Water scarcity and stress have attracted increasing attention as water has become increasingly regarded as one of the most critical resources in the world’s sustainable development. The Water Poverty Index (WPI), an interdisciplinary but straightforward measure that considers water availability from both the bio-geophysical perspective and the socio-economic perspective of people’s capacity to access water, has been successfully applied at national, regional, and local levels around the world. However, the general assessment of water stress at a macro level over only a snapshot limits the understanding of the geographic differences in and dynamics of water stress; this will, in turn, mislead decision-makers and may result in improper water strategies being implemented. In addition, to date, the typologies and trajectories of water stress have been underexplored. To fill this knowledge gap, we examine the spatio-temporal patterns, trajectories, and typologies of water stress using an adapted WPI for six counties in Zhangye City, which lies within an arid region of China, in order to provide policy priorities for each county. The results of our assessment indicate that water stress has become more severe over time (2005–2011) in most of the counties in Zhangye City. The results also show a distinct spatial variation in water scarcity and stress. Specifically, the results for Shandan county reflect its progressive policies on water access and management, and this county is regarded as engaging in good water governance. In contrast, Ganzhou district has faced more severe water pressure and is regarded as practicing poor water governance. Typology results show that each county faces its own particular challenges and opportunities in the context of water scarcity and stress. In addition, the trajectory map reveals that none of the counties has shown substantial improvement in both water access and management, a finding that should draw decision-makers’ close attention.
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