This paper explains the patterns of access to water supply and sanitation facilities in urban areas in Sub-Saharan Africa since the late 90's and its relation with the performance of service providers in the case of improved water supply. It concludes that service providers in Sub-Saharan Afrive have been unable to keep up with urban population growth.
- Service providers are overwhelmed by the pace of urban population growth as they face high distributional losses, low billing collection, over-staffing, and under recovery of costs.
- The institutional frameworks are yet to be completed as there is vast political inference in service provision and regulation, as well as obstacles for effectively undertake public private partnerships.
- Two opposite forces are driving the slow increase in the access rate to improve drinking water: increasing access rate to piped water and decreasing access rate to public taps.
- The greatest challenges for boosting access to sustainable services in urban are increasing water demand, rehabilitating and expanding infrastructure assets, tackling inefficiencies of service providers, furthering institutional reforms, and easing access to local and external financing .