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To bring its infrastructure up to scratch, the World Bank said the region needs to invest between 6.6 and 9.9% of 2010 GDP a year.
That is as much as three percentage points over the current 6.9% invested by the region, which includes Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan and Sri Lanka, in 2009.
South Asia has “enormous” infrastructure needs, the bank said.
More than a quarter of the population still lack access to electricity, far more than the less than 10% who lack it in other parts of the developing world.
The region also has the highest incidence of open defecation in the world – with 680 million people, or 41% of the population relying on it in 2011 – and although 90% of people enjoy improved water access, most of this is via public stands, with only 25% having access to piped water.
The bank said governments should ensure infrastructure access is extended to people who need it the most – women, the poor and marginalised groups – and move away from a “build, neglect, and rebuild” mindset by investing in the rehabilitation and maintenance of infrastructure assets.