Pointed gaps in the provision, quality, patronage and management of toilet facilities in Bawku East District.

The objective was to assess the level of sanitation and hygiene with baseline information on the impact of\nonsite\nsanitation facility development on public health in the Bawku East District using hundred and sixty\neight (n=168) respondents from five randomly selected communities according to UNICEF water and\nsanitation support programs for a survey. Public latrine alone accounted for 43% patronage of toilet\nfacilities in the district. Unfortunately, about 70% of the population who preferred household toilets rather\npatronized open defecation due to poverty and inadequate good toilet facilities at user ratio of 1: over 500\npeople with very low seat capacities. Among the subjects encountered, 42% were unskilled labourers whilst\n27% students, who, could hardly afford the comfort of household toilet facilities.