Poor water services in developing countries after national conflict as a result of institutional setups and devastating infrastructures. This study assesses how institutional arrangements have affected the poor water services in Somalia, through thematic analyses. The huge gap in the literature about Somalia highlights the significant need of such research works and the originality of this paper. For this paper, different stakeholders were interviewed from seven zones of the city of Garowe. The results show that public private partnerships (PPP) play a vital role in providing drinking water. The results show that the institutions involved in the water sector in Puntland are not well organized. Roles and responsibilities were unclear, and different governmental institutions criticized each other for deliberately taking over others’ responsibilities, leading to poor and over-priced domestic water quality. Most consumers cannot afford a drinking water supply to their homes, so they are forced to walk long distances and queue for a long time in order to access water. Our analysis shows that it will be difficult for Somalia to achieve Sustainable Development Goal six (SDG 6) (target one) under the current institutional arrangements. Institutional reforms are recommended in the water sector in order to achieve SDG 6 (Target one), and to ensure safe drinking water in Puntland by 2030.