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The failure of the conventional public and private (market-based) water policies to improve urban water access in the global South has prompted growing interest in alternative models such as community–state co-production. However, there is little evidence of whether co-production can improve water service delivery in the informal settlements of sub-Saharan Africa where a disproportionately high percentage of the urban poor lives. This paper uses household surveys, key informant interviews, and focus groups to examine the impact of co-production on household water access and service delivery in the informal settlements of Lilongwe, Malawi. Co-production increased water accessibility, reduced the cost of water, increased the number of community water kiosks, and resulted in more effective financial management and accountability. However, challenges related to poor infrastructure and limited community capacity threaten the long-term sustainability of the co-production model. Urban informal residents lamented worsening water-supply interruptions and longer waiting times after co-production, challenges that require state intervention.
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