WSUP Advisory provided support to the Mid- Western Umbrella (MWU) on its journey to become a performing water and sanitation utility providing safe and sustainable services to customers. Technical assistance was provided to the MWU to help it improve its financial position, cover operational costs, extend services to more customers including the unserved and underserved and improve the efficiency of use of available water resources. WSUP Advisory also supported the development of leadership and governance through senior management mentoring, learning exchanges with peer utilities and training of Board members. Many of the activities piloted in this grant have been approved at Ministry level and rolled out to the other Umbrella Authorities nationally including an ‘area level’ organisational management framework and accounting system. For the Mid-Western Umbrella, the program resulted in a reduction in NRW from 47% to 40%, improved cash operating margin from 70% to 90% and improvement in water quality compliance from 70% to 95%.