This document analyzes the scale and technology required for sustainable manufacturing and supply of rope pump pistons in sub-Saharan Africa. It quantifies rope pumps installed and failure rates, assesses manufacturing volumes and costs to reach break-even points, and minimum pump densities for sustainable supply chains. The analysis finds pump density is critical to viability of spare parts supply. Existing densities often do not meet system density breakpoints, so prices may need to increase or support mechanisms provided. Manufacturing at a district level where criteria for viability can be met may be most suitable.