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Sufficient, safe, and continuously available water services are important for human development and health yet many water systems in low- and middle-income countries are nonfunctional. Monitoring data were analyzed using regression and Bayesian networks (BNs) to explore factors influencing the functionality of 82 503 water systems in Nigeria and Tanzania. Functionality varied by system type. In Tanzania, Nira handpumps were more functional than Afridev and India Mark II handpumps. Higher functionality was associated with fee collection in Nigeria. In Tanzania, functionality was higher if fees were collected monthly rather than in response to system breakdown. Systems in Nigeria were more likely to be functional if they were used for both human and livestock consumption. In Tanzania, systems managed by private operators were more functional than community-managed systems. The BNs found strong …