There is a need to extend the climate change discourse. This should not be by paying less attention to the causes, which are now well known, but by stressing more the consequences, which have been largely neglected in political discourses, especially changes in water systems. This is also an issue of how global society should react to the uncertainties climate change represent for Africa and its development. Globally, the current political agenda focuses mainly on mitigation of carbon emissions, a consideration that also structures international aid policies, and less on adaptation and how to develop countries and societies when hydrology and environment changes. Thus, a water perspective may add important insights and future policy guidelines of particular relevance to Africa’s development.