In this book, variables that determine urban housing and neighbourhood quality, as it relates to the city of Akure in South-western Nigeria, is carefully examined and discussed. The study sampled five districts in the core residential neighbourhood of the city with a view to examine problems associated with slum formation in urban areas. The study make use of questionnaire administration, observation, housing demographic and facility survey as instruments for data collection. The results were analyzed with the aid of multiple linear regression and correlation models. Research findings show that poor housing system, lack of neighbourhood facilities and insufficient household services contribute 52.3% significant impacts to the poor quality of the environment at the city centers. The study also recognize the contribution of poverty level of dwellers in encouraging deplorable condition of their living environment. It is however suggested that extensive urban renewal program via the provision of basic services and economic revitalization be carried out in the area. This should be supported with improved sanitation strategies for sustainable management of the area.