Why do some wastewater treatment facilities work when the majority fail? Case study from the sanitation sector in Ghana
Failure is the norm for urban sanitation infrastructure in Ghana: of the rather substantial number of wastewater and faecal sludge treatment plants, with about 70 mostly decentralized systems throughout the country, less than 10 are operating effectively. This research presents an overview of the related sanitation situation in Ghana, and compares the few successful facilities with their failed counterparts in order to decipher the factors that enable the former to prevail. The research reveals important differences in the operation and maintenance (O&M) strategies, financing schemes and incentive structures in the successful versus unsuccessful facilities, which are probably not unique to Ghana. Based on the findings, we suggest a set of guiding questions for incorporation into the existing planning, funding or general decision-making framework in order to avoid commonly observed traps, which not only undermine progress in the delivery of sanitation services but also harshly affect environmental and public health.AECOM and SANDEC (2010) A rapid assessment of septage management in Asia: Policies and practices in India, Indonesia, Malaysia, the Philippines, Sri Lanka, Thailand and Vietnam, AECOM, SANDEC/EAWAG, USAID/RDMA.
Akuffo, S.B. (1998) Pollution Control in a Developing Economy: A Study of the Situation in Ghana, 2nd edn, Ghana Universities Press, Accra.
Awuah, E., Donkor, E. and Sanjok, E.K.M. (2008) ‘Management of sewerage system: Case study in Tema’, Proceedings of the 33 WEDC International Conference, 7-11 April 2008, Accra, Ghana.
Ayee, J. and Crook, R. (2003) ‘Toilet Wars’: Urban Sanitation Services and the Politics of Public-Private Partnerships in Ghana, IDS Working Paper 213, Institute of Development Studies, Brighton, UK: 40.
MLGRDE (2008) Preliminary National Environmental Sanitation Strategy and Action Plan (NESSAP), Ministry of Local Government, Rural Development and Environment, Government of Ghana, Accra, Ghana.
Murray, A. and Buckley, C. (2010) ‘Designing reuse-oriented sanitation infrastructure: The design for service planning approach’, in P. Drechsel, C.A. Scott, L. Raschid-Sally, M. Redwood and A. Bahri (eds), Wastewater Irrigation and Health: Assessing and Mitigation Risks in Low-income Countries, pp. 303-18, Earthscan-IDRC-IWMI, London.
Salifu, L. (WasteCare Ltd) (2005) ‘Assessment of national sanitation policies: Ghana case’, WaterAid: 53.
AECOM and SANDEC (2010) A rapid assessment of septage management in Asia: Policies and practices in India, Indonesia, Malaysia, the Philippines, Sri Lanka, Thailand and Vietnam, AECOM, SANDEC/EAWAG, USAID/RDMA.
Akuffo, S.B. (1998) Pollution Control in a Developing Economy: A Study of the Situation in Ghana, 2nd edn, Ghana Universities Press, Accra.
Awuah, E., Donkor, E. and Sanjok, E.K.M. (2008) ‘Management of sewerage system: Case study in Tema’, Proceedings of the 33 WEDC International Conference, 7-11 April 2008, Accra, Ghana.
Ayee, J. and Crook, R. (2003) ‘Toilet Wars’: Urban Sanitation Services and the Politics of Public-Private Partnerships in Ghana, IDS Working Paper 213, Institute of Development Studies, Brighton, UK: 40.
MLGRDE (2008) Preliminary National Environmental Sanitation Strategy and Action Plan (NESSAP), Ministry of Local Government, Rural Development and Environment, Government of Ghana, Accra, Ghana.
Murray, A. and Buckley, C. (2010) ‘Designing reuse-oriented sanitation infrastructure: The design for service planning approach’, in P. Drechsel, C.A. Scott, L. Raschid-Sally, M. Redwood and A. Bahri (eds), Wastewater Irrigation and Health: Assessing and Mitigation Risks in Low-income Countries, pp. 303-18, Earthscan-IDRC-IWMI, London.
Salifu, L. (WasteCare Ltd) (2005) ‘Assessment of national sanitation policies: Ghana case’, WaterAid: 53.
AECOM and SANDEC (2010) A rapid assessment of septage management in Asia: Policies and practices in India, Indonesia, Malaysia, the Philippines, Sri Lanka, Thailand and Vietnam, AECOM, SANDEC/EAWAG, USAID/RDMA.
