Water and sanitation affordability has become a concern in the last years due to the recent economic crisis and the growing role of tariffs in financing public services. Governments have relied on poor and incomplete affordability analysis, if any, to identify constraints vulnerable families face accessing water supply and sanitation services. This paper proposes a broader affordability analysis framework, considering six main dimensions, coverage rates, conventional affordability ratio, poverty condition of the community, affordability ratio for poorer households, access to water social programs, and connection fee burden. The framework was then applied to Brazil, considering its state-owned providers, responsible for more than 70% of the total population. The results show that the framework can be a simple but complete tool for decision-makers in any country, with the flexibility to adapt. The case study demonstrated that the Brazilian conventional affordability ratio masks affordability issues faced by poorer families, along with low access to social tariffs, high incidence of poverty, and low coverage in several areas, providing stakeholders results for public policy approaches and subsidy choice and estimate.