The dominant policy decision emphasis on urbanisation problem in developing countries is its rate of growth, ignoring the level of provision of resources, including the infrastructure, to match this growth. It is against this background that the paper undertook a broad analysis of the state of infrastructure in developing countries using such indices as access and quality of water supply, sanitation and solid waste management, to explore how their provision and improvements over time could gradually match the rate of urbanisation. Extensive literature review was adopted for data collection in articles and journals which were analysized using content analysis technique. There is significant proportion of population using unimproved drinking water sources (42%), unimproved sanitation facilities (50%) and without access to designated waste disposal sites (44%). Water, sanitation and hygiene are key to improving health and development. Providing sustainable access to these infrastructures is the most important things that can be done to reduce disease and improve human development.