Akuffo, S.B. (1998) Pollution Control in a Developing Economy: A Study of the Situation in Ghana, 2nd edn, Ghana Universities Press, Accra.
Awuah, E., Donkor, E. and Sanjok, E.K.M. (2008) ‘Management of sewerage system: Case study in Tema’, Proceedings of the 33 WEDC International Conference, 7-11 April 2008, Accra, Ghana.
Ayee, J. and Crook, R. (2003) ‘Toilet Wars’: Urban Sanitation Services and the Politics of Public-Private Partnerships in Ghana, IDS Working Paper 213, Institute of Development Studies, Brighton, UK: 40.
MLGRDE (2008) Preliminary National Environmental Sanitation Strategy and Action Plan (NESSAP), Ministry of Local Government, Rural Development and Environment, Government of Ghana, Accra, Ghana.
Murray, A. and Buckley, C. (2010) ‘Designing reuse-oriented sanitation infrastructure: The design for service planning approach’, in P. Drechsel, C.A. Scott, L. Raschid-Sally, M. Redwood and A. Bahri (eds), Wastewater Irrigation and Health: Assessing and Mitigation Risks in Low-income Countries, pp. 303-18, Earthscan-IDRC-IWMI, London.
Salifu, L. (WasteCare Ltd) (2005) ‘Assessment of national sanitation policies: Ghana case’, WaterAid: 53.
AECOM and SANDEC (2010) A rapid assessment of septage management in Asia: Policies and practices in India, Indonesia, Malaysia, the Philippines, Sri Lanka, Thailand and Vietnam, AECOM, SANDEC/EAWAG, USAID/RDMA.
Akuffo, S.B. (1998) Pollution Control in a Developing Economy: A Study of the Situation in Ghana, 2nd edn, Ghana Universities Press, Accra.
Awuah, E., Donkor, E. and Sanjok, E.K.M. (2008) ‘Management of sewerage system: Case study in Tema’, Proceedings of the 33 WEDC International Conference, 7-11 April 2008, Accra, Ghana.
Ayee, J. and Crook, R. (2003) ‘Toilet Wars’: Urban Sanitation Services and the Politics of Public-Private Partnerships in Ghana, IDS Working Paper 213, Institute of Development Studies, Brighton, UK: 40.
MLGRDE (2008) Preliminary National Environmental Sanitation Strategy and Action Plan (NESSAP), Ministry of Local Government, Rural Development and Environment, Government of Ghana, Accra, Ghana.
Murray, A. and Buckley, C. (2010) ‘Designing reuse-oriented sanitation infrastructure: The design for service planning approach’, in P. Drechsel, C.A. Scott, L. Raschid-Sally, M. Redwood and A. Bahri (eds), Wastewater Irrigation and Health: Assessing and Mitigation Risks in Low-income Countries, pp. 303-18, Earthscan-IDRC-IWMI, London.
Salifu, L. (WasteCare Ltd) (2005) ‘Assessment of national sanitation policies: Ghana case’, WaterAid: 53.
A global, spatially-explicit assessment of irrigated croplands influenced by urban wastewater flows
Thebo, A L
Drechsel, P
Lambin, E F
Nelson, K L
Environmental Research Letters, Vol. 12 (2017), Iss. 7 P.074008
https://doi.org/10.1088/1748-9326/aa75d1 [Citations: 152]Wastewater
Global Wastewater and Sludge Production, Treatment and Use
Mateo-Sagasta, Javier
Raschid-Sally, Liqa
Thebo, Anne
2015
https://doi.org/10.1007/978-94-017-9545-6_2 [Citations: 127]Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review
De Buck, Emmy
Van Remoortel, Hans
Hannes, Karin
Govender, Thashlin
Naidoo, Selvan
Avau, Bert
Veegaete, Axel Vande
Musekiwa, Alfred
Lutje, Vittoria
Cargo, Margaret
Mosler, Hans‐Joachim
Vandekerckhove, Philippe
Young, Taryn
Campbell Systematic Reviews, Vol. 13 (2017), Iss. 1 P.1
https://doi.org/10.4073/csr.2017.7 [Citations: 47]Performance evaluation of a full-scale upflow anaerobic sludge blanket reactor coupled with trickling filters for municipal wastewater treatment in a developing country
Arthur, Philomina M.A.
