Tag: National Sanitation Day

  • Rising heat alters malaria risk as Ghana’s $150mn sanitation failure threatens public health

    Rising heat alters malaria risk as Ghana’s $150mn sanitation failure threatens public health

    By Adnan Adams Mohammed

     

    Emerging scientific research and mounting public frustration over poor urban sanitation are converging to redraw Ghana’s public health priorities, revealing how environmental degradation and shifting climate patterns threaten the nation’s health resilience.

    According to a landmark modeling study published in Nature Climate Change, shifting global climate dynamics are altering the transmission geography of vector-borne diseases across Africa.

    While warming temperatures are expanding malaria suitability into cooler, high-altitude regions in East Africa, extreme heat projections for West Africa, including Ghana, suggest a counterintuitive trend: localized declines in mosquito survival due to temperatures exceeding thermal tolerance thresholds.

    However, climate scientists emphasize that while vector viability may contract in hyper-arid conditions, extreme heat stress, severe flooding, and unmanaged municipal waste pose an immediate, compound threat to public health.

    The reality on the ground in major urban centers like Accra presents a stark contrast to theoretical climate declines in vector survival. Despite massive public expenditure, including GH₵2 billion ($150 million) collected through the Sanitation and Pollution Levy (SPL) since its introduction in 2021, major cities across Ghana remain choked with uncollected solid waste, clogged drainage channels, and stagnant wastewater that create artificial breeding grounds for disease vectors.

    Addressing the persistent sanitation deficit, President John Dramani Mahama highlighted the grassroots efforts of civic volunteer groups, such as the Buz Stop Boys, who have resorted to clearing public gutters and open drains themselves.

    “When you see young citizens taking shovels into public gutters to clear waste that municipal authorities are funded to manage, it serves as a wake-up call to all of us,” President Mahama remarked, citing a viral video of the volunteer group. “Civic action is commendable, but it highlights a profound structural failure in our public sanitation management. We must enforce stricter sanitation bye-laws and ensure that public resources allocated for municipal cleanliness yield visible results.”

     

    Public health policy experts and civil society organizations have voiced growing frustration over the apparent misalignment between state revenue collection and environmental outcomes. The Sanitation and Pollution Levy was enacted to fund waste management infrastructure, clean up urban centers, and decommission hazardous dumpsites. Yet, open dumps and overflowing storm drains remain pervasive across the capital.

    A senior environmental health analyst noted that poor sanitation directly undermines national health budgets and vector control initiatives.

    “We are spending hundreds of millions of dollars on malaria control, bed nets, and medical care, yet we allow our cities to function as incubator hubs for liquid waste and pollution,” the analyst stated. “If rising temperatures alter mosquito transmission in the wild, poor municipal sanitation cancels out those natural reductions by creating artificial micro-environments in clogged drains and plastic waste. We cannot build health security on a foundation of stagnant water and uncollected refuse.”

     

    With climate models forecasting intensifying heatwaves alongside unpredictable rainfall spikes, health professionals urge state authorities to account for the interplay between climate shifts, urban planning, and sanitation infrastructure.

    “Climate change is not a far-off phenomenon; it is actively reshaping our disease burdens and living conditions today,” noted a researcher associated with the climate study. “While heat stress itself will become a leading cause of mortality if urban heat islands are left unmitigated, poor sanitation ensures that waterborne and vector-borne risks persist alongside thermal threats. Fixing our sanitation infrastructure is our first line of defense against both present epidemics and future climate shocks.”

     

    As calls intensify for full accountability regarding the management of the Sanitation and Pollution Levy, civil society groups are urging parliament to institute tighter oversight over municipal contracts to ensure every cedi collected directly translates into cleaner, safer communities.

     

  • Local Accountability Key to Ending Ghana’s Sanitation Crisis; Prof. Anokye

    Local Accountability Key to Ending Ghana’s Sanitation Crisis; Prof. Anokye

    Story By: Felix Ernest Odamtten & Muhammed Faisal Mustapha.

     

    Ghana’s recurring floods and mounting sanitation crisis have reignited a national conversation on the effectiveness of local governance, with environmental specialist and Chief Executive Officer of Koans Estate, Prof. Kofi Anokye, urging the Government to fundamentally rethink the country’s sanitation management structure.

     

    He argues that empowering Metropolitan, Municipal and District Chief Executives (MMDCEs) with greater authority could transform environmental governance and significantly reduce the devastating impact of annual flooding.

     

    Prof. Anokye believes Ghana’s highly centralised sanitation system has outlived its usefulness, leaving Metropolitan, Municipal and District Assemblies (MMDAs) with responsibility but without the authority required to solve pressing environmental challenges. While local authorities remain the first point of contact for residents, critical decisions on sanitation funding, procurement and contractor supervision continue to be controlled from the national level.

     

    According to him, this disconnect has created an accountability gap that undermines service delivery and slows timely interventions. Communities continue to grapple with overflowing drains, indiscriminate waste disposal and deteriorating environmental conditions, while local authorities often lack the powers needed to act decisively.

     

    He stressed that assemblies possess an intimate understanding of the environmental realities within their jurisdictions and are therefore best positioned to oversee sanitation operations. Giving them direct control over sanitation management, he said, would result in faster responses, stronger oversight and more efficient service delivery.

     

    “The assemblies understand the sanitation challenges within their communities better than anyone. They must be empowered to appoint contractors, supervise their work, review performance and ensure value for every public cedi invested.”

     

    Prof. Anokye proposed that MMDAs should be granted the authority to procure sanitation service providers, monitor operational standards, enforce contractual obligations and terminate underperforming contracts where necessary. Such reforms, he noted, would establish clearer lines of accountability while improving operational efficiency.

