The effort of this research is to access the status of household drinking water supply andrnsanitation services in Ambo town. The major factors attributed to lower accessibility arernshortage of water supply, high cost of piped water connection, length of process duringrnconnection and frequent interruption. The town has no sewerage system; no adequate and safernwaste disposal sites. Further the municipality has no waste collection and disposal trucks. Asrnresult liquid wastes are released to rivers, ditches and on open spaces. These acts have seriouslyrncontributed to health, socioeconomic and environmental pollution. Community participation inrnwater supply and sanitation is inadequate due to the weakness of offices or authoritiesrnparticularly municipality in coordinating and promoting active community participation