Water shortages, exacerbated by erratic rainfall, climate change, and population growth, pose significant challenges globally, particularly in semi-arid regions like northern Ghana. Despite the construction of numerous small dams in the region that were intended to provide reliable water for domestic and irrigation purposes, critical water issues persist during dry periods. Key drivers in this failure are attributed to the lack of studies and/or the number of inadequate studies on suitable dam siting. This study focused on assessing the sites of selected small dams in northern Ghana, employing various methods such as stream order analysis and the Analytic Hierarchy Process within a Geographic Information System framework. Results showed that many existing dams are poorly sited, with over half located far from major stream networks, resulting in drying out during the dry season and failing to meet sustainable water storage standards. This study proposed new dam locations that would allow achieving a significant increase in storage capacities from 30% to 60%. These results highlight the necessity for decision-makers to adopt research-based approaches to address water shortages effectively, balancing agricultural, domestic, economic, and environmental needs. Future research should integrate climate change considerations, long-term monitoring, environmental impact assessments, and advanced decision-making techniques such as machine learning.