In 2017, the Toilet Board Coalition pioneered the Sanitation Economy – a market-based approach to the sanitation system that builds on innovative business models and strategic collaborations to provide customer-centric & sustainable sanitation products and services to everyone, everywhere. To fully harness the Sanitation Economy, a skilled workforce is essential. Livelihoods in the Sanitation Economy explores this opportunity in Asia, Africa and Latin America. It will, without doubt, require a concerted, enduring, multi-stakeholder entrepreneurial effort to realise the Sanitation Economy and achieve universal access to sanitation and sustainable treatment. To facilitate this alignment, a clear actionable agenda for each of the stakeholders is detailed in the report.