself and her children is dirty and that her children sometimes ask her, “Why is the water so dirty? Why don’t we have water in the house?” But they have to drink it, she said, because they have no other option.

Inadequate sanitation infrastructure also compromises health and contributes to poor water quality. Only 42 percent of households in Guatemala report having a toilet connected to a drainage network. About a third of the population is forced to resort to latrines, blind pits, or open defecation. According to official information, in 2021, 97 of the 340 municipalities in Guatemala, or 29 percent, did not have a single operational wastewater treatment plant.

© 2025 Human Rights Watch

The health impacts of unsafe or insufficient water and inadequate sanitation are severe. According to the World Health Organization, Guatemala’s 2019 mortality rate from unsafe water and inadequate sanitation and hygiene services was 15.3 deaths per 100,000 people, more than double that of any neighboring country. Limited access to water and sanitation also contributes to chronic malnutrition. In Guatemala, nearly one in two children under age five are chronically malnourished, one of the highest rates in the world. 

To facilitate comprehensive water governance and effective investment in water and sanitation infrastructure, Guatemalan authorities should pass a well-designed water law that creates the institutional capacity to protect the availability of safe and clean water for all and imposes penalties for contaminating water bodies.

In designing the law, the government should ensure respect for Indigenous water-management practices and meaningful participation and consultation of Indigenous people, who are often at the forefront of resource conservation and preservation practices, and are the most affected by the current crisis.

The authorities should also establish a regulatory and financing system that aligns with Guatemala’s obligation to take steps to the maximum of its available resources to guarantee the availability, accessibility, and quality of water for personal and domestic use.

“The government of President Bernardo Arévalo has a historic opportunity to address a long-standing debt and to deliver lasting change for Guatemalans,” Goebertus said. “It should seize it.”

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