Konaté, Yacouba
Sawadogo, Boukary
Sagoe, Gideon
Dwumfour-Asare, Bismark
Ahmed, Issahaku
Williams, Myron N.V.
Heliyon, Vol. 8 (2022), Iss. 8 P.e10129
https://doi.org/10.1016/j.heliyon.2022.e10129 [Citations: 19]Aid effectiveness in sustainable development: A multidimensional approach
Guerrero, Omar A.
Guariso, Daniele
Castañeda, Gonzalo
World Development, Vol. 168 (2023), Iss. P.106256
https://doi.org/10.1016/j.worlddev.2023.106256 [Citations: 9]Motivating behaviour change to reduce pathogenic risk where unsafe water is used for irrigation
Karg, Hanna
Drechsel, Pay
Water International, Vol. 36 (2011), Iss. 4 P.476
https://doi.org/10.1080/02508060.2011.594684 [Citations: 14]Towards an agenda for improving wastewater use in agriculture
Scheierling, Susanne M.
Bartone, Carl R.
Mara, D. Duncan
Drechsel, Pay
Water International, Vol. 36 (2011), Iss. 4 P.420
https://doi.org/10.1080/02508060.2011.594527 [Citations: 56]The WHO Guidelines for Safe Wastewater Use in Agriculture: A Review of Implementation Challenges and Possible Solutions in the Global South
Drechsel, Pay
Qadir, Manzoor
Galibourg, David
Water, Vol. 14 (2022), Iss. 6 P.864
https://doi.org/10.3390/w14060864 [Citations: 29]A global indicator of wastewater treatment to inform the Sustainable Development Goals (SDGs)
Malik, Omar A.
Hsu, Angel
Johnson, Laura A.
de Sherbinin, Alex
Environmental Science & Policy, Vol. 48 (2015), Iss. P.172
https://doi.org/10.1016/j.envsci.2015.01.005 [Citations: 112]Wastewater
Wastewater Use in Agriculture: Challenges in Assessing Costs and Benefits
Drechsel, Pay
Danso, George
Qadir, Manzoor
2015
https://doi.org/10.1007/978-94-017-9545-6_8 [Citations: 6]Current Developments in Biotechnology and Bioengineering
Resource recovery from wastewater
Simha, Prithvi
Senecal, Jenna
Gustavsson, David J.I.
Vinnerås, Björn
2020
https://doi.org/10.1016/B978-0-444-64309-4.00009-X [Citations: 2]The perspective of a smart city by endorsing the nexus Bermuda triangle with the risk assessment of polluted water reuse in integrated water and food security management: the case of Semnan, Iran
Safaeian, M. R.
Ardestani, M.
Sarang, A.
Journal of Water Reuse and Desalination, Vol. 12 (2022), Iss. 4 P.403
https://doi.org/10.2166/wrd.2022.047 [Citations: 1]Neglected second and third generation challenges of urban sanitation: A review of the marginality and exclusion dimensions of safely managed sanitation
Bhatkal, Tanvi
Mehta, Lyla
Sumitra, Roshni
Wright, Guillaume
PLOS Water, Vol. 3 (2024), Iss. 6 P.e0000252
https://doi.org/10.1371/journal.pwat.0000252 [Citations: 0]The presence of the past: a retrospective view of the politics of urban water management in Accra, Ghana
Bohman, Anna
Water History, Vol. 4 (2012), Iss. 2 P.137
https://doi.org/10.1007/s12685-011-0047-2 [Citations: 17]Natural Treatment Systems and Importance of Social Cost Benefit Analysis in Developing Countries: A Critical Review
De, Indranil
Hasan, Rooba
Iqbal, Mubashshir
Sustainability, Vol. 14 (2022), Iss. 7 P.3913
https://doi.org/10.3390/su14073913 [Citations: 4]The Security of Water, Food, Energy and Liveability of Cities
Challenges and Opportunities for Recycling Excreta for Peri-urban Agriculture in Urbanising Countries
Cofie, Olufunke
Van Rooijen, Daniel
Nikiema, Josiane
2014
https://doi.org/10.1007/978-94-017-8878-6_23 [Citations: 1]Faecal sludge as a solid industrial fuel: a pilot-scale study
Gold, Moritz
Ddiba, Daniel Isaac Waya
Seck, Alsane
Sekigongo, Patrick
Diene, Alassane
Diaw, Serigne
Niang, Seydou
Niwagaba, Charles
Strande, Linda
Journal of Water, Sanitation and Hygiene for Development, Vol. 7 (2017), Iss. 2 P.243
https://doi.org/10.2166/washdev.2017.089 [Citations: 38]Indigenous plants for informal greywater treatment and reuse by some households in Ghana
Dwumfour-Asare, Bismark
Nyarko, Kwabena B.
