Assessing Potable Water Access and Its Implications for Households’ Livelihoods: The Case of Sibi in the Nkwanta North District, Ghana

: Despite water being a basic human need, the residents of Sibi in Ghana’s Nkwanta North District struggle to obtain potable water, which negatively inﬂuences their livelihoods. This study aimed to evaluate the impacts on households’ livelihoods due to difﬁculties in accessing potable water and accordingly give policy recommendations. Data were collected through questionnaire surveys, interviews, geographic information systems (GIS), and remote sensing (RS) techniques. Questionnaire surveys were administered to 314 randomly selected household heads. The results indicated that the water sources available in Sibi were not sufﬁcient; the boreholes and public tabs/standpipes in the communities were not dependable for regular access. As a result, households needed to depend on distant streams and dams for water. The households generally spent more than two hours at the water sources to collect water. Evidently, the Sibi residents did not have sufﬁcient access to potable water, which severely affected their livelihoods. It is recommended that government agencies collaborate with related non-governmental organizations (NGOs) to help expand potable water projects in Sibi, Ghana.


Introduction
Potable water access is a fundamental right of humans as it is crucial to meet their basic needs, such as drinking, cooking, personal hygiene, and sanitation [1].Access to potable water is defined as "the ease of having a consistent supply of drinkable water close to the point of demand, that is, within everyone's reach: at home, at school, at work, or in public spaces" [2].Access to potable water is determined by how easily the residents of a community can reach a water point source.Usually, a water point source is considered accessible if it is within a 30-min walk or less than 2 km away [3].Access to potable water remains a significant global challenge despite the United Nations' (UN) efforts through Sustainable Development Goal Six.The Sustainable Development Goals (SDGs) report by the UN indicates that approximately 2.2 billion people around the world lack easy access to potable water [4], with approximately 400 million people in Sub-Saharan Africa lacking access to basic drinking water [5,6].The UN report further predicts that approximately 700 million people will be displaced by 2030 if potable water access is not improved [4].
In Sub-Saharan Africa, access to potable water remains a challenge according to previous research [7].For instance, Smiley [8] reported that primary water sources were located far away from homes, with some people in Dar es Salaam, Tanzania spending over 30 min queuing to access water.Similarly, Smits et al. [9] found that residents in Ward 16 of Bushbuckridge Local Municipality of South Africa experienced long wait times of over 4 h when collecting water.Díaz-Alcaide et al. [10] reported that people in the Centre Nord region of Burkina Faso traveled up to 500 m to access water.
This research focuses on Sibi in Ghana, which, like other Sub-Saharan African countries, experiences inadequate water access.Over the years, the government of Ghana has made efforts to address this by commissioning the Ghana Water Company Limited (GWCL) and formulating a National Water Policy to improve potable water access.However, these efforts have not yielded the expected results, and access to potable water is still a significant challenge in many communities in Ghana [11].Previous studies showed that access to potable water is a major challenge in many Ghanaian communities.A report by UNICEF indicated that one out of every ten people spends more than 30 min to access potable water sources in Ghana [11].Mahama et al. [12] reported that 97.7% of people in Accra, Ghana's capital city, who traveled outside of their homes to obtain water spent a maximum of 30 min collecting it.Peprah, Oduro-Ofori, and Asante-Owusu [13] also reported that most residents in Awutu-Sanya East Municipality in Ghana accessed water from unhygienic sources such as rivers and unprotected wells.As a result, 80-90% of the sampled households in the Awutu-Sanya East Municipality waited in long queues daily to access potable water for domestic purposes [13].Adjakloe [14] found that the Maryera community in Ghana spent an average of one hour to obtain water for their households.
The focus of the aforementioned water access studies in Sub-Saharan Africa, including Ghana, was primarily on urban areas, leading to a limited understanding of the challenges faced by rural communities in obtaining water.In addition, most of these studies have relied mainly on the social dimensions of water access, without considering the spatial locations and accessibility of water sources [8,[12][13][14].Hence, this research uses both social and spatial dimensions to examine water access and analyze how insufficient water access impacts the livelihoods of rural residents in Ghana.This is a critical issue that requires attention as access to potable water can significantly affect rural livelihoods [15], such as agricultural and domestic activities.
As defined by Chambers and Conway, livelihood encompasses how people live, including their access to food, income, and assets [16].Access to safe and drinkable water is a crucial element of both tangible and intangible assets [17] for individuals.For households, having sufficient access to potable water can contribute to a healthier lifestyle, time and expenditure savings, empowerment, food security, and increased productivity and income [2,6,18,19].These factors are all critical components of rural development and poverty reduction.Conversely, inadequate access to safe water resources can decrease labor productivity and increase the cost of water access, resulting in negative outcomes for economically disadvantaged populations [20,21].The household water management strategies employed to regulate domestic water usage play significant roles in determining the availability of the water supply, as they directly impact the aggregated demand for water resources [22].Jonah, Maitho, and Omware's [23] research in Nakuru, Kenya indicated that potable water availability, quality, and affordability determined the community's level of household assets, thereby impacting the community's livelihoods.They reported that the majority of the population in Nakuru was affected by water quality issues as most people suffered from diarrhea, dysentery, and amoebiasis after using the water.The ill health of these people as a result of the lack of quality potable water affected their livelihoods; the health status affects the ability of an individual to carry out their livelihood activities and access sources of income [24].
The aforementioned situations are not different from that of the Sibi community in Ghana.The main objective of this study is to evaluate the impacts on households' livelihoods due to difficulties in accessing potable water in Sibi and accordingly give policy recommendations.Specifically, the study maps the available water sources, assesses the level of access to potable water, investigates the effects of potable water non-access on livelihoods, and determines the coping and management strategies used by households in Sibi.

