This report is based on data submitted by 51 African countries responding to the global survey to on SDG indicator 6.5.1 on the degree of implementation of integrated water resources management (0–100), in the global baseline year 2017. This regional report for Africa was prepared at the request of the African Ministers’ Council on Water (AMCOW). It focuses on the degree of implementation of 30 IWRM elements in the African countries, covering elements of the enabling environment, institutional arrangements and stakeholder participation, management instruments for informed decision-making, and financing for sustainable water management.