This report collates the regional feasibility studies, which indicate that a lack of leadership in the sanitation sector is a significant factor contributing to poor performance. They also highlight the limited existing opportunities for developing leadership and management competencies through short, focused, “just-in-time” methods that meet the needs of the individual. Overall, the data has shown a high degree of congruence on whether it is feasible to create an ASA and what it should look like. Currently, training and career development activities are ad hoc and of mixed quality, and sanitation professionals are not aware of what skills and competencies they need to develop. What professionals in the sanitation sector (both employees and employers) are seeking is connection to information, insights, and products that meet their needs to develop additional competencies for career progression.