Awuah, Esi
Essandoh, Helen M. K.
Gyan, Bernard A.
Ofori-Addo, Hilda
Journal of Water Reuse and Desalination, Vol. 8 (2018), Iss. 4 P.553
https://doi.org/10.2166/wrd.2018.061 [Citations: 9]Cognitive Data Models for Sustainable Environment
Sustainability issues in upcoming wastewater treatment plants at Patna
Maurya, Nityanand Singh
Roy, Sulagna
Kumari, Astha
2022
https://doi.org/10.1016/B978-0-12-824038-0.00012-2 [Citations: 1]Urban agriculture and farmers’ willingness to pay for treated wastewater: Insights from vegetable producers in the greater Accra metropolis of Ghana
Adams, Abdulai
Sekyi, Samuel
Kaseeram, Irrshad
Cogent Food & Agriculture, Vol. 9 (2023), Iss. 1
https://doi.org/10.1080/23311932.2023.2197161 [Citations: 1]An evaluation of the theoretical potential and practical opportunity for using recycled greywater for domestic purposes in Ghana
Hyde, Katherine
Journal of Cleaner Production, Vol. 60 (2013), Iss. P.195
https://doi.org/10.1016/j.jclepro.2013.05.004 [Citations: 21]Institutional capacity determinants in a global south city: the case of a wastewater utility in Zacatecas, Mexico
Vélez-Ramírez, Alberto
Rivera-Castañeda, Patricia
Muñoz-Pizza, Dalia M.
Utilities Policy, Vol. 79 (2022), Iss. P.101453
https://doi.org/10.1016/j.jup.2022.101453 [Citations: 2]Cost-effectiveness of options for reducing health risks in areas where food crops are irrigated with treated or untreated wastewater
Drechsel, Pay
Seidu, Razak
Water International, Vol. 36 (2011), Iss. 4 P.535
https://doi.org/10.1080/02508060.2011.594549 [Citations: 21]Country-level and gridded estimates of wastewater production, collection, treatment and reuse
Jones, Edward R.
van Vliet, Michelle T. H.
Qadir, Manzoor
Bierkens, Marc F. P.
Earth System Science Data, Vol. 13 (2021), Iss. 2 P.237
https://doi.org/10.5194/essd-13-237-2021 [Citations: 358]Urbanisation and emerging economies: Issues and potential solutions for water and food security
Kookana, Rai S.
Drechsel, Pay
Jamwal, Priyanka
Vanderzalm, Joanne
Science of The Total Environment, Vol. 732 (2020), Iss. P.139057
https://doi.org/10.1016/j.scitotenv.2020.139057 [Citations: 120]Wastewater
Business Models and Economic Approaches Supporting Water Reuse
Rao, Krishna
Hanjra, Munir A.
Drechsel, Pay
Danso, George
2015
https://doi.org/10.1007/978-94-017-9545-6_11 [Citations: 6]Nutrition and Human Health
Wastewater for Agricultural Production, Benefits, Risks, and Limitations
Nyika, Joan
2022
https://doi.org/10.1007/978-3-030-93971-7_6 [Citations: 3]A review of sustainable sanitation systems in Africa
Nansubuga, Irene
Banadda, Noble
Verstraete, Willy
Rabaey, Korneel
Reviews in Environmental Science and Bio/Technology, Vol. 15 (2016), Iss. 3 P.465
https://doi.org/10.1007/s11157-016-9400-3 [Citations: 47]Natural and Constructed Wetlands
Application of the NaWaTech Safety and O&M Planning Approach Re-Use Oriented Wastewater Treatment Lines at the Ordnance Factory Ambajhari, Nagpur, India
Nicolics, Sandra
Hewitt, Diana
Pophali, Girish R.
