Water is an essential element of the natural resource of the earth that sustains all living creatures on the planet, it`s fundamental importance can never be overemphasized. This study evaluates access to pipe-born water in Akwanga Local Government Area, Nasarawa State. The study identifies the sources of household water supply and identifies the presence of pipelines facilities in each household, to determine if the quantity of pipe water supply meets demands, also assesses the effects of the quantity of water supply on the socioeconomic activity of householders. This study adopted a survey research design. A total of 300 questionnaires were administered to households. A purposive sampling technique was employed to select the respondents. Five wards were selected within the study area, while 60 copies of questionnaires were distributed in each of the selected wards. Data were analyzed and presented using a descriptive form of statistics. The study revealed that most of the pipelines meant for the supply of water were old and inefficient. Therefore, no significant coverage (60%) of pipeline facilities in the study area. Pipe-borne water supply in the study area is not sufficient to meet the demands of the residents due to irregularity in the flow of water; 4.2% of these taps run every day, 8.8% of these taps run once a week, 11.7% of these taps run once in 3 days, 18.4% of these taps run once a year, 22.2% of these run once a month, while 37.7% water used for cooking, washing, drinking and sanitary purposes were mostly sourced from alternative sources that are energy and time consuming and costly to obtain. The average water consumed per person per day in the study area was 37.76 litres which are below the minimum absolute daily water needed 50 litres per person per day as stated by UNDP. Consequently, pipe-borne water supply in the study area does not have any significant impact on the socio-economic activities of residents as people still spent the better part of their time sourcing for water. This study, therefore, recommends that there should be constant monitoring of population growth rate and repairs of damaged pipes and taps in the study area.