The Water, Sanitation, and Hygiene for Health (W4H) Activity is a five-year (2015–2020), US$19M cooperative agreement funded by USAID/Ghana and implemented by Global Communities (GC). The goal of W4H is to accelerate sustainable improvement in water and sanitation access and improve hygiene behaviors in 15 target Metropolitan, Municipal, and District Assemblies (MMDAs).
USAID/Ghana commissioned the USAID Water, Sanitation, and Hygiene Partnerships and Learning for Sustainability (WASHPaLS) Project to undertake a performance evaluation of W4H with an emphasis on assessing sustainability. Five evaluation questions covered the effectiveness of policy uptake, sustainability of investments and private sector engagement in sanitation, strengthening of local governance systems for water services, and increased handwashing behavior. Between July and October 2019, the evaluation team reviewed contractual deliverables and related documents and conducted key informant interviews (KIIs), focus group discussions (FGDs), and site observations in 10 of the 15 MMDAs in which W4H is active. The team conducted a total of 90 KIIs/FGDs with a broad range of stakeholders; 75 percent of the interviewees were based in the MMDAs visited, and 25 percent of the total were female. This document provides a summary of findings and recommendations.