Masi, Fabio
Panse, Dayanand
Labhasetwar, Pawan K.
Meinhold, Katie
Langergraber, Günter
2016
https://doi.org/10.1007/978-3-319-38927-1_12 [Citations: 1]Wastewater
Transforming Urban Wastewater into an Economic Asset: Opportunities and Challenges
Hanjra, Munir A.
Drechsel, Pay
Wichelns, Dennis
Qadir, Manzoor
2015
https://doi.org/10.1007/978-94-017-9545-6_14 [Citations: 8]Promoting sustainable sanitation through wastewater-fed aquaculture: a case study from Ghana
Tenkorang, Asantewa
Yeboah-Agyepong, Mark
Buamah, Richard
Agbo, Nelson W.
Chaudhry, Rabia
Murray, Ashley
Water International, Vol. 37 (2012), Iss. 7 P.831
https://doi.org/10.1080/02508060.2012.733669 [Citations: 13]Greywater characterization and handling practices among urban households in Ghana: the case of three communities in Kumasi Metropolis
Dwumfour-Asare, Bismark
Adantey, Philomina
Nyarko, Kwabena Biritwum
Appiah-Effah, Eugene
Water Science and Technology, Vol. 76 (2017), Iss. 4 P.813
https://doi.org/10.2166/wst.2017.229 [Citations: 27]The Security of Water, Food, Energy and Liveability of Cities
Wastewater Treatment Capacity, Food Production and Health Risk in Peri-urban Areas: A Comparison of Three Cities
Van Rooijen, Daniel
Smout, Ian
Drechsel, Pay
Biggs, Trent
2014
https://doi.org/10.1007/978-94-017-8878-6_16 [Citations: 0]Evolving policies and the roles of public and private stakeholders in wastewater and faecal-sludge management in India, China and Ghana
Murray, Ashley
Mekala, Gayathri Devi
Chen, Xia
Water International, Vol. 36 (2011), Iss. 4 P.491
https://doi.org/10.1080/02508060.2011.594868 [Citations: 17]The contribution of tipping fees to the operation, maintenance, and management of fecal sludge treatment plants: The case of Ghana
Tanoh, Rebecca
Nikiema, Josiane
Asiedu, Zipporah
Jayathilake, Nilanthi
Cofie, Olufunke
Journal of Environmental Management, Vol. 303 (2022), Iss. P.114125
https://doi.org/10.1016/j.jenvman.2021.114125 [Citations: 8]Designing stakeholder consultations for institutional change: a case study from Ghana’s sanitation sector
Loan Diep, Loan Diep
Priti Parikh, Priti Parikh
Jonathan Parkinson, Jonathan Parkinson
Nii Odai, Nii Odai
Waterlines, Vol. 38 (2019), Iss. 4 P.249
https://doi.org/10.3362/1756-3488.18-00034 [Citations: 0]A review of the water resources of Ghana in a changing climate and anthropogenic stresses
Agodzo, Sampson K.
Bessah, Enoch
Nyatuame, Mexoese
Frontiers in Water, Vol. 4 (2023), Iss.
https://doi.org/10.3389/frwa.2022.973825 [Citations: 16]Success and failure assessment methodology for wastewater and faecal sludge treatment projects in low-income countries
Bassan, Magalie
Koné, Doulaye
Mbéguéré, Mbaye
Holliger, Christof
Strande, Linda
Journal of Environmental Planning and Management, Vol. 58 (2015), Iss. 10 P.1690
https://doi.org/10.1080/09640568.2014.943343 [Citations: 15]Occupational Exposure to Endotoxin along a Municipal Scale Fecal Sludge Collection and Resource Recovery Process in Kigali, Rwanda
Sklar, Rachel
Zhou, Zeyi
Zalay, Marley
Muspratt, Ashley
Hammond, S. Katharine
International Journal of Environmental Research and Public Health, Vol. 16 (2019), Iss. 23 P.4740
https://doi.org/10.3390/ijerph16234740 [Citations: 0]- A call to action: organizational, professional, and personal change for gender transformative WASH programming
- Providing municipal faecal sludge management services: lessons from Bangladesh
- Menstrual hygiene management: education and empowerment for girls?
- Webwatch
- Transgender-inclusive sanitation: insights from South Asia