Access to functional water, sanitation and hygiene (WaSH) systems is a necessity for safe health and a fundamental determinant of human well-being. As a result, constant monitoring, tracking and bridging of the gaps in access to WaSH is a global public health requirement. Developing countries are currently disadvantaged in this era of the COVID-19 outbreak, particularly in the area of school-based WaSH. This study assesses the present condition and challenges hindering access to school-based WaSH in the Wa Municipality. Primary data involving 145 health teachers were sourced using survey questionnaires and supported with ocular assessment. Results show that basic schools in the Wa Municipality currently have in place some sort of WaSH facilities, thereby meeting the availability criteria to a large extent. However, these schools do not meet the remaining standards – functionality, accessibility, maintenance and quality of services, education and practices. The major factors affecting the sustainable operationalisation of the school-based WaSH are poor maintenance and inadequate funding of WaSH infrastructure. The school-based WaSH in Ghana requires rapt policy attention if the quest to attain Sustainable Development Goal 6 by 2030 is to be achieved.
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