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Universal access to safe drinking water is essential to population health and well-being, as recognized in the Sustainable Development Goals (SDG). To develop targeted policies which improve urban access to improved water and ensure equity, there is the need to understand the spatial heterogeneity in drinking water sources and the factors underlying these patterns. Using the Shannon Entropy Index and the Index of Concentration at the Extremes at the enumeration area level, we analyzed census data to examine the spatial heterogeneity in drinking water sources and neighborhood income in the Greater Accra Metropolitan Area (GAMA), the largest urban agglomeration in Ghana. GAMA has been a laboratory for studying urban growth, economic security, and other concomitant socio-environmental and demographic issues in the recent past. The current study adds to this literature by telling a different story about the spatial heterogeneity of GAMA’s water landscape at the enumeration area level. The findings of the study reveal considerable geographical heterogeneity and inequality in drinking water sources not evidenced in previous studies. We conclude that heterogeneity is neither good nor bad in GAMA judging by the dominance of both piped water sources and sachet water (machine-sealed 500-ml plastic bag of drinking water). The lessons from this study can be used to inform the planning of appropriate localized solutions targeted at providing piped water sources in neighborhoods lacking these services and to monitor progress in achieving universal access to improved drinking water as recognized in the SDG 6 and improving population health and well-being.

The consumption of packaged water in Ghana has grown significantly in recent years. By 2017, “sachet water”—machine-sealed 500ml plastic bags of drinking water—was consumed by 33% of Ghanaian households. Reliance on sachet water has previously been associated with the urban poor, yet recent evidence suggests a customer base which crosses socioeconomic lines. Here, we conduct a repeated cross-sectional analysis of three nationally representative datasets to examine the changing demography of sachet water consumers between 2010 and 2017. Our results show that over the course of the study period sachet water has become a ubiquitous source of drinking water in Ghana, with relatively wealthy households notably increasing their consumption. In 2017, the majority of sachet water drinking households had access to another improved water source. The current rate and form of urbanisation, inadequate water governance, and an emphasis on cost recovery pose significant challenges for the expansion of the piped water supply network, leading us to conclude that sachet water will likely continue to be a prominent source of drinking water in Ghana for the foreseeable future. The main challenge for policymakers is to ensure that the growing sachet water market enhances rather than undermines Ghana’s efforts towards achieving universal and equitable access to clean drinking water and sanitation.

Due to an oversight during the editorial process, the first author's name was incorrectly given as William Kojo Paul Yankson instead of Paul William Kojo Yankson in the initial online publication of this article. The original article has been corrected.

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Continuous use of agricultural land without periodic assessment of its suitability or performance for the cultivation of a specific crop could degrade soil fertility and compromise the long-term sustainability of the land to support production. Our aim is to use an integrated approach to assess agricultural land suitability in a small-scale farming system in the semi-arid region of northern Ghana, identify limiting factors for optimum crop production, and recommend intervention options towards sustainable farm management. We developed a data-driven model for land suitability analysis based on the Generalized Additive Models (GAM) approach. We validated the model with the actual yield data for six food crops (maize, pepper, yam, rice, peanut, and cowpea) under various biological, physical and chemical soil conditions across six communities. The result showed that the farmlands across the communities were highly suitable for maize and pepper but not suitable for cowpea. A qualitative validation method based on the contingency table showed the accuracy percentage of 84–100% for POD (Probability of Detection) and 6–21% for FAR (False alarm ratio) for all crops type. Hence, our model could be considered excellent to predict land suitability for different crop types. We recommend that stakeholders in the agricultural value chain should collaborate to develop low-cost and effective means of helping farmers determine the suitability of soils for specific crops to ensure that farmlands are not of depleted nutrients. In addition, periodic farmer training on appropriate farm management practices, including the right use of fertilizers, is needed.

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