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Assessment of Potential, Management and Sustainability of Water Sources in the Northern Region of Ghana

DOI : 10.17577/IJERTV14IS120317
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Assessment of Potential, Management and Sustainability of Water Sources in the Northern Region of Ghana

Yussif Seidu

Agricultural Engineering Department, Faculty of Engineering, Tamale Technical University, Tamale-Ghana.

Dawuni Mohammed

Applied Statistics Department, Faculty of Applied Science, Tamale Technical, University, Tamale-Ghana.

Hamza Kaleem

Civil Engineering Department, Faculty of Engineering, Tamale Technical University, Tamale-Ghana.

Abstract – This paper presents a case study which describes the major factors affecting the management and sustainability of water sources and the potential of the water sources for dry season small scale irrigation. The paper also presents projections for future domestic water demand and drew implications of the results in terms of vulnerability of the districts to water stress. Water availability and sufficiency assessment was carried out in twelve communities of three different districts of Northern Ghana. Questionnaires were administered and measurement of yield of water supplies in Savelugu-Nantong, Karaga and Gushiegu Districts were done. In addition, information on meteorological and crop data were collected for the study. Analysis of the water sources showed that boreholes, wells, rivers, streams and dug-outs were seasonally affected in terms of the water availability and supply with few boreholes having the potential of meeting domestic and irrigation water requirements in the dry season. Results from the current and projected population showed that water sources were insufficient in the study area leading to congestion at water supply points with more communities likely to be vulnerable to water scarcity. The prevalence of water- related diseases except guineaworm was still high in the study area. The high prevalence of water-related diseases was, however, attributed to poor sanitation and hygiene practices. Results of the study also revealed poor management and sustainability of the water sources due to inappropriate siting, geological limitations, poor design and construction of water sources. Other factors include inactive Water and Sanitation Committees, lack of communitys sense of ownership and inability to generate sufficient incomes. Generally, stand pipes can be recommended for the people since the water is clean, safe and accessible without much use of human energy as is the case with the other sources.

Key Words – Water availability, Household water supply and demand, Irrigation water requirement, Savelugu-Nantong District, Gushiegu District, Garaga District.

INTRODUCTION

Freshwater resources are essential for the survival of humans and other organisms on the planet. However, the increasing demand for freshwater resources due to population growth, urbanization, and industrialization has led to significant freshwater scarcity in many parts of the world (Musie & Gonfa, 2023) to the extent that water is now a top global risk (World Economic Forum, 2023). Poor management of freshwater resources has also contributed to the deterioration of water quality, degradation of ecosystems, and loss of biodiversity (Botha et al., 2022; UN Water, 2018).

Globally, the management of freshwater resources has been a subject of debate, and various frameworks have been developed to ensure the sustainable use and management of these resources. The United Nations 2030 Agenda for Sustainable Development recognized the importance of freshwater management and included a dedicated goal, Goal 6, which aims to ensure the availability and sustainable management of water and sanitation for all by 2030 (United Nations Development Programme, 2019). Additionally, the United Nations General Assembly designated 20182028 as the International Decade for Action on Water for Sustainable Development, to promote the sustainable management of freshwater resources (UN Water, 2018).

Freshwater resources are a critical component of human survival and development, and their management and ownership have become increasingly important in recent years due to population growth, urbanization, and climate change (UN Water, 2019). The management and ownership of freshwater resources are complex issues that require consideration of various perspectives and stakeholders, including governments, communities, and private sector actors (Krause et al., 2017). According to the United Nations, freshwater resources are under increasing pressure, and more than 2 billion people worldwide lack access to safe drinking water (United Nations, 2021) bringing about water insecurity (Musie & Gonfa, 2023). This has led to a growing concern for the management of freshwater resources as the global population continues to grow.

In Africa, freshwater resources are crucial for economic development, food security, and poverty reduction (Ahmed et al., 2022). However, the management and ownership of freshwater resources are often characterized by conflicts and tensions due to a lack of clarity regarding property rights and governance arrangements (Bosch & Gupta, 2022; Grafton et al., 2019).

