Pathways for SDG 6 in Japan: Challenges and Policy Directions for a Nature-Positive Water Future

Japan has largely achieved the “first half” of SDG 6—universal access to safe drinking water and sanitation—through decades of intensive investment in water supply and sewerage systems, implementation of the Total Pollutant Load Control System, and stringent regulation of industrial effluents. National indicators show that coverage of safely managed drinking water and sanitation services is nearly 99%, and domestic statistics report high compliance rates for BOD/COD-based environmental standards in rivers, lakes, and coastal waters. Conversely, the “second half” of SDG 6 reveals persistent gaps: ambient water quality (6.3.2) remains at 57% (2023 data), while water stress (6.4.2) is at approximately 21.6%. Furthermore, SDG 6.6.1 shows that 3% of water basins are experiencing rapid changes in surface water area (2020 data), with ecosystems increasingly threatened by hypoxia in enclosed bays and climate-induced vulnerabilities. Drawing on global comparisons, this review synthesizes Japan’s progress toward SDG 6, elucidates the structural drivers for remaining gaps, and proposes policy pathways for a nature-positive water future. Using national statistics (1970–2023) and the DPSIR framework, our analysis confirms that improvements in BOD/COD compliance plateaued around 2002, reinforcing concerns that point-source measures alone are insufficient to address diffuse pollution, groundwater nitrate contamination, and emerging contaminants like PFAS. We propose six strategic directions: (1) climate-resilient water systems leveraging groundwater; (2) smart infrastructure renewal; (3) advanced treatment for emerging contaminants; (4) basin-scale IWRM enhancing transboundary cooperation; (5) data transparency and citizen engagement; and (6) scaled nature-based solutions (NbS) integrated with green–gray infrastructure. The paper concludes by outlining priorities to close the gaps in SDG 6.3 and 6.6, advancing Japan toward a sustainable, nature-positive water cycle.