WASH for Health (W4H) Performance Evaluation 2019

The Water, Sanitation, and Hygiene for Health (W4H) Activity is a five-year (February 2015–September 2020) cooperative agreement implemented by Global Communities with the goal to accelerate sustainable improvement in water and sanitation access and improve hygiene behaviors in 15 target Metropolitan, Municipal, and District Assemblies (MMDAs). USAID/Ghana commissioned the USAID Water, Sanitation and Hygiene Partnerships and Learning for Sustainability (WASHPaLS) to undertake this performance evaluation at the start of the activity’s final year.

The primary objectives of the evaluation were to: 1) inform both the implementing partner and USAID/Ghana if the approaches employed by Global Communities are successfully meeting the activity’s goal of expanding and ensuring sustainable access to water and sanitation services; 2) inform the need for any course corrections or reemphasis of priorities to the activity in its final year of implementation; and 3) assess the approach to and progress of implementation to inform future USAID/Ghana water, sanitation, and hygiene (WASH) programming. The evaluation’s emphasis on ensuring sustainability of the interventions is in line with the technical proposal, which notes that “W4H has been designed to foster long-term sustainable change in the way that communities and government interact to achieve gains in WASH.” The evaluation did not focus on review, validation, or verification of GC targets under the cooperative agreement nor on the internal organization (finance, management, and deployment of staff) of delivery.