     

    He argued that contractors perform better when they are directly answerable to local authorities that regularly monitor their activities. Under the current arrangement, where supervision is largely coordinated from the centre, maintaining consistent standards across the country has become increasingly difficult.

     

    The environmental expert observed that ineffective monitoring has contributed to blocked drainage systems, poor waste collection and environmental degradation, all of which continue to intensify flooding during the rainy season. He maintained that addressing these structural weaknesses requires bold decentralisation rather than temporary emergency interventions.

     

    Beyond environmental protection, Prof. Anokye believes decentralised sanitation management would stimulate local economic development by creating employment opportunities for community based sanitation enterprises while strengthening institutional accountability within local government structures.

     

    Drawing lessons from international best practices, he noted that many successful countries entrust waste management and sanitation services to municipal and city authorities instead of central governments. This model, he explained, enables quicker decision making, greater responsiveness and stronger community participation in environmental governance.

     

    As Ghana’s urban population continues to expand rapidly, Prof. Anokye warned that existing governance arrangements may struggle to meet growing sanitation demands. He therefore called for reforms capable of equipping local authorities with the financial resources, administrative flexibility and technical capacity required to manage increasingly complex urban environments.

     

    The environmental specialist also renewed his long standing advocacy for the election of Metropolitan, Municipal and District Chief Executives. He argued that elected local leaders would be directly accountable to the citizens they serve, encouraging stronger performance in sanitation, environmental protection and disaster preparedness.

     

    “When local leaders are elected, residents gain the power to measure their performance on sanitation, flooding and environmental management. Accountability becomes immediate because leadership is directly linked to the people’s verdict.”

     

    According to Prof. Anokye, excessive concentration of authority within central government institutions continues to slow local development and limits innovation at the grassroots. Empowering local governments, he said, is essential for building resilient communities capable of responding swiftly to environmental emergencies.

     

    He concluded that meaningful decentralisation should extend beyond policy declarations to include genuine transfer of administrative authority, financial autonomy and operational responsibility to MMDAs. Such reforms, he believes, would strengthen environmental governance while protecting public health and improving the quality of life for millions of Ghanaians.

     

    As climate change intensifies extreme weather events across Africa, Prof. Anokye’s recommendations present a timely policy blueprint for sustainable urban management. His call for stronger local leadership reflects a growing consensus that solving Ghana’s sanitation and flooding challenges will require empowered local institutions, accountable governance and decisive national commitment to decentralisation.

     

  • Hon. Thomas Yao Atidefe attends the relunch of the National Sanitation Day

    Hon. Thomas Yao Atidefe attends the relunch of the National Sanitation Day

    The Chairman and Founder of Atidefe Foundation, Hon. Thomas Yao Atidefe officially attended the relaunch of the National Sanitation Day (NSD) as part of his effort to contribute to Nationalism and Patriotism.

    According to him, the relaunch of the National Sanitation Day which is aimed at keeping Ghana Clean by restoring discipline and empowering local and traditional authorities, is a good call by the government. “We must all respond and support this national call by the President”.

    The government has encouraged all MMDAs to prioritize desilting of drains, removal of refuse heaps, cleaning of markets, lorry parks, schools, and major roads and routes in their jurisdictions.

    In an address by His Excellency the President John Dramani Mahama during the event, the National Sanitation Day would be used as a Key Performance Indicator (KPI) for all Metropolitan, Municipal and District Chief Executives (MMDCEs), and foster citizen participation and accountability.

    “I have ordered eighty percent (80%) release of the District Assemblies Common Fund (DACF) to all MMDAs to enable them function properly and therefore no MMDCE should give an excuse for lack of funds to carry out such activities” the President said.

    To sustain compliance, Assemblies were to mobilise environmental health officers, waste management contractors, and community volunteers as well as submit monthly sanitation reports to their Regional Coordinating Councils for onward submission to the Ministry of Local Government, Chieftaincy and Religious Affairs.

    MMDCE who do not comply with sanitation bylaws and even allow construction of structures on water ways and unapproved areas would be sanctioned severely. Such punishment could be removal from office as the MMDCE.

    Those MMDAs who would maintain cleanest environment in their jurisdictions shall be awarded from next year.

    “Sanitation will now be a key performance indicator (KPI) for all MMDCEs and their performance as District Chief Executives will be judged directly on their results in cleanliness”, the Minister for Local Government Chieftaincy and Religious Affairs (Hon. Ahmed Ibrahim) said.

    He pointed out that the NSD, when complied with could lead to transformation of communities.

    According to Hon. Ahmed Ibrahim, Minister for LGCRA, the relaunch of the National Sanitation Day is a renewed social contract between government and citizens, anchored on enforcement, accountability and sustainability.

    In an interview with Hon. Thomas Yao Atidefe, “We must make Ghana clean, a dirty environment means we would always send people to the hospital. We should put in much effort to make our environment clean”.

    In short statement by Madam Happy Darrah, Secretary to the Atidefe Foundation, we must uphold virtues of cleanliness. Modernization does not mean leaving our environment dirty; as cleanliness is next to Godliness.

    Some dignitaries present at the event were the Minister for Youth Development and Empowerment, Hon. Lawyer George Opare Addo, Hon. Gizzella Tetteh Agbotui, Deputy Minister for Works, Housing and Water Resources, Hon. James Gunu, Volta Regional Minister, Hon. Linda Obenewaa Akweley Ocloo, Greater Accra Regional Minister, Nana Ogyeahoho Yaw Gyebi II, President of National House of Chiefs, Nii Takie Teiko Tsuru II, President of the Ga Traditional Council, Madam Akosua Agyepong and many others.