This document is a case study examining accessibility to water supply and waste disposal facilities in Oworonshoki slum area of Lagos, Nigeria. It finds that private individuals provide 64% of daily water while public provision is only 36%. The slum area faces serious problems with sanitation and hygiene due to lack of facilities and open defecation. The study evaluates accessibility and usefulness of water and waste services for improved living standards through surveys and analysis of the local population. Key issues identified include water scarcity, overflowing drains, infrequent waste collection contributing to unhygienic conditions and health risks for residents.