In Ghana, the management of freshwater resources is also a significant challenge. Although Ghana has significant freshwater resources, including rivers, lakes, and underground water, these resources are under increasing pressure due to population growth, urbanization, and climate change (Food and Agriculture Organization of the United Nations, 2020). The situation is further complicated by issues such as pollution, illegal mining, and inadequate infrastructure for water supply and sanitation (Ghana Statistical Service, 2021).

Research Objectives

The main objective of this study was to assessed the major factors affecting the management and sustainability of water sources in the three districts of Northern Ghana.

Specific objectives are to:

  • Determine the potential of the water sources for dry season small scale irrigation,
  • Make projections for future domestic water demand and draw implications of the results in terms of vulnerability of the districts to water stress and
  • Determine the major factors affecting the management and sustainability of water sources

    Research Questions

  • What is the potential of the water sources for dry season small scale irrigation?
  • What is the future demand of water for domestic activities?
  • What are the major factors affecting the management and sustainability of water sources?

    Physical Characteristics of the Study Areas

    Savelugu-Nantong District is located roughly between latitudes 9° 45N and longitudes 0° 50W. It shares boundaries with West Mamprusi in the North, Karaga to the East, Tolon/Kumbungu in the West and Tamale Metropolitan Assembly to the South. The total land area is 1790.70 km2. The district is generally flat with gentle undulating low relief. The altitude ranges between 122 – 244 m above sea level with the southern part being slightly hilly and sloping gently towards the North.

    The main drainage system is made up of the White Volta and its tributaries. The area receives an annual rainfall averaging 1000mm, considered enough for a single farming season with maximum and minimum temperatures of – 40oC and 16oC respectively.

    Figure 1: A map of Ghana showing the location of Savelugu-Nantong, Karaga and Gushiegu Districts with water facilities and households

    Gushiegu District is located in the north eastern corridor of Northern Region, roughly between latitude 9° 55 17N and longitudes 0° 13 06W. It is bordered by four other districts in the region, namely; Savelugu/Nanton and Karaga Districts to the west, Saboba/Chereponi to the east, East Mamprusi to the north, and Yendi to the South. The total land area of the district is approximately 5,796 km2.The topography of the land is generally undulating with elevations ranging from 140m at valley bottoms to 180m at highest plateaus. The major river draining the district is River Nasia, which flows between Nambrugu and Bagli. The area receives an annual rainfall averaging 1000mm, considered enough for a single farming season with maximum and minimum temperatures of 42o C and 17o C respectively.

    Karaga District is located in the North-Eastern part of Northern Region, roughly between, latitudes 9º30 South and 10º30 North and longitudes 0º East and 45 West. It has a total area of 2,958 km2. It shares boundaries with four districts in the Northern Region, merely West and East Mamprusi to the North, Savelugu/Nanton to the West and Gushiegu (the mother district) to the South and East. The only major river identified is River Nasia which flows between Namburugu and Bagli. The Nasia and it tributaries divide the district into two (north and south) making the northern half inaccessible especially during the rainy season. The area receives an annual rainfall averaging 1000mm, considered enough for a single farming season with maximum and minimum temperatures of – 42o C and 16o C respectively.

    Materials and Methods

    Both qualitative and quantitative data were collected including discussions with local communities and stakeholders of rural water supply schemes in the three districts. In addition, field surveys and measurements were conducted together with interviews using questionnaires to collect information on water demand and consumption patterns.

    Thirty years (1980-2010) rainfall data from the Tamale Meteorological Services Agency was collected and analyzed. The number of dry days (dd) was determined and the average annual rainfall (R) was computed as follows;

    Where, P is Total annual rainfall data for 30 years.

    30

     

    R P , mm/y [1.0]

    i

    A survey was carried out at Savelugu-Nantong, Gushiegu and Karaga Districts to assess the existing water supply sources in terms of their availability and sufficiency for domestic activities. A total of two hundred and forty (240) households were surveyed and members were interviewed using a questionnaire. Information was solicited from households on socio-economic issues, water collection and daily water consumption using simple random sampling. Information on household daily domestic water consumption (Q) in the districts was also collected. Women and children were the main stakeholders. The quantities of water consumed by households were based on the water quantities consumed daily. The average quantity of water consumed (Qv) by households in each district was computed and the per capita water consumption was also determined for each of the three districts, using Equation 1.1:

    Where:

    C Qv

    n 1day

    , litres/person/day [1.1]

  • Qv: Average household water consumption (litres)
  • C: Per capita water consumption (litres/person/day)
  • n: Average household size.