Study Area
The study area of this research was Sibi, which is located in the Nkwanta North District of Ghana.Sibi is made up of three communities: Sibi Hill Top, Sibi Central, and Sibi Jato-Kparikpare.Sibi is located between latitude 8 • 35 00 N and 8 • 38 00 N and longitude 0 • 13 30 E and 0 • 14 35 E (Figure 1).It is located at the center of the Nkwanta North District of Ghana.The Nkwanta North District shares boundaries with the Nkwanta South District to the south, Nanumba South District to the north, Kpandai District to the west, and the Republic of Togo to the east (Figure 1).This study was conducted in 2021.The population growth rate of this district was 2.3% [25], and, based on this, the population of Sibi was projected to be 10,687 in 2021 and the projected number of household heads was 1467.Currently, the population of the community is estimated to reach approximately 15,000 [26].The Nkwanta North District forms part of the tropical climatic zone, characterized by double maxima rainfall (i.e., between April and July and between August and September).The dry season, however, is between November and March.Average annual rainfall ranges from 922 mm to 1874 mm.This district is endowed with several rivers and streams, the most important of which are the Oti and Kpassa Rivers, which flow from Togo [26].Despite having a piped water system, it is evidenced that the residents of Sibi still travel long distances to neighboring towns to access domestic water, particularly during the dry season, when the water source for pipe systems and surface groundwater dries up [27].Residents in Sibi usually use walking as their main mode of transport to water sources.
level of access to potable water, investigates the effects of potable water non-access on livelihoods, and determines the coping and management strategies used by households in Sibi.

Study Area
The study area of this research was Sibi, which is located in the Nkwanta North District of Ghana.Sibi is made up of three communities: Sibi Hill Top, Sibi Central, and Sibi Jato-Kparikpare.Sibi is located between latitude 8°35′00′′ N and 8°38′00′′ N and longitude 0°13′30′′ E and 0°14′35′′ E (Figure 1).It is located at the center of the Nkwanta North District of Ghana.The Nkwanta North District shares boundaries with the Nkwanta South District to the south, Nanumba South District to the north, Kpandai District to the west, and the Republic of Togo to the east (Figure 1).This study was conducted in 2021.The population growth rate of this district was 2.3% [25], and, based on this, the population of Sibi was projected to be 10,687 in 2021 and the projected number of household heads was 1467.Currently, the population of the community is estimated to reach approximately 15,000 [26].The Nkwanta North District forms part of the tropical climatic zone, characterized by double maxima rainfall (i.e., between April and July and between August and September).The dry season, however, is between November and March.Average annual rainfall ranges from 922 mm to 1874 mm.This district is endowed with several rivers and streams, the most important of which are the Oti and Kpassa Rivers, which flow from Togo [26].Despite having a piped water system, it is evidenced that the residents of Sibi still travel long distances to neighboring towns to access domestic water, particularly during the dry season, when the water source for pipe systems and surface groundwater dries up [27].Residents in Sibi usually use walking as their main mode of transport to water sources.

