Some least economically developed countries (LEDCs) are burdened by challenges so enormous that basic survival needs often go unmet. This is perhaps particularly evident in sub-Saharan African countries, where water supply and access is a major issue. Such problems have led to the formation of many humanitarian organizations in the developed world, such as Water Aid. Such organizations have been successful in providing basic needs, however many argue that problems such as imperialism mean that some programs are actually harmful to a developing country, and that real development steps must take place internally. One view is that some countries are so underdeveloped that they don't do this. satisfy even the most basic preconditions needed to begin true development, and needed an initial push to reach a standard at which further development can take place. Such an example can be seen in the case of sub-Saharan African countries, most of which have very limited access to clean water in rural areas. Without solving a crucial development challenge, these countries cannot hope to progress economically; Lack of water and sanitation costs sub-Saharan Africa more in lost GDP than the entire continent receives in aid. Furthermore, diarrhoea, caused by dirty water, is the third leading cause of death of children under 5 in Africa, meaning that if there is a supply of clean water, the fertility rate is likely to decline as mothers do not need to have many children to ensure survival. of the family. With fewer mouths to feed, families can focus on economic activity. These problems have led humanitarian organizations such as Water Aid to run programs in such countries to successfully provide clean water. Since 2004, water subsidies have reached half-charter for businesses in domestic settings, leaving many LEDCs facing the problem of a devalued currency and rising interest rates. Overall, it is true that some developing countries face enormous problems that they must first overcome to create the preconditions for further development, and it is true that developed countries can offer help in this regard. However, involvement should be limited and cautious. Many of the problems facing developing countries are exacerbated by long-term interventions, so any involvement must be carefully assessed to take into account possible long-term effects. Not all countries develop in the same way, and for truly sustained development, change must come from within the developing country, led by those who know first-hand what a country needs and who can develop a adequate framework for development..