By :Kweku Quansah
To majority of Ghanaians looking, for place to defecate, it has been a daily struggle, similarly on every ordinary morning across the various towns and villages there is a universal human truth, and that is each one of us will need a toilet in the next second, minute or hour ahead of us.
Food may wait, clothing may change and technology may leap, but as our elders say, “the stomach has no calendar,” and the call of nature does not wait for any man, woman or child. Toilets in modern times are no longer luxuries nor for the rich.
They are instruments of dignity, protectors of health, enablers of safety, promoters of productivity, and defenders of our rivers, soils and climate. A toilet is a simple room, yet it carries the power to transform a household, a community and a nation.
This year’s World Toilet Day is being commemorated, under the theme “We will always need the toilet,” Ghana has an opportunity to remind itself and the world that sanitation is not an aspiration; it is a right, a necessity, and a moral duty we owe one another
Across the country, progress has been made, but the journey ahead remains steep. Recent data from the WHO/UNICEF Joint Monitoring Programme tells us that the world is struggling to meet the 2030 SDG sanitation target, and Ghana is no exception.

Kweku Quansah
Our population now hovers around 35 million, living in just under 9.75 million households with an average household size of 3.6, yet millions of homes still lack toilets. As recently as 2021, official national report showed that only about 59.3% of households had a toilet to use. Despite the continuous investment, policy enforcement and development support, a significant gap remains. About 4.3 million Ghanaian households still lack toilets in their homes.
The old proverb says, “The one who fetches water is the one who sees how deep the pot is.” Though we have fetched enough water, we still have a lot of work to do.
Open defecation remains a stubborn challenge. With 17.7% of our population, nearly six million people, still defecate in the open. Behind that figure lies a story of risk: girls and women who fear venturing into the bushes, beaches and uncompleted buildings at dawn or dusk; families that are exposed to cholera, typhoid and diarrhoeal diseases; farmers and communities downstream consuming foods irrigated with faecal contaminated and polluted water; school children who need to choose between holding their bladder and abandoning classes; visitors who quietly judge us not by our speeches, but by the smell around our public spaces. When we speak of dignity, it begins with access to toilets, when we speak of tourism, investment, modern cities and global competitiveness, they begin largely with access to toilets.
However, the story is not only one of gaps, it is also a story of ambition and achievement. Ghana has proven that when we commit, we deliver. The GAMA/GKMA Sanitation and Water Project stands as a shining example: more than 76,000 household toilets constructed by April 2025, six hundred and nine gender-sensitive, child-friendly institutional facilities completed, and thousands of families lifted from indignity to pride, World Vision’s sanitation programmes, GoG-UNICEF WASH Programme, private-sector partnerships, and committed community level NGOs and volunteers among so many other interventions have helped declare hundreds of communities open-defecation-free in recent times. The evidence is clear, when finance meets political will, when local artisans are trained, when micro-loans are available, and when poor households are supported, sanitation transforms lives, brings dignity and ensures sustainable livelihoods and productivity.
Building toilets alone is very good but not enough, the Sustainable Development Goal 6 is not only about “toilet for all,” but also about “safely managed sanitation for all.” That means toilets that contain faecal waste properly, that are emptied and transported safely, and that lead to treatment and reuse without polluting water bodies or the environment.
Today, only about 16% of Ghanaians have safely managed sanitation. That means more than 8 million households still need a safe service chain. We must therefore think beyond structures and embrace systems.
A toilet without proper containment is only half a solution; a pit left to overflow becomes a hazard; a household that cannot afford emptying will return to old practices; a treatment plant without sludge becomes dormant; a regulation without enforcement becomes decoration.
As our tradition reminds us, “The cooking pot that has no lid invites flies.” We must close the sanitation loop tightly, from construction to treatment, so that no Ghanaian is left behind and no community suffers unnecessarily.
There are bright examples across the country. In densely populated compound houses in Accra and Kumasi, biodigester toilets have replaced shared, dilapidated latrines and shameful backyard corners.