Methods
This study employed a combination of quantitative and qualitative methods.These methods were carefully chosen to address the research objectives (Figure 2).This was essential because it provided a multi-dimensional understanding of potable water access and its impact on households' livelihoods in Sibi.Quantitative methods allowed us to conduct systematic and statistical analyses of the availability, reliability, affordability, and waiting time of households in accessing water sources.Further, qualitative methods promoted a deeper understanding of the experiences, perceptions, and challenges faced by the community members.These insights could uncover nuanced aspects that quantitative data may not capture, such as cultural beliefs, social dynamics, and community-specific factors affecting water access.Figure 2 shows a summary of the methods that were used in this study.
methods were carefully chosen to address the research objectives (Figure 2).This was essential because it provided a multi-dimensional understanding of potable water access and its impact on households' livelihoods in Sibi.Quantitative methods allowed us to conduct systematic and statistical analyses of the availability, reliability, affordability, and waiting time of households in accessing water sources.Further, qualitative methods promoted a deeper understanding of the experiences, perceptions, and challenges faced by the community members.These insights could uncover nuanced aspects that quantitative data may not capture, such as cultural beliefs, social dynamics, and community-specific factors affecting water access.Figure 2 shows a summary of the methods that were used in this study.

Data Collection
Both quantitative and qualitative data were used to achieve the research objectives.Quantitative data included the spatial locations of the water point sources and households' locations, the digital elevation model (DEM), and survey responses from the household heads, while qualitative data included interview responses from the community leaders (Figure 2).The spatial locations of the water point sources were acquired by visiting and mapping GPS locations and functionality information using the SW-Maps android application (version 2.7).This procedure was accomplished with the help of the residents, who helped the field mapping officer to identify the locations of the water point sources and the functionality information of these sources.The field mapping officer then recorded the GPS locations of the water point sources with their functionality information.This participatory mapping approach fostered community involvement and local

