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Urban societys health is directly affected by environmental factors where the quality of the environment is decided by the development of urban infrastructure. Exponential growth of population in Metropolitan Cities without being matched by basic sanitation supplies will raise the deteriorating environmental conditions. Bandung metropolitan city has a high level of urbanization so that the problem of basic sanitation supply is more important. This study aims to identify sanitation problems and efforts to improve access to basic sanitation in Bandung city. This research method uses a deductive approach with quantitative and qualitative mixed analysis methods. The use of data in this study uses secondary data from the past 5 years. Our initial synthesis shows that the main problems of access to basic sanitation in Bandung are caused by technical constraints in the form of lack of suitable land and limited access to the PDAM sewer, while non-technical constraints in the form of readiness and understanding of local urban society, and budgeting. The efforts of Bandung city are currently quite massive, but the improvement of sanitation access is still not significant.