Major challenges affecting basic rural sanitation delivery includes lack of planning and coordination of programmes aimed at improving sanitation and this is due to limited staffing and resources for capacity building and implementation of programmes.
As at 2015, only one rural household out of ten were using improved household toilets while three in every ten of them practiced open defecation.
No district in Ghana has achieved an open defecation-free status
There is also limited private sector interest in rural basic sanitation since there is a perception that investments in rural sanitation businesses are not profitable. Improved sanitation technologies are quite expensive and there’s a lack of innovative financing mechanisms to support poor households to build latrines.
Construction of communal toilets also poses a major challenge since it does not motivate households toilets to build their own toilets. Communities in waterlogged environments are disaster-prone which make it difficult to access technologies that suit their peculiar environments.
Another challenge with rural basic sanitation in Ghana is the lack of an effective national monitoring and evaluation systems.