In most developing countries, the concept of measurement of efficiencies of water and sanitation services has so far been non-existent. This book presents a pioneer effort in evolving frameworks for measuring efficiencies in a sector that affects the quality of lives of millions of people. The book presents Stochastic Frontier Analysis (SFA), Data Envelopment Analysis (DEA), and a Scorecard technique based frameworks for evaluating efficiencies of water supply, wastewater and solid waste management services, exemplified for the case of Madhya Pradesh State in India. The findings relate to identification of indicators for efficiency evaluation of water supply, wastewater, and municipal solid waste management services, computation of inefficiencies, ranking of utilities, identification of benchmarks, and estimation of possible savings. The results have been discussed in the context of sector policy issues. The book will be of use to policy makers, water and sanitation Regulators, water supply managers and administrators, to general public, and to all other sector stakeholders.