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Behavior change initiatives in urban basic sanitation promotion in the Ghana is very limited. Due to this, the country is confronted with high risk basic sanitation behaviors including open defecation. As at 2015, 8% of urban dwellers practiced open defecation in Ghana, same figure as in 2000. There are also limited affordable sanitation and waste treatment technology options for urban Sanitation Policy in Ghana iii Contents List of Tables List of Figures List of Boxes Foreword List of Abbreviations 1 Introduction 1.1 Info about Kumasi in general 1.2 Sanitation provision 2 Methodology 2.1 Sanitation status in Kumasi 2.2 Sanitation policy-making in Ghana 3 Sanitation in Kumasi, Ghana: The current state of affairs Information collection and rapid situation analysis was carried out by the principle author, in his role as a consultant working closely with WaterAid. Figure 1: Activity Flow for Assessment of