The level of access to water supply and sanitation has been increased significantly. A 2015 conducted study by the University of North Carolina called El Salvador the country that has achieved the greatest progress in the world in terms of increased access to water supply and sanitation and the reduction of inequity in access between urban and rural areas. However, water resources are seriously polluted and a large part of the wastewater discharged into the environment without any treatment. Institutionally a single public institution is both de facto in charge of setting sector policy and of being the main service provider. Attempts at reforming and modernizing the sector through new laws have not borne fruit over the past 20 years.