One sixth of all Africans who need access to safe water live in Ethiopia. Without improving access to safe water, basic sanitation and hygiene, the MDG targets on infant mortality, girls’ access to primary education and poverty cannot and will not be met. This publication addresses the issue of financing these most vital, basic services. Many of the problems stem from poor financing, with NGOs and donors making up much of the shortfall. But where, exactly, are budgets being currently spent? Are the correct strategies in place, along with clear co-ordination? Which areas need to be extended and financed to deliver the biggest effect and best outcomes? These and many more issues are addressed in this snapshot of Water, Sanitation and Hygiene in Ethiopia. Clear assessments of the problems are outlined before short, medium and long-term recommendations are made, guiding the best approaches to deal with these problems.