Five Water Boards are responsible for the supply and demand management of potable water in urban areas in Malawi. The availability and reliability of urban water supply in Malawi vary greatly, and there is need for appropriate water management practices to ensure that the various demands for water are effectively met. This article investigates structural demand management practices as implemented by the Water Boards in Malawi. It also looks into possible and sustainable management practices that are not currently in use. Recommendations are made that would ensure the sustainability and effective implementation of water supply and structural demand management schemes in urban areas in Malawi.