The chapter examines the relationships between large development plans in sub-Saharan Africa and the process of providing new water resources to those developments, considering the final impact on the city. The case study analysed is Kigamboni, in Dar es Salaam, Tanzania. The chapter investigates how the power of investment affects the prioritization of works by the water authority. Analysis of the master plan, field surveys and interviews with stakeholders, and comparison with the existing water and sanitation facilities for the whole city support the idea that there is unbalanced planning in the provision of the city’s infrastructure. Additionally, the planning and urban governance authorities need to reconnect city development with an understanding of water and sanitation in order to overcome striking differences and social divisions.