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This article characterizes the diversity among four West African water supply systems and outlines problems faced by managers of these kinds of utilities. After having interviewed municipal water system managers in the Ivory Coast, Ghana, Burkina Faso, and Liberia, the author describes physical facilities, monitoring and analysis operations, and the regulatory framework within which each system operates. Solutions to common problems and the role of water utility professionals from developing countries are discussed. Includes 39 references, table.