    The expected domestic water use by the year 2030 was estimated by assuming that the per capita use in the year 2030 would be at the same level as it were in 2010. Thus the only factor affecting the level of water use for domestic purposes is the growth in population. Therefore population forecasts for Savelugu-Nantong, Karaga and Gushiegu Districts of the Northern Region for the year 2030 were obtained for each of the three districts as follows:

    Pn = Po [1.2]

    Where ÷

  • Pn = Projected population
  • Po = Present population
  • n = Period of projection
  • t = Population growth rate

    Available water yield test were conducted on available water facilities in the study communities. These included boreholes, hand dug wells, public stand pipes and dams. This data was required to establish whether the water supply yields were capable of

    meeting domestic water needs.The Food and Agriculture Organisation (FAO) Modified Penman-Monteith method was used to determine ETc and hence IWR. The relation is given as:

    ETc = Kc × ETo [1.3]

    IWR = ETc Pe [1.4]

    Where:

  • ETC = Crop evapotranspiration
  • KC = Crop coefficient
  • ETo = Reference crop evapotranspiration
  • Pe = Effective precipitation
  • IWR = Irrigation water requirement

    Results and Discussions

    Household Socio-Economic Characteristics

    The average household size was 9, 8, 7 persons per household for Savelugu-Nantong, Karaga and Gushiegu Districts respectively. This excluded members who reside outside the household for more than six months. The relatively large household size could be attributed to polygamous marriage practiced by the people in these communities.

    Future Domestic Water Demand

    Table 1: Projected Population Growth to the Year 2030

    Districts Communities 2000 2005 2010 2015 2020 2025 2030
    Gushiegu Limo Zinindo Gushiegu

    Gaa

    882

    2239

    13693

    1329

    1025

    2601

    15909

    1544

    1191

    3022

    18484

    1794

    1384

    3511

    21475

    2084

    1608

    4079

    24950

    2421

    1868

    4739

    28988

    2813

    2170

    5506

    33679

    3268

    Savelugu- Nantong Savelugu Nabogu Libga

    Bunglung

    24937

    960

    476

    665

    28973

    1115

    553

    773

    33662

    1296

    643

    898

    39110

    1506

    747

    1043

    45439

    1750

    868

    1212

    52793

    2033

    1009

    1408

    61337

    2362

    1172

    1636

    Karaga Nangunayili Nanduli Pishigu

    Bagurugu

    431

    279

    3414

    1664

    493

    319

    3908

    1905

    503

    365

    4473

    2180

    576

    418

    5110

    2495

    659

    478

    5849

    2856

    754

    547

    6694

    3269

    863

    626

    7662

    3741

    The data presented in Table 1 indicates that the highest relative increase in population that is likely to occur during this period (2000-2030) is in the Savelugu-Nantong District which is closely followed by Gushiegu and Karaga Districts respectively. In fact, all the three districts have shown population growth in excess of national average and it is observed that, the populations in the Districts may double during this period by 2030.

    Vulnerability of Districts to Water Stress

    Vulnerability of a district to water stress is presented using the combined water availability-demand measure. Various districts are shown by per capita availability and demand in Table 2

    Table 2: Vulnerability of Districts to Future Water stress in the Dry Season

    Districts Communities Average water demand (l/c/d) 2010

    Population

    Projected population to 2030 Projected average domestic water demand per day (m3) to the