Many schools have shifted from “build and abandon” to facilities run under maintenance arrangements with small user fees, school committees and school health clubs. Faecal sludge operators have modernised operations with trucks, pumping equipment and digital payment systems. District assemblies have begun to map toilet gaps, enforce sanitation bye-laws and link households to artisans and microfinance. Dohia, a farming community in Agortime-Ziope District in the Volta region has shown that with respect, mobilisation, and small seed funds to support early adopters, open defecation can become history. These stories are proof: Ghanaian communities do not lack willingness; they only need opportunity, support and coordination.
Moving forward, our Metropolitan, Municipal and District Assemblies must continue to lead the charge. Every district should enforce its sanitation bye-laws fairly and firmly, not to punish the poor, but to protect public health. Landlords must understand that providing a toilet in their properties for tenants, is not a favour, it is a duty. Assemblies should publish approved toilet technologies, their cost, and list of trained artisans to guide household decisions.
They should host sanitation fairs, support micro-loan desks and reward communities and landlords who take decisive action towards improved sanitation. They must plan by mapping out households without toilets, identifying open-defecation hotspots,
scheduling desludging routes, and ensuring treatment facilities operate to standard. As we say, “If you want a child to climb a tree, you show the branch.” Leadership must show the branch, supporting affordable solutions, flexible payment terms and technical guidance, then the people will climb.
The private sector also has a defining role to play. Sanitation is not a charity; it is an opportunity to improve lives while creating jobs and investment. Suppliers must provide affordable, quality toilet packages but not sub standard quick fixes. Desludging operators must expand coverage, adopt digital service platforms and cluster services to reduce cost.
Treatment plant operators must process sludge safely and explore resource recovery like compost, energy, soil conditioners as part of sustainable business models. Innovation must continue, flood-resistant toilets in climate-vulnerable zones, micro-treatment systems for densly populated communities, shared-facility models in compound houses, and financial products tailored to urban poor and rural households. The last 20% of communities, popularly called the “last mile communities”, are hardest to reach and hardest to serve, require our best creativity and compassion using business “un-usual” approach.
Financing remains essential. A typical improved household toilet costs between GHC3,000 and GHC5,000. For many families, this is manageable with instalment payments, for the poorest, targeted subsidies or results-based support remain necessary. Blended finance, combining public funds, development assistance and household investment, will surely close the current yawning access gap.
Some may ask, “Why the urgency?” Because every month delayed keeps children out of school, girls unsafe, families sick, health facilities overwhelmed, and rivers polluted. The world is off-track for SDG 6.2, but Ghana can accelerate. We can be the example Africa points to, not because we have the best brains, but because we are group of determined people. As our elders say, “When the roots are deep, there is no reason to fear the wind.” We have strong roots in policy, in experience, in community mobilisation. We now need upscale our interventions, speed up our efforts and show consistency.
For this year’s World Toilet Day, we need to make a promise not just to build toilets, but to build dignity, resilience and shared responsibility. Government should lead with clear directives, predictable enforcement and public scorecards. In midst of all the global financial challenges, WASH development partners must sustain financing for district-level systems. Landlords must fulfil their civic duty of providing improved toilet facilities in their properties. Communities must reject open defecation. Media and faith leaders must speak boldly, whilst the private sector continue to innovate to make sanitation affordable, accessible and sustainable. Ghana has always known that dignity is development. A toilet behind every door is a safety for women and girls; it is opportunity for school children; it is cleanliness for markets and beaches; it is health for villages and cities; it is pride for our future.
With the right blend of policy leadership, local action, private-sector partnership and citizen responsibility, Ghana can close the sanitation gap. Let us continue to work diligently to ensure every household in Ghana gets a place they could call a toilet, where every child, every visitor, every community can say we have arrived. This is because we will always need the toilet and the toilet will give us dignity, health, productivity and peace of mind. Happy World Toilet Day to all Ghanaians. May every Ghanaian home find dignity behind a toilet door that locks, a handwashing facility that flows, and a service chain that works for today, tomorrow and the generations to come.
The writer is a Public Health Practitioner and a Fellow of West African Postgraduate College of Environmental Health (WAPCEH)
E-Mail: kwekuquansah@gmail.com