The African Ministers' Council onWater (AMCOW) commissioned the production of a second roundof Country Status Overviews (CSOs) to better understandswhat underpins progress in water supply and sanitation andwhat its member governments can do to accelerate thatprogress across countries in Sub-Saharan Africa (SSA). AMCOWdelegated this task to the World Bank's Water andSanitation Program and the African Development Bank whichare implementing it in close partnership with UNICEF andWorld Health Organization (WHO) in over 30 countries acrossSSA. This CSO2 report has been produced in collaborationwith the Government of South Africa and other stakeholdersduring 2009/10. The analysis aims to help countries assesstheir own service delivery pathways for turning finance intowater supply and sanitation services in each of foursubsectors rural and urban water supply, and rural and urbansanitation and hygiene. The CSO2 analysis has three maincomponents: a review of past coverage; a costing model toassess the adequacy of future investments; and a scorecardwhich allows diagnosis of particular bottlenecks along theservice delivery pathway. The CSO2's contribution is toanswer not only whether past trends and future finance aresufficient to meet sector targets, but what specific issuesneed to be addressed to ensure finance is effectively turnedinto accelerated coverage in water supply and sanitation. Inthis spirit, specific priority actions have been identifiedthrough consultation. A synthesis report, availableseparately, presents best practice and shared learning tohelp realize these priority actions.