Causes and effects of weak enforcement of environmental sanitation laws in Ghana

Abstract

ABSTRACT Indiscriminate waste disposal practices and open defecation put pressure on environmental and human health in developing countries. Environmental sanitation laws have been enacted in those countries in an attempt to change sanitation behavior, but enforcement has been weak. This study examined the causes of poor enforcement of environmental sanitation laws in Ghana and the effects of the phenomenon on environmental and public health. Qualitative data were collected from 83 sanitation-related experts, informants, and workers, and analyzed using the thematic approach. It became evident that the main causes were the weak political will of the government, low commitment of enforcement institutions, mild sanctions regime, inadequate funding for enforcement, pervasive corruption, poor sanitation culture, and low capacity of the enforcement institutions. The environmental health effects were polluted air and water bodies, choked drainage systems, seasonal flooding, and dirty community landscapes. The public health effects were the incidence of diseases including, diarrhea, malaria, typhoid, and neglected tropical diseases. The government should build a mix of committed political, cultural, religious, legal, and social institutions, comprising relevant sector ministries and local governments, traditional authorities, churches and mosques, sanitation tribunals, vibrant civil society organizations, and mass media for enforcement management through advocacy and public education on sanitation and the laws. The government should provide funding, fight corruption, equip the relevant institutions, and hold the frontline enforcement institutions—sector ministries and local governments—accountable for the lapses in enforcement. The socio-cultural behavior change approach to enforcement should be strengthened in support of the traditional prosecutorial and sanctions regime.