    <>year 2030

    Total available water per day (m3)
    Savelugu- Nantong Savelugu Nabogu Libga

    Bunglung

    21.67

    22.11

    22.22

    22.89

    33662

    1296

    22.22

    22.89

    61337

    2362

    1172

    1636

    1329172.79

    52223.82

    26041

    37448.04

    856.89

    37.80

    17438.08

    5826.33

    Gushiegu Gushiegu Gaa Zinindo Limo 22.29

    21.00

    21.71

    20.57

    18484

    1794

    3022

    119

    2170

    5506

    33679

    3268

    48369.30

    115626

    731171.09

    67222.76

    278.8

    36.12

    60.06

    40.32

    Karaga Pishigu Bagurugu Nangunayili

    Nanduli

    19.13

    21.13

    19.75

    20.50

    19.13

    21.13

    19.75

    20.50

    863

    626

    7662

    3741

    16509.19

    13227.38

    151324.50

    76690.50

    87.78

    10.92

    56.70

    55.02

    In Savelugu-Nantong District, Libga and Bunglung communities which have relatively small water users would not become vulnerable to water stress in 2030 due to large availability of water. However these factors should be kept in mind that:

  • The balance of supply and use of water is based on district average domestic demand and
  • Seasonal variability in the availability of water and its use was not considered.

In communities, such as Limo, Gushiegu, Zinindo and Gaa in the Gushiegu District, water demand in 2030 may be higher than water supply. Pishigu, Bagurugu, Nangunayili and Nanduli communities in Karaga District may also become vulnerable to water stress in 2030.

It is, however, shown in Table 2 that due to the existence of the two large irrigation dams at Bunglung and Libga communities with other stand pipes and groundwater facilities in Savelugu-Nantong District, it is the only district among the three districts that may not be vulnerable to water stress in 2030.

Table 3: Water demand and available water in the study communities in the dry season

Districts Communities Current Population (2010) Average per capita water demand (litres) Total domestic water demand per day (m3) Total available yield of groundwater facilities per

day (m3)

Surplus water available for any activity per day (m3) Total surplus water available over dry period of six

months (m3)

Savelugu- Nantong Libga Bunglung Nabogu

Savelug

643

898

1296

33662

22.22

22.89

22.11

21.67

14.29

20.56

28.66

729.46

31.08

25.20

37.80

18.90

16.79

2.31

9.14

Nil

3022.2

415.8

1645.2

Nil

Karaga Nangunayili Nanduli Pishigu

Bagurugu

503

365

4473

2180

19.75

20.50

19.13

21.13

9.93

7.48

85.57

46.06

56.70

55.02

87.78

10.92

46.77

47.54

2.21

Nil

8418.6

8557.2

397.8

Nil

Gushiegu Limo Zinindo Gaa

Gushiegu

119

3022

1794

18484

20.57

21.71

21.00

21.29

2.45

65.61

37.67

393.53

40.32

60.06

36.12

17.64

37.87

Nil Nil

Nil

6816.6

Nil Nil

Nil

From Table 3, it implies that the estimated total surplus available water from the current functioning water supply facilities for any activity over the six months dry period in the various communities of the three districts are:

  1. In Savelugu-Nantong District
    1. For Libga community: 3022.2 + 17407 = 20429.2 m3
    2. For Bunglung community: 835.2 + 5801.13 = 6636.33 m3
    3. For Nabogu community: 1645. 2m3

      17407m3 and 5801.13m3 are volumes of water from existing dams in the dry season

  2. In Karaga District
    1. For Nangunayili community: 8418.6 m3
    2. For Nanduli community: 8557.2 m3
    3. For Pishigu community: 397.8m3
  3. In Gushiegu District
    1. For Limo community: 6816.6 m3

      Irrigation Potential of the Available Water

      Crop Water Requirement for Tomatoes in the Three Districts

      Table 4: Crop Calendar for Tomato (Lycopersicon esculentum) Production in the Dry Season

      Crop development stage No. of days Date Kc
      Initial 35 15thOct-18th Nov 1.05
      Crop development 45 19th Nov-2nd Jan 1.054
      Mid season 70 3rd Jan- 13Tth Mar 1.15
      Late season 30 14th Mar-12th April 0.90