Data Collection
Both quantitative and qualitative data were used to achieve the research objectives.Quantitative data included the spatial locations of the water point sources and households' locations, the digital elevation model (DEM), and survey responses from the household heads, while qualitative data included interview responses from the community leaders (Figure 2).The spatial locations of the water point sources were acquired by visiting and mapping GPS locations and functionality information using the SW-Maps android application (version 2.7).This procedure was accomplished with the help of the residents, who helped the field mapping officer to identify the locations of the water point sources and the functionality information of these sources.The field mapping officer then recorded the GPS locations of the water point sources with their functionality information.This participatory mapping approach fostered community involvement and local knowledge integration.The major roads' and households' locations were acquired by creating and mapping buildings and roads on the TeachOpenStreetMap (TeachOSM) Tasking Manager website (tasks.teachosm.org)by the Humanitarian OpenStreetMap Team, Washington, D.C. 20005, United States (Accessed on 19 November 2021).This platform enabled the mapping of buildings, major roads, and surface water sources using high-resolution (50 cm per pixel) Bing satellite images and Maxar Premium Satellite images.The use of TeachOSM mapping tasks allowed for crowd-sourced mapping and was recommended by the sponsors of this research (YouthMappers).In addition, Aster's digital elevation model (30 × 30 m resolution) data were downloaded from the NASA Earth data website for slope and cost-distance calculations.This DEM was used because it was the only available option for the study area.
To comprehensively understand the households' perspectives on their levels of water access and how it affected their livelihoods, a survey was conducted using structured questionnaires adapted from Agyemang [28], subsequently modified, assessed by the research team, and piloted to ensure reliability and validity.The survey was conducted on 314 household heads who were chosen at random from the three geographically clustered communities.This survey was conducted using the KoboToolbox (version 2) mobile application.The use of KoboToolbox was deemed necessary because it helped to monitor the accuracy of the data in the field and also made it easy to download and store the data in Excel format.The questionnaire contained four sections: one for demographic characteristics and three for the research objectives (see Appendix C).
The sample size of 314 was estimated using Yamane's formula (see Appendix A for details) [29], which has been widely used in many studies [30][31][32].To ensure randomness and representation, a sampling grid of 100 by 100 square meters (see Appendix A, Figure A1) was generated for each community using the Tessellation tool in QGIS version 3.24.With this technique, 1 to 5 household heads were randomly selected from each grid and surveyed until each cluster's sample size was obtained.This was done repeatedly until the targeted sample size for the entire study area was obtained.This technique was adopted because it was a robust and unbiased sampling approach and helped to facilitate the random selection of household heads.It is worth noting that most of the respondents were female (60%) as they are typically the ones who are responsible for collecting water for each household.Although we were able to explain the questions to them to make sure that they understood them well before answering, there was a possibility that respondents did not answer truthfully to some or all questions due to their incentive to improve water access in their community.
With the qualitative data, three interviews were conducted with key community authorities, including a chief and two assembly members (Appendix D).These individuals were deliberately selected and interviewed because they played a vital role as opinion leaders, bridging the gap between water users and managers.Their perspectives provided a valuable contextual understanding of the water access situation in the community and how the authorities were addressing this issue.
The study was conducted with strict adherence to ethical principles.Before beginning, the research topic was approved by both senior research supervisors at the Department of Geography and Regional Planning at the University of Cape Coast and the research board of YouthMappers (USAID Geocenter).This thorough review aimed to ensure that the research was viable and harmless to participants.Additionally, community leaders were consulted, and their consent was obtained through an introductory letter (see Appendix B) from the Department of Geography and Regional Planning at the University of Cape Coast.When collecting data, the researchers introduced themselves transparently and refrained from providing any false information.The respondents' privacy was also respected, and they had the autonomy to choose whether to respond to certain questions or not.The right to anonymity was strictly maintained, and participants' confidentiality was a top priority.These ethical measures, from topic approval to data collection and beyond, ensured the welfare of the participants.

Data Processing and Analysis
Our study used the availability, waiting time, distance to water sources, and affordability (monetary cost) dimensions of water access to measure the level of water access in Sibi.QGIS version 3.26 was used to analyze spatial data and generate maps of available water point sources, distance analysis, and cost-distance analysis (Figure 2).Cost-distance analysis was conducted to determine how slope and distance influenced the level of accessibility to water sources.Slope, in degrees, which was generated from the Aster DEM, was used to determine the cost-distance to water sources.Slope plays a significant role when it comes to the distance and cost of travel to access a facility [28] as it is one of the impediments to movement.This made it prudent to conduct a cost-distance analysis in this research.Additionally, household survey data were organized, analyzed, and interpreted using SPSS version 29.Descriptive statistics such as means, frequencies, and percentages were used to analyze the data.Additionally, a generalized linear model (gamma with log link function) was employed to assess the relationship between potable water access factors and residents' livelihoods.Figure 2 shows the overall flow of this study.
An index was created to quantify the overall experienced livelihood impacts shown in the questionnaires.It was the mean value of the 5-point Likert scale scores from the responses to question 19 of the questionnaire (see Appendix C).This question evaluated the overall livelihoods of residents.These responses ranged from 1 to 5, where 1 represented "strongly disagree" and 5 represented "strongly agree".A larger index suggested more severe overall livelihood impacts.A gamma with log link function generalized linear model (GLM) in SPSS version 29 was used to determine the relationships between the accessibility factors and the overall experienced impacts of limited potable water access on livelihoods.The dependent variable (overall index for experienced impacts on livelihoods) was not normally distributed; rather, it had positive skewness, as shown in Figure A2.As a result, the gamma with log link function GLM was used to fit the model so that its expected values could be predicted as a linear function of the explanatory variables [33].The model was represented by the formula below.
where g() is the log link function that relates X linearly to Y, Y = dependent variable, B 0 = intercept, B n = the coefficients of the independent variables, and X n = independent variables.

