This book examines the drivers for improved performance of the drinking water sector in Ghana by focussing on the role of the national macro-environment, water supply related organisations and institutions and the water service providers (urban and small towns). Political interference, which adversely affects the drinking water sector in both the urban and the small towns' water supply are described. The drinking water sector is gradually implementing aspects of the New Public Management (NPM) with the small towns' water sector ,ore advanced than the urban water sector. Water pricing in the dinking water sector is analysed and its particular implication on the urban poor is highlighted. The role of the policy, legal and regulatory environment in achieving universal service coverage in sustainable, effective, equitable and efficient manner is presented.