We investigate if anyone is being left behind in accessing safely managed drinking water (SM) in achieving the 2030 agenda. We use 23 countries grouped globally as critically insecure water (CIWC). The results indicate none of the CIWC had over 50% of the population accessing SM, N. America and Europe had highest percentages while Sub Saharan Africa had the least. People left behind are found in rural areas, in countries vulnerable to climate change because of poor governance, low-income, and women’s low education. Institutional quality, equity and equality should be improved in using resources critical to leaving no one behind.

Rapid population growth causes smallholders to practice unsustainable forms of land intensification to meet increasing food demand. Food insecurity is exacerbated by unreliable rainfall. We revisit family planning, smallholder irrigation, and agricultural cooperatives as potential sustainable solutions. We use descriptive statistics based on primary data from Kakamega Central and Navakholo in Kenya. Results from respondents indicate 83% had no family planning information, while 82% had no access to irrigation. The major reasons are poverty, illiteracy, misconceptions, gender inequality, constraints in accessing credit, lack of investment in water resources, and family planning. Lack of access to agricultural extension services limits the adoption of sustainable farming practices. Cooperatives’ principles and values make them suitable pathways to reach the poorest and facilitate members’ access to productive resources. Cooperatives can be used to train members in sustainable agricultural practices and educate members on family planning issues. Cooperatives have contributed to better yields, incomes, nutritional status, and reduced poverty. However are constrained by a lack of capital, credit, infrastructure, markets, training and technology, delayed payment, and low prices. Governments and development agencies should support the establishment and development of cooperatives with capacity building, market infrastructure, finance, and education in cooperative principles and values.