Water access to all has been defined by all developing countries as one of the Millennium Development Goals target. In Sub-Saharan Africa, about 400milion more people need to gain access to improved water before 2015. The increased demand due to population growth and industrial growth has resulted to both water stress and water scarcity in the region. This is exacerbated by climatic changes that was witnessed in the form of El-nino and Lanina that destroyed the few and inefficient water infrastructure such as water pans through siltation and there subsequent dry-up. With respect to the critical shortage, Sub-Saharan countries embarked on water sector reforms. The privatization of the sector was founded on supplementing the limited public resource by providing water infrastructure while delegating the role of regulation to the state. It is important to note that the privatization left the poor access to the commodity undressed.Equally that lack of water access results in waterborne diseases(typhoid,cholera etc),increase in morbidity and loss in productive time. The book therefore provides empirical evidence for scholars,governments, NGOs and investors interested in the water sector.