This document provides an overview of the challenges facing urban water management in African cities. It notes that Africa is rapidly urbanizing, which is increasing demands on water supply and sanitation systems. Many cities currently lack access to adequate water and sanitation. Issues like water scarcity due to climate change effects, lack of funding for infrastructure, and unplanned urban growth are exacerbated in African cities. The document argues for an integrated approach to urban water management that considers the entire urban water cycle and plans strategically for diverse water sources and flexible, adaptive systems. It also provides case studies of water management challenges in four cities - Nairobi, Mbale, Arua, and Douala - and discusses how integrated urban water management principles could