Definition of Water Access
The term "water access" has no universal definition.Various international NGOs have provided definitions of potable water access using different criteria.The United Nations Development Programme (UNDP), the World Health Organization (WHO), the United Nations Children's Fund (UNICEF), the Water Supply and Sanitation Collaborative Council (WSSCC), and the World Bank have all contributed to defining access to potable water.At the global scale, the UN's Joint Monitoring Program (UN/JMP) and the World Health Organization define access to water based on the proportion of the population in each country that has improved water coverage [34].The UN's target for reducing the number of people without access to safe drinking water also includes considerations of affordability, reliability, and the environmental impact of the water supply [4].
The common criteria used by scholars to define water access are often derived from the UN/JMP classification of improved and unimproved sources [7,10,35].Other scholars also define water access using time, distance, the quality of the source, and affordability [36][37][38].Smiley [8] defined access to water using availability and reliability.Recently, many studies have defined water access using availability, reliability, affordability, distance, and time [10,[39][40][41][42].In the context of this study, potable water access is defined using availability, reliability, distance to water sources, waiting time, and affordability.These dimensions were deemed necessary as they are useful in understanding both spatial and socio-economic perspectives of access.

Definition of Livelihoods
According to the Food and Agriculture Organization (FAO) [43], a livelihood is defined as the activities and resources that sustain individuals' well-being [16,43].According to the Department for International Development (DFID) [44], "a livelihood is sustainable when it can cope with and recover from stresses and shocks and maintain or enhance its capabilities and assets both now and in the future, while not undermining the natural resource base".The Sustainable Livelihood Framework (Figure 3), which was developed by DFID [44], aids in comprehending the livelihoods of marginalized populations, particularly the poor, through an asset or vulnerability approach.This framework (Figure 3) identifies five core assets-human, social, natural, physical, and financial capital-that contribute to resilience against vulnerabilities like shocks and seasonal variations [16,43,44].
According to the Food and Agriculture Organization (FAO) [43], a livelihood is defined as the activities and resources that sustain individuals' well-being [16,43].According to the Department for International Development (DFID) [44], "a livelihood is sustainable when it can cope with and recover from stresses and shocks and maintain or enhance its capabilities and assets both now and in the future, while not undermining the natural resource base".The Sustainable Livelihood Framework (Figure 3), which was developed by DFID [44], aids in comprehending the livelihoods of marginalized populations, particularly the poor, through an asset or vulnerability approach.This framework (Figure 3) identifies five core assets-human, social, natural, physical, and financial capital-that contribute to resilience against vulnerabilities like shocks and seasonal variations [16,43,44].It is evidenced from the existing literature that the Sustainable Livelihood Framework can be used to analyze the effect of water access on the livelihoods of people [23,45,46].The Sustainable Livelihood Framework holds substantial relevance to this study.Potable water sources, both in terms of infrastructure and natural sources, align with the framework's assets, specifically physical and natural capital.Access to potable water directly contributes to households' capabilities and well-being [47][48][49][50][51] by enhancing their capacity to cope with vulnerabilities such as water scarcity and related risks.The framework's vulnerability component, which considers exposure to risks and stresses, is pertinent to understanding the potential challenges that households face due to limited access to assets [44], such as a lack of potable water access.The Transforming Structures and Processes component emphasizes the role of institutions and policies in shaping equitable water access, indicating that policies affecting water resources play a pivotal role in shaping livelihood outcomes [44].By examining potable water access within this framework, this study offers insights into how access to this essential resource influences households' ability to pursue beneficial livelihood outcomes and achieve sustainable well-being.It is evidenced from the existing literature that the Sustainable Livelihood Framework can be used to analyze the effect of water access on the livelihoods of people [23,45,46].The Sustainable Livelihood Framework holds substantial relevance to this study.Potable water sources, both in terms of infrastructure and natural sources, align with the framework's assets, specifically physical and natural capital.Access to potable water directly contributes to households' capabilities and well-being [47][48][49][50][51] by enhancing their capacity to cope with vulnerabilities such as water scarcity and related risks.The framework's vulnerability component, which considers exposure to risks and stresses, is pertinent to understanding the potential challenges that households face due to limited access to assets [44], such as a lack of potable water access.The Transforming Structures and Processes component emphasizes the role of institutions and policies in shaping equitable water access, indicating that policies affecting water resources play a pivotal role in shaping livelihood outcomes [44].By examining potable water access within this framework, this study offers insights into how access to this essential resource influences households' ability to pursue beneficial livelihood outcomes and achieve sustainable well-being.

