Abstract

Access to safe drinking water and adequate sanitation are basic necessities of life, yet not everyone in the world is able to access these services, particularly people living in rural areas. Rural areas in Ghana, defined as communities with populations less than 5,000 people, and some rural areas in the United States (US), defined as non-metropolitan communities, experience water and sanitation-related issues to varying degrees. The purpose of the field study was to examine individual and community level issues related to sanitation, and water sources, water quality, treatment and management, water needs and water-related illness in Accra, Ghana, and to determine areas of similarities and differences with the US. Thus, study results are not generalizable to the entire population of Ghana. Given the short duration of the entire field study (three weeks) and the fact that most information on water and sanitation in the US is publicly-available, secondary data from various sources were used for the US comparison. Results from the study showed that 61.4% of study participants in the selected communities in Accra and 80.0% of Americans living in rural areas had access to safe water. Lack of access to toilet facilities was minimal in rural communities in both Ghana and the US. Copyright © 2022 Willis et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

Highlights

  • The purpose of the field study was to examine individual and community level factors related to sanitation, water quality, water treatment and management, water needs and water-related illness in select rural communities in Accra, Ghana

  • Discussion and Implications for Policy and Practice. This field study examined individual and community level factors related to sanitation, water quality, water treatment and management, water needs and water-related illness in 20 rural communities in Accra, Ghana

  • Given that majority of the students who participated in the study were native-born and residents of the United States (US), our findings present a number of implications for public health policy and practice in the US and the host country which we discuss below

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Summary

Introduction

Water and sanitation are basic necessities of life and crucial to the health and well-being of the human population, yet not everyone in the world has access to them. Over 785 million people lack access to essential water services, and over 884 million people lack access to safe drinking water.[1] It is estimated that about 40% of the world’s population lacks access to adequate sanitation facilities and practice open defecation.[1]. Despite significant investments made by the government of Ghana and its development partners in water and sanitation infrastructure over the past 30 years, 10% of Ghanaians, especially those living in rural areas, still lack access to safe drinking water and 14% lack access to adequate sanitation facilities.[2] Some reasons for this include broken-down facilities, Int J Transl Med Res Public Health 2022;6(1):e395.

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