      Table 5: Estimation of Crop Water Requirement of Tomatoes (Lycopersicon esculentum) in Savelugu-Nantong District for

      the Dry Season

      Months ETo (mm/d) Kc ETc (mm/d) No. of days ETc /month Effective rain

      fall (e) in mm/ month

      October 4.44 1.05 4.67 17 79.39 70.04
      November 4.55 1.05 4.78 30 143.4 4.49
      December 4.84 1.10 5.32 31 164.92 2.19
      January 5.14 1.12 5.76 31 178.56 1.67
      Februay 6.01 1.15 6.91 28 193.48 3.59
      March 6.16 1.00 6.16 31 190.96 12.07
      April 5.95 0.90 5.36 12 64.32 68.81
      Total 180 1015.03 173.86

      Kc, ETo and Pe were derived using 30 years climatic data from near meteorological station

      e = 0.8 where the mean monthly rainfall, > 75mm /month and e = 0.6 where the mean monthly rainfall, < 75mm /month

      Irrigation water requirement (IWR) = Etc/month e = 1015.03 162.86 = 852.17 mm

      Table 6: Estimation of Crop Water Requirement of Tomatoes (Lycopersicon esculentum) in Karaga District

      Months ETo (mm/d) Kc ETc (mm/d) No. of days ETc /month Effective rain fall (e) in mm/

      mnth

      October 4.44 1.05 4.67 17 79.39 67.69
      November 4.55 1.05 4.78 30 143.4 1.65
      December 4.84 1.10 5.32 31 164.92 0.65
      January 5.14 1.12 5.76 31 178.56 0.48
      Februay 6.01 1.15 6.91 28 193.48 1.15
      March 6.16 1.00 6.16 31 190.96 6.59
      April 5.95 0.90 5.36 12 64.32 64.65
      Total 180 1015.03 142.86

      Irrigation water requirement (IWR) = Etc/month e = 1015.03 142.86 = 872.17 mm

      Table 7: Estimation of Crop Water Requirement of Tomatoes (Lycopersicon esculentum) in Gushiegu District

      Months ETo (mm/d) Kc ETc (mm/d) No. of days ETc /month Effective rain fall (e) in mm/

      month

      October 4.44 1.05 4.67 17 79.39 72.78
      November 4.55 1.05 4.78 30 143.4 1.86
      December 4.84 1.10 5.32 31 164.92 0.91
      January 5.14 1.12 5.76 31 178.56 0.44
      Februay 6.01 1.15 6.91 28 193.48 1.57
      March 6.16 1.00 6.16 31 190.96 9.53
      April 5.95 0.90 5.36 12 64.32 67.71
      Total 180 1015.03 154.80

      Irrigation water requirement (IWR) = Etc/month e = 1015.03 154.80 = 860.23 mm

      Considering the GIWR of tomato being 1217.39 mm (1.22 m), 1245.96mm (1.25 m) and 1228.90mm (1.23 m) in Savelugu- Nantong, Karaga and Gushiegu Districts respectively, it implies that to irrigate a hectare of tomato, the total amount of water required in each of the districts can be calculated as given in Table 8:

      1. For Savelugu-Nantong District;

        Total GIWR = GIWR × Total area to be irrigated. (1ha = 10000m2) Total tomato GIWR = 1.22 m ×10000 m2 = 12200 m3 /ha.

      2. For Karaga District;

        Total GIWR = GIWR × Total area to be irrigated.

        Total tomato GIWR = 1.25 m ×10000 m2 = 12500 m3 /ha.

      3. For Gushiegu District;

        Total GIWR = GIWR × Total area to be irrigated.

        Total tomato GIWR = 1.23 m ×10000 m2 = 12300 m3 /ha.

        Table 8: Gross Irrigation Water Requirement for Tomato

        Districts Total Tomato Gross Irrigation Water Requirement
        Savelugu-Nantong 12200 m3/ha
        Karaga 12500 m3/ha
        Gushiegu 12300 m3/ha

        This pre-supposes that for the facilities in Savelugu-Nantong District, the current functioning facilities at Libga are capable of meeting domestic water demand and to irrigate about 1.67 ha of tomatoes, those at Bunglung can irrigate about 0.51 ha of the same crop whilst at Nabogu, irrigating about 0.23 ha is also possible which clearly not enough.

