This document discusses addressing floods and droughts in river basins supported by Transboundary Diagnostic Analysis/Strategic Action Programs (TDA/SAPs). It lists 22 river basins that have conducted TDAs and the 18 that also have SAPs. The Volta Basin is used as an example, describing its flood and drought causes as above average rainfall, dams, agriculture/mining, and lack of governance. Impacts are listed as infrastructure/livelihood losses, poverty, migration, land degradation and more. Monitoring development and use of data/information management systems and GIS are recommended. Decision support systems are proposed to help with information management, assessments, planning scenarios, and stakeholder involvement for integrated water resources