Water is critical to the stability of Afghanistan and is an essential part of U.S. efforts in Afghanistan. Since 2002, the United States Agency for International Development (USAID) and the Department of Defense have awarded $250 million for water projects. This report examines: (1) the alignment of U.S. water goals and projects with Afghan water-sector development goals; (2) U.S. agencies' coordination of water-sector efforts among themselves, with the Afghan government and the donor community; (3) U.S. efforts to manage and monitor these water projects; and (4) U.S. efforts to build sustainability into water-sector projects. Includes recommendations. Charts and tables. This is a print on demand report.