        For Karaga District the current functioning facilities at Nangunayili are capable of irrigating 0.67 ha of tomatoes and those at Nanduli can irrigate 0.69 ha of tomatoes. However, in Gushiegu District the only community that has the facilities capable of meeting domestic water demand and can irrigate about 0.55 ha of tomatoes is Limo community. The potential may be higher in all the three districts, if crops with lower CWR like okro, ayoyo, or other leafy vegetables are grown as well as upon repairs of the broken-down water facilities in the various communities.

        Management and Sustainability of Rural Water Supply Systems

        The survey in the study area revealed that lot of management problems at the community level had serious threats to the sustainability of the facilities. This was clearly revealed in the state of the facilities in the twelve communities studied. For instance, out of a total of 50 hand pump water facilities in the twelve studied communities 39BHs and 11 HDWs fitted with

        pumps, only 38 were functional whilst the rest of the 12 facilities were broken down or abandoned. See state of facilities in Figure 2 and Table 5.

        Figure 2: Borehole with sanitation threats: scene at (A) Savelugu, (B)Zinindo and (C) Pishigu in Savelugu-Nantong, Gushiegu and Karaga districts respectively

        Table 9: Summary of Statistics on Potable Water Facilities by Type, Total Number, Functionality, Rehabilitation and Privately-Owned

        Districts Communities Type and

        number of facilities

        State of the facilities Number rehabilitated Privately- Owned
        Functional Non-

        functional

        Savelug- Nantong Libga 2 BHs 2 BHs Nil Nil Nil
        Bunglung 1 BH 1 BH Nil Nil Nil
        Savelugu 4 BHs,

        3 PSPs

        3 BHs,

        3 PSPs

        1 BH 1 Nil
        Nabogu 3 BHs 2 BHs 1 BH Nil Nil
        Karaga Nangunayili 4 BHs,

        2 HDWs

        2 BHs 2BHs,

        2 HDWs

        Nil Nil
        Nanduli 3 BHs,

        2 HDWs

        3 BHs 2 HDWs Nil Nil
        Pishigu 6BHs, HDW 6BHs, HDW Nil Nil Nil
        Bagurugu 2 BHs 2 BHs Nil Nil Nil
        Gushiegu Limo 2 BHs, 2 BHs, Nil Nil Nil
        Zinindo 4 BHs,

        1 HDW

        3BHs,

        1HDW

        1 BHs, Nil Nil
        Gaa 2 BHs, HDW 2 BHs HDW Nil Nil
        Gushiegu 3 BHs, HDW

        3 PSPs

        2 BHs 3PSP BHs, HDW Nil Nil

        The survey revealed that only one of the 13 broken boreholes was repaired with the rest being abandoned due to their inability to repair them and 15 out of the 17 dug-outs also have eroded embankments with high risk of siltation. Most of the mechanics and skilled personnel have also left the district for economic reasons.

        Weak financial resources is another factor that contributes to the problems of poor maintenance and sustainability of the facilities in most of the communities.

        The research found no evidence of good sanitation and hygiene practices among the respondents especially those in Karaga and Gushiegu Districts. For instance, to a question as to what constitute good sanitation and hygiene at a water facility site during focus group discussion with the WATSANs, the committee members easily mentioned things like weeding, cleaning, sweeping,

        repairing of pad, gutter or trough. However, site observations during this study showed nothing better than the pictures in Figure

        4. This prompted the researcher to assess the health-based view that has been the driver of most rural water programmes. Information obtained from the District Heath Services has confirmed that cases of these water related diseases in the three districts have been very high among the top ten diseases in recent years which include diseases like typhoid, diarrhoea, malaria, intestinal worms and skin diseases with typhoid and malaria taking an upward trend especially during the rainy season. Cases of guineaworm were, however, rare and not found in the three districts. It is indeed, a proof of guineaworm eradication in the three districts; a success and progress that in the researchers view could only be attributed to the efforts of the educational programmes on guineaworm eradication centred on water treatment by boiling and filtering. Statistics obtained from the three district health service departments on common water related diseases are as shown in Table 10.

