The provisioning of potable water was a microcosm of the Ottoman state's incomplete projects of technopolitical modernization on the Arab frontier. Water questions sat at the intersection between international pressures surrounding cholera, drought, Wahhabi and Bedouin disorder, and the inability of the state to impose its will on the semi-autonomous Amirate of Mecca. To be sure, Ottoman public health reforms and increased attention to water infrastructure were partly a product of the intense international attention generated by the hajj's role in the globalization of cholera.

Managing freshwater resources sustainably under future climatic and hydrological uncertainty poses novel challenges. Rehabilitation of ageing infrastructure and construction of new dams are widely viewed as solutions to diminish climate risk, but attaining the broad goal of freshwater sustainability will require expansion of the prevailing water resources management paradigm beyond narrow economic criteria to include socially valued ecosystem functions and services.

Good quality infrastructure services have to be paid for, either by the users as user charges or by the government through explicit subsidies. The recent dismantling of toll booths in the country is increasing the political and regulatory risks in public-private partnership projects, as user fees as a revenue source dry up and there is no commensurate increase in government subsidy.