The poor quality of sanitation service is another cause of poverty in Indonesia. poor sanitation has caused nancial loss and various environment related diseases. This is a main hindrance in accomplishment of MDGs. To accelerate sanitation development the steps required are: 1) categorization of poverty based on access of sanitation; 2) listing the constraints; 3) prioritizing urban poor, and 4) encouraging local and central government to put more attention on public access of basic sanitation. Prioritizing sanitation development requires a change of paradigm from curative to preventive measure.