This study addresses a current research gap in Engineering concerning Methodological evaluation of water treatment facilities systems in Uganda: quasi-experimental design for measuring efficiency gains in Uganda. The objective is to formulate a rigorous model, state verifiable assumptions, and derive results with direct analytical or practical implications. A mixed-methods design was used, combining survey and interview data collected over the study period. The results establish bounded error under perturbation, a convergent estimation process under stated assumptions, and a stable link between the proposed metric and observed outcomes. The findings provide a reproducible analytical basis for subsequent theoretical and applied extensions. Stakeholders should prioritise inclusive, locally grounded strategies and improve data transparency. Methodological evaluation of water treatment facilities systems in Uganda: quasi-experimental design for measuring efficiency gains, Uganda, Africa, Engineering, original research This work contributes a formal specification, transparent assumptions, and mathematically interpretable claims. The maintenance outcome was modelled as $Y_{it}=\beta_0+\beta_1X_{it}+u_i+\varepsilon_{it}$, with robustness checked using heteroskedasticity-consistent errors.