The main objectives of the SoA report are to provide a brief overview of the current status of WASH services in the UfM region, also, it identifies strengths and weaknesses, priority areas for WASH sector in MENA region highlighted for information and knowledge sharing (i.e., technology, governance and economic aspects, best practices and case studies). Moreover, this report provides an assessment of sanitation conditions and aspects in UfM region. With elaboration of a policy chapter highlighting different approaches in dealing with policy, regulation and implementation of WASH. In addition, an overview on worldwide innovative solution in the WASH sector and those which can be applied in the region to support UfM WASH working group linking report outcomes with the UfM financial strategy objectives in the Mediterranean region.