Water supply and sanitation in Jamaica is characterized by high levels of access to an improved water source, while access to adequate sanitation stands at only 80%. This situation affects especially the poor, including the urban poor many of which live in the country's over 595 unplanned squatter settlements in unhealthy and unsanitary environments with a high risk of waterborne disease. Despite a number of policy papers that were mainly focused on water supply and despite various projects funded by external donors, increases in access have remained limited (1% for water and 5% for sanitation between 1990 and 2004).