Conceptual Framework
For the purpose of this study, we used access factors shown as follows: availability (water outlets), reliability (functionality), distance from households to water sources, waiting time, and money spent on water (affordability).The framework explains that when there are sufficient water sources, a shorter waiting time, a short distance from the household, and a lower cost of retrieving potable water, the potable water source is deemed accessible.This implies that the focus of access is on the ease of obtaining water from the source by measuring the distance to water sources, time spent collecting water, and money spent on water.The Access component of the framework is directly related to water management and livelihoods.This indicates that water access can influence water management activities and vice versa.The framework also shows a direct relationship between water access factors and livelihood outcomes.Figure 4 explains such connections among water access, water management, and livelihood activities.
there are sufficient water sources, a shorter waiting time, a short distance from the household, and a lower cost of retrieving potable water, the potable water source is deemed accessible.This implies that the focus of access is on the ease of obtaining water from the source by measuring the distance to water sources, time spent collecting water, and money spent on water.The Access component of the framework is directly related to water management and livelihoods.This indicates that water access can influence water management activities and vice versa.The framework also shows a direct relationship between water access factors and livelihood outcomes.Figure 4 explains such connections among water access, water management, and livelihood activities.

Availability
The locations of the available water point sources in the community were mapped using the SW-Maps android GPS application.Figure 5 shows that the available water sources within Sibi communities are streams, dams, a hand-dug well, boreholes, and public taps/standpipes (Figure 5).Most of the water sources are public taps or standpipes (30 out of 40).There are also eight boreholes and one hand-dug well.However, the water point sources identified in the communities do not cover all the sources used by Sibi households.Some households access water sources located even further away (e.g., outside of the study area).The locations of the available water point sources in the community were mapped using the SW-Maps android GPS application.Figure 5 shows that the available water sources within Sibi communities are streams, dams, a hand-dug well, boreholes, and public taps/standpipes (Figure 5).Most of the water sources are public taps or standpipes (30 out of 40).There are also eight boreholes and one hand-dug well.However, the water point sources identified in the communities do not cover all the sources used by Sibi households.Some households access water sources located even further away (e.g., outside of the study area).

Reliability (Functionality)
The reliability of the water sources was determined using the functionality of the mapped water sources.The results showed that out of the 30 standpipes, 18 were reliable as these sources were functioning at the time of this research.Twelve were not functioning due to mechanical issues.The hand-dug well was reliable at the time of research but always dries up during the dry season.Figure 6 shows the water sources in each of the Sibi communities (Jato-Kparikpare, Hill-Top, and Central) with the blue color showing functioning (reliable) ones and the red color showing non-functioning (non-reliable) ones.

Cost-Distance to the Water Point Sources
The result of the cost-distance analysis with the consideration of slope, as depicted in Figure 7, provides an understanding of the ease or difficulty in accessing potable water for households in Sibi communities.The blue color represents a lower cost-distance while the red color represents areas with a high cost-distance.The analysis reveals that the substantial majority of households (66%) have relatively easy access to potable water, with a cost-distance of less than 500 m.For approximately 27% of households, the costdistance ranges from 500 to 1000 m, suggesting a somewhat moderate level of accessibility.Additionally, 7% of households face more topographical challenges, with a cost-distance exceeding 1000 m to reach water sources.

