Pathways to universal WASH coverage in Ghana: lessons from scaling Asutifi North’s master planning approach

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Pathways to universal WASH coverage in Ghana
Strapline
Lessons from scaling Asutifi North’s master planning approach
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4 minutes
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Listing introduction text
A practical reflection on replicating the Asutifi North district approach to achieving universal water, sanitation and hygiene coverage at scale in Ghana.
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A practical reflection on replicating the Asutifi North district approach to achieving universal water, sanitation and hygiene coverage at scale in Ghana.
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Jeremiah Atengdem

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Atengdem
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Jeremiah works with district authorities and national partners to help leaders organise how they plan, track, and follow through on delivery.
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Secondary Author
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Sára Bori

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Surname
Bori
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Job description
Knowledge management and communication expert
Listing introduction
Sára works at the intersection of knowledge, evidence and influence. As a knowledge management and communications expert, she helps institutions harvest outcomes and lessons as systems evolve, ensuring that learning travels between countries, organisations and levels of decision making.

Sára Bori’s work is shaped by an early, lived understanding of how water systems touch everyday life. In the Netherlands, through a grandfather who settled in the 1980s in a town newly carved from the sea, and an aunt who made her home on a boat. In rural Hungary, her family relied on self‑supply, so during her childhood years she had to get drinking water from her grandmother’s piped town connection because the water at home was unsafe to drink. More than 30 years later, she lives in the same region and sees how those self‑supply challenges persist and are now exacerbated by climate change. These stories continue to guide how she understands development, inequality and public systems. 

Sára works at the intersection of knowledge, evidence and influence. As a knowledge management and communications expert, she helps institutions harvest outcomes and lessons as systems evolve, ensuring that learning travels between countries, organisations and levels of decision‑making. A core part of this work is translating complex evidence into high‑quality publications and audiovisual products – through openness to innovation, rigorous editorial processes and publishing to recognised quality standards - so that insights are credible, accessible and fit for purpose. Her attention to detail, combined with strong project management skills, ensures that complex, multi‑stakeholder initiatives are delivered with clarity, coherence and care. 

Over the past decade, Sara has led flagship knowledge and communications initiatives in the water and sanitation sector with global reach. Across her work, she keeps returning to one question: who benefits when systems function – and who pays the price when they don’t? Seeing how access to water creates and reinforces social divides, she consistently interrogates the ultimate goal of generating, sharing and using knowledge: achieving social justice for all. 

A few highlights

  • Over 10 years’ experience in global knowledge management, communications and learning for systems change
  • Adviser to the Government of the Netherlands on strategic communications for World Water Week (2020–2026) and the UN 2023 Water Conference
  • Co‑author of UNICEF’s WASH Knowledge Management Strategy 2022–2025
  • Knowledge management lead for All Systems Connect 2023, international symposium, The Hague, the Netherlands
  • Communications lead for All Systems Go Africa 2022, supporting national water, sanitation and hygiene systems strengthening across the African continent
  • Project manager of annual reports, strategies and organisational annual planning for over eight years
  • Keen implementer of outcome harvesting to capture stories of change
  • Working languages: English, Dutch, Hungarian
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First name
Sára
Publisher
IRC Ghana
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content
This paper provides a detailed practical reflection on the pathways used to replicate the Asutifi North district-based approach for achieving universal universal water, sanitation, and hygiene (WASH) coverage on a wider scale. The lessons and experiences garnered from the district-led approach will provide the blueprint to inform sector discussions on the challenges of scaling from a pilot in a district to the regional and national level. These reflections are based on an evaluation of master planning conducted under IRC's work in Ghana, supported by the Conrad N. Hilton Foundation. The objective of this paper is to provide deeper insights into the master planning approach implemented in Asutifi North and its replication, assessing what worked, what did not, and areas for improvement. Lessons from this process will guide stakeholders at all levels looking to adopt and scale this innovation in their respective areas. Ultimately this will contribute to the goal of Ghana to enhance access to safe water, sanitation, and hygiene services, promote the sustainable management of water resources in Ghana by 2030, in alignment with with the Sustainable Development Goals (SDG).
Title
Pathways to universal WASH coverage in Ghana: lessons from scaling Asutifi North’s master planning approach
Downloadable documents
Title
Pathways to universal WASH coverage in Ghana
Description
Learn from our experiences scaling from a pilot in a district to regional and national level
Year
2025