Purpose: To evaluate basic sanitation in the cities of Brejo Grande/SE and Ilha das Flores/SE, located in the Lower São Francisco region of Sergipe, through a case study on already implemented public policies, highlighting water supply, sewage collection, and treatment. Theoretical Framework: Implementing basic sanitation in rural areas constitutes a significant political and social challenge. Analyzing and understanding the current dynamics of the rural world, with all its new peculiarities, is fundamentally important for defining public policies aimed at sustainable and healthy rural development. The pursuit of universalizing sanitation services is a commendable goal of the new regulatory framework, aligning with the United Nations' 2030 Agenda for Sustainable Development Goals. Method: Hypothetical-deductive approach and case study focused on the structural conditions of sanitation in the municipalities of Brejo Grande/SE and Ilha das Flores/SE, and the effectiveness perspectives of federal legislation for the universalization of sanitation. Results and Discussion: In recent years, the municipalities of Brejo Grande/SE and Ilha das Flores/SE have witnessed significant governmental efforts to achieve the universalization of basic sanitation. These governmental actions have been crucial for improving the living and health conditions of the population, as well as for promoting sustainable development in these communities. Implications of the research: The research results indicate that the studied municipalities show deficiencies in the provision of basic sanitation, especially in rural areas. Originality/Value: The results suggest that effective management of basic sanitation, not only in Brejo Grande/SE and Ilha das Flores/SE but in general, requires careful planning to achieve universalization. It is essential for public managers to recognize basic sanitation as a fundamental human right, going beyond mere water supply and including its other dimensions.
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