Scope This report confirms that groundwater, if managed sustainably, can be an important development resource across the Sub-Saharan Africa (SSA) region. The report presents data related to groundwater resource characteristics and highlights the opportunities and challenges presented in promoting sustainable and resilient groundwater development in the region. Groundwater has significant potential to support human and economic development in SSA, as it has done in other global regions. This report recommends investment in expanding groundwater development as an integral component of national water resources strategy for countries in SSA. Investment in groundwater can be financially viable and a wise policy option to support socioeconomic development if safeguards specific to groundwater are incorporated into investment programs. The expansion should be designed within a sustainable framework responsive to the special social and cultural and economic features of groundwater resources, compounded by their special hydrological, environmental and engineering dimensions to guide sustainable development of this important component of water resources. Water and development challenges in SSA SSA suffers from underdevelopment of its water sector, with significant human and economic consequences. Groundwater development could make significant contributions to regional poverty reduction and shared prosperity goals. SSA is constrained by 315 million people remaining without access to improved drinking water (across both rural and urban areas); only 3 percent of total cultivated land is irrigated (compared to 37 percent in Asia); and recurrent water scarcity and drought events impact millions (for example, SSA is currently in the grip of its worst drought in 35 years, with 38 million people at risk across eastern and southern Africa). Such absolute and economic water scarcity contributes to chronic food insecurity, environmental migration and civil instability being endemic in some SSA countries. Major climate and non-climate drivers are forecast to place further pressure on water resources in SSA, threatening development progress achieved to date. In addition to the chronic challenges experienced today, regional increases in water demand between 2005 and 2030 are projected to reach almost 300 percent-up to three times higher than any other global region. Greatest non-climate demand is expected to come from agriculture and the municipal and domestic sectors. Urban populations are predicted to triple by 2050 and rural populations are expected to continue to grow, by approximately 45 percent by 2050. While climate drivers will vary across SSA, generally accelerated warming is likely to increase precipitation in wet months and decrease precipitation in dry months, increase desertification, reduce river flow, increase risk of flash flooding, and reduce long-cycle crop production. Water resources development will need to keep pace with climate and non-climate drivers. As traditional sources of surface water become scarce and expen...