Improved water sources and sanitation are crucial for human survival. The study focused on examining the
inequalities and determinants of access to water and sanitation between rural and urban households. This study
analysed the household data sets from the 2013-14 Zambia Demographic and Health Surveys (ZDHS) with a total
sample size of 15,920 households. To determine the percentage distribution, inequalities and determinants of access
to improved water and sanitation, the study used univariate analysis, the Erreygers concentration index (E) and the
logistic regression, respectively. Sixty five percent (64.5%) of the households had access to improved water source
compared to 35.5% who did not while only a quarter (25.4%) of the households had access to improved sanitation
compared about three quarters (74.6%) without access. The results also show that access to improved water and
sanitation is concentrated among the wealthier households and increases with increasing wealth quintile in both
rural and urban areas. Further, study showed that wealth index, gender of household head, region and type of place
of residence were all positively associated with access to improved sanitation. Wealth index and sex of household
head were found to be positively related with access to improved water. To enhance access to improved water and
sanitation among the poor households it is imperative that government and other stakeholders intervene by
providing the amenities or by subsidising the provision.