Reliability (Functionality)
The reliability of the water sources was determined using the functionality of the mapped water sources.The results showed that out of the 30 standpipes, 18 were reliable as these sources were functioning at the time of this research.Twelve were not functioning due to mechanical issues.The hand-dug well was reliable at the time of research but always dries up during the dry season.Figure 6 shows the water sources in each of the Sibi communities (Jato-Kparikpare, Hill-Top, and Central) with the blue color showing functioning (reliable) ones and the red color showing non-functioning (non-reliable) ones.The result of the cost-distance analysis with the consideration of slope, as depicted in Figure 7, provides an understanding of the ease or difficulty in accessing potable water

Reliability (Functionality)
The reliability of the water sources was determined using the functionality of the mapped water sources.The results showed that out of the 30 standpipes, 18 were reliable as these sources were functioning at the time of this research.Twelve were not functioning due to mechanical issues.The hand-dug well was reliable at the time of research but always dries up during the dry season.Figure 6 shows the water sources in each of the Sibi communities (Jato-Kparikpare, Hill-Top, and Central) with the blue color showing functioning (reliable) ones and the red color showing non-functioning (non-reliable) ones.

Cost-Distance to the Water Point Sources
The result of the cost-distance analysis with the consideration of slope, as depicted in Figure 7, provides an understanding of the ease or difficulty in accessing potable water

Time Waited to Fetch Water
The households were asked about the time for which they waited to access water from the water point sources that they accessed.Figure 8 shows that the respondents typically spent more than 30 min at almost all the water point sources.Approximately 87% of respondents spent more than 2 h at the public taps and 83% of the respondents spent more than 2 h at the boreholes.Among all the water point sources, approximately 55% of the responses indicated that they typically waited for less than 20 min to access sachet/bottled water.This is different from other sources.
for households in Sibi communities.The blue color represents a lower cost-distance while the red color represents areas with a high cost-distance.The analysis reveals that the substantial majority of households (66%) have relatively easy access to potable water, with a cost-distance of less than 500 m.For approximately 27% of households, the cost-distance ranges from 500 to 1000 m, suggesting a somewhat moderate level of accessibility.Additionally, 7% of households face more topographical challenges, with a cost-distance exceeding 1000 m to reach water sources.

Time Waited to Fetch Water
The households were asked about the time for which they waited to access water from the water point sources that they accessed.Figure 8 shows that the respondents typically spent more than 30 min at almost all the water point sources.Approximately 87% of respondents spent more than 2 h at the public taps and 83% of the respondents spent more than 2 h at the boreholes.Among all the water point sources, approximately 55% of the responses indicated that they typically waited for less than 20 min to access sachet/bottled water.This is different from other sources.

The Cost of the Water
During the survey, households were asked about the average cost of thei sources.The average cost of these water sources was estimated for the dry season spans November to April in the following year, as this was the period in which the on these sources.As shown in Table 1, surface water from streams and rivers is most households.However, some reported spending up to 1750.5 Ghanaian Ced during the dry season.The average cost of accessing these surface water sources w 26.54.The second most accessible source was public taps, which cost, on a Gh¢750.46.However, some households spent Gh¢2000 or more to access public tap holes, and sachet/bottled water.

The Cost of the Water
During the survey, households were asked about the average cost of their water sources.The average cost of these water sources was estimated for the dry season, which spans November to April in the following year, as this was the period in which they relied on these sources.As shown in Table 1, surface water from streams and rivers is free for most households.However, some reported spending up to 1750.5 Ghanaian Cedi (Gh¢) during the dry season.The average cost of accessing these surface water sources was Gh¢26.54.The second most accessible source was public taps, which cost, on average, Gh¢750.46.
However, some households spent Gh¢2000 or more to access public taps, boreholes, and sachet/bottled water.

Household Water Management Strategies
To determine the water management strategies of the households in Sibi, the respondents were asked to identify the containers that they used to store water.Table 2 shows the different containers that were used for water collection in three Sibi communities.It indicates that, out of the 624 valid responses, 304 (48.7%) participants used pans as containers to collect water from the water sources.A Jerry can/gallon was the second most popular container (39.3%), followed by a bucket (11.7%).Figure 9 shows the pans used for collecting water in the study communities.Table 3 shows the facilities used for storing water.Out of the 651 valid responses from the multiple-choice items, 285 (43.8%) indicated the drum/tank as the facility for storing water.Gallons (147, 22.6%) and clay pots (109, 16.7%) were also popular facilities in Sibi (Figure 10).Some households also used buckets and aluminum pots to store water.No household used the underground reservoir as a storage facility.

