Through the story of Samira who is born in Niger, this World Bank video explores how at one and a half years old, her growth is stunted by 4 main factors outside of her control including: food insecurity, inadequate care and feeding practices, low access to health care, and finally poor water supply, sanitation and hygiene. These factors all create barriers for Samira to exit the poverty trap.

However we can improve the human development of children in countries like Niger by thinking and working differently. The WASH Poverty Diagnostic Initiative is an important first step towards doing just this. Already in place in 18 countries, the initiative paints a detailed picture of what needs to be done, by supporting and coordinating interventions across various sectors, by targeting high impact investments, and by bridging the gap between policy and implementation to ensure the poor receive services to break out of the cycle of poverty.