The overall goal of this report is to change the way urban policymakers in Africa and task team leaders from the World Bank think about urban water management, planning and project design. African cities are growing quickly, and their current water management systems cannot keep up with growing demand. It will take a concerted effort on the part of decision makers across sectors and institutions to find a way to provide sustainable water services to African city dwellers. This report argues that these complex challenges require innovative solutions and a management system that can work across institutional, sectoral and geographic boundaries.