This article synthesizes the literature on historical and emerging institutional arrangements for urban water supply in Sub-Saharan Africa to highlight successes, drawbacks, and opportunities for improving future water access. It traces the influence of decades-long global water initiatives on urban water-policy reforms in the region and reviews evidence on emerging community self-help and partnership models. Finally, it discusses the merits, targets and potential of Sustainable Development Goal 6 to improve urban water access in the region. The findings suggest that improving urban water supply in Sub-Saharan Africa requires innovative governance and institutional arrangements that blend the strengths of public, private and community-based water supply models.

Dar es Salaam, Tanzania’s water landscape is unjust, inequitable, and uneven. Water rationing and electricity outages affect water availability alongside an overall shortfall in water supply. Using household surveys and interviews, this paper shows that a majority of respondents lack a consistently reliable source of water. To cope with poor access, households alter their daily routines, consume less water, and identify and use back-up sources of water. It is crucial to understand the problems of water availability in the city in order to make more informed policy decisions and more justly provide water access.

Access to clean drinking water remains a significant health problem in the developing world. Traditional definitions of water access oversimplify the geographic context of water availability, the burden of water collection, and challenges faced along the path, mainly due to a lack of fine scale spatial data. This paper demonstrates how spatial video collected in three informal areas of Dar es Salaam, Tanzania, can be used to quantify aspects of the walk to water. These include impediments encountered along the path such as changes in elevation and proximity to traffic. All are mapped along with classic health-related environmental and social information, such as standing water, drains, and trash. The issue of GPS error was encountered due to the built environment that is typical of informal settlements. The spatial video allowed for the correction of the path to gain a more accurate estimate of time and distance for each walk. The resulting mapped health risks at this fine scale of detail reveal micro-geographies of concern. Spatial video is a useful tool for visualizing and analyzing the challenges of water collection. It also allows for data generated along the walk to become part of both a household and local area risk assessment.