As more and more families migrate from rural areas to Pacific capital cities, water, sanitation and health challenges in rapidly growing informal settlements in key Pacific capital cities are in urgent need of response, according to a new World Bank report. Released to coincide with World Toilet Day 2015, Unsettled: water and sanitation in urban settlement communities of the Pacific, highlights the reasons why thousands of families in Melanesia – Solomon Islands, Fiji, Vanuatu, and Papua New Guinea (PNG) – are unable to access basic water and sewage services. The report makes a number of recommendations on how governments, utility providers, charities and donors can work together to improve access and affordability.