Section 1: Changing Contexts -- 1. Living in a changing world -- 2. The challenges of water governance -- 3. Water and human settlements in an urbanizing world -- Section 2: Changing Natural Systems -- 4. The state of the resource -- 5. Coastal and freshwater ecosystems -- Section 3: Challenges for Well-being and Development -- 6. Protecting and promoting human health -- 7. Water for food, agriculture and rural livelihoods -- 8. Water and industry -- 9. Water and energy -- Section 4: Management Responses and Stewardship -- 10. Managing risks: securing the gains for development -- 11. Sharing water -- 12. Valuing and charging for water -- 13. Enhancing knowledge and capacity -- Section 5: Sharing Responsibility -- 14. Case studies: moving towards an integrated approach -- 15. Conclusions and recommendations for action.