        Table 10: The state of dug-out facilities in the study areas in the dry season

        Districts Communities Number of dug- out/dam State of the facilities in dry season
        Functional Non-functional
        Savelugu-Nantong Libaga Bunglung Savelug

        Nabogu

        1 Dam 1Dam

        3 Dug-outs

        1 Dug-out

        Dam Dam Nil

        Nil

        Nil Nil

        3 Dug-outs Dug-out

        Karaga Nangunayili Nanduli

        Pishigu Bagurugu

        Nil Nil

        3 Dug-outs

        2 Dug-outs

        Nil Nil

        Nil Nil

        Nil Nil

        3 Dug-outs

        2 Dug-outs

        Gushiegu Limo Zinindo Gaa

        Gushiegu

        Dug-out

        2 Dug-outs

        2 Dug-outs Nil

        Nil Nil Nil

        Nil

        Dug-out

        2 Dug-outs

        2 Dug-outs Nil

        Table 10 depicts the state of the dug-out facilities in the districts as was observed during the field survey. It also shows the validation of this finding and the assessment record of the districts on the functionality of these water facilities in the districts in the dry season. It clearly shows that out of the 16 dug-outs/dams in the studied communities only 2 dams in Savelugu-Nantong District were functioning in the dry season.

        Table 11; Cases of water- related diseases in the districts (NRC = No Reported Case)

        Districts Diseases Cases recorded during the past three years
        Savelugu- Nantong 2009 2010 2011
        Guinea worm 47 6 0
        Typhoid 2 3 1
        Diarrhoea 4 6 6
        Intestinal worm NRC NRC NRC
        Malaria 90 58 23
        Skin disease 1818 2478 3003
        Karaga Guinea worm 3 1 0
        Typhoid NRC NRC NRC
        Diarrhoea 1567 1760 1868
        Intestinal worm NRC NRC NRC
        Malaria 9456 8419 10342
        Skin disease 201 178 170
        Gushiegu Guinea worm 1 0 0
        Typhoid 655 480 NRC
        Diarrhoea 2293 2011 3329
        Intestinal worm 495 NRC 518
        Malaria 19864 22195 19196
        Skin disease 1050 1337 1983

        Source: Savelugu-Nantong, Karaga and Gushiegu District Health Services (2009-2011)

        Six cases of water-related diseases in Table 11 were not different among the three districts except that, cases of intestinal worms were not recorded in Savelugu-Nanton and Karaga Districts with Gushiegu District having an upward trend. It is therefore not clear if indeed, water sources and supply is sufficient enough to improve the lives of these rural folk economically and domestically. Comparing the cases of these diseases in the three districts, some upward differences exist in diarrhoea and skin diseases with Karaga alone having no report on cases of skin diseases. However, there were downward differences in the cases of typhoid disease with Karaga having no records. It is important to note that even though there are some differences in the prevalence of these diseases in the three districts, in reality the assessment of water sources in the three districts cannot be derived from these results. This is because the prevalence of each disease is equally high to the same extent in all the three districts. For instance the cases of malaria have reached an alarming stage in the three districts followed by diarrhoea with diarrhoea affecting both children and adults. However, all Community Health Nurses interviewed in all the three districts attributed it to the use of unsafe water sources coupled with poor hygiene and sanitation.

        1. CONCLUSIONS AND RECMMENDATIONS
          1. Conclusions

            The research revealed that water demand out strips supply for domestic activities. Rapid population growth in the three districts has generated a situation of water stress and water scarcity. However, about two-thirds of the population of the studied areas representing two districts (Karaga and Gushiegu) may become vulnerable to water stress or water scarcity under current projections of population growth as shown in Table 2.

            Health wise results of this research have shown that the provided rural water supply sources in the three districts have had insignificant health impacts on rural communities as a result of poor sanitation and hygiene practices in the three districts.

            The yields of the water sources revealed a potential of some facilities for small scale irrigation. However, limited attempts were made in that regard due to lack of awareness of the potential.

          2. Recmmendations

Because the production and delivery of improved water to rural households is costly, future studies could investigate and find solutions to the willingness to pay for improved water supply.

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