Storage Facility Type
Sibi Hill-Top Jato-Kparikpare Sibi Central Total (%) Bucket 45 20 6 71 (10.9)Table 3 shows the facilities used for storing water.Out of the 651 valid responses from the multiple-choice items, 285 (43.8%) indicated the drum/tank as the facility for storing water.Gallons (147, 22.6%) and clay pots (109, 16.7%) were also popular facilities in Sibi (Figure 10).Some households also used buckets and aluminum pots to store water.No household used the underground reservoir as a storage facility.The respondents were also asked to identify the water management strategies that they adopted during the peak period of water stress.Table 4 shows the water management strategies adopted by Sibi households using multiple-choice questions.The results show that most households (308, 18.3%) identified a reduction in the quantity of water that they used for specific purposes.This was followed by rainwater harvesting for household use (304, 18.1%).A larger proportion of responses (299, 17.8%) also selected a reduction in the number of baths taken by the households.Some households (113, 6.7%) adopted the strategy of disallowing people from other households to use their stored water.The respondents were also asked to identify the water management strategies that they adopted during the peak period of water stress.Table 4 shows the water management strategies adopted by Sibi households using multiple-choice questions.The results show that most households (308, 18.3%) identified a reduction in the quantity of water that they used for specific purposes.This was followed by rainwater harvesting for household use (304, 18.1%).A larger proportion of responses (299, 17.8%) also selected a reduction in the number of baths taken by the households.Some households (113, 6.7%) adopted the strategy of disallowing people from other households to use their stored water.

Experienced Effects of Limited Potable Water Access on the Livelihoods of Sibi Residents
The respondents were asked to indicate their level of agreement with the statements in Table 5, which explains how inadequate access to potable water impacted their livelihoods.The level of agreement was scored on a scale of 1 to 5, where 1 indicated strong disagreement and 5 indicated strong agreement.This scale was reclassified as agree, neutral, and disagree.Table 5 indicates that the vast majority of respondents agreed that limited potable water access influenced their livelihood activities.Both domestic and commercial activities were major concerns for the respondents, as 306 (98.4%) of them agreed that inadequate access to potable water slowed down their domestic and commercial activities.This finding is supported by the responses that inadequate access to potable water increased the workload for women, with 97.1% of the respondents agreeing with this statement.In addition, the responses from the community authorities indicate that water stress is a major challenge for the community and has many negative impacts on the livelihood activities of the community members, including children's education.These correspond well with what is shown in Table 5.
According to the chief, "During the dry season, residents walk for about 10 miles to Oti River to fetch water and as a result, the farming and business activities are halted for some period until the wet season".He further suggested, "You see, when the water stress starts, the pupils or students in schools will have to all stop school because there is no water for them to bath and drink.Teachers are also not able to go to teach again.Those who are not from here will have to run to their hometowns until the wet season starts".
The assembly member also stated, "If the water stress period starts, you will see that those (health personnel) from different places to treat us at clinics start leaving.If you ask them, they tell us: how they can treat patients when they don't have water to drink?The teachers tell us the same thing that they cannot teach without water. ..".
To quantitatively understand such impacts of inadequate water accessibility on livelihood activities, we used the GLM gamma log link to model these variables [52].The Omnibus test result was statistically significant (p = 0.003 < 0.05), indicating a legitimate and meaningful model [33].The GLM results (Table 6) revealed a significant relationship between the experienced impacts of limited water access on livelihoods and the distance to water sources (χ 2 = 9.897, p = 0.002).This means that for each increase in distance to water sources, the livelihood impact increases by 0.048.The average cost of accessing potable water also shows a statistically significant relationship with the experienced impacts on livelihoods (χ 2 = 3.957, p = 0.047), indicating that a dollar increase in the average cost of water will lead to a 0.015 increase in experienced impacts on livelihoods.The average waiting time does not have a statistically significant relationship with the experienced inadequate access to potable water impacts on livelihoods (χ 2 = 0.043, p = 0.835), potentially because the residents are used to the long waiting times, as shown in Figure 8.

Discussion
The study findings indicate that access to potable water in the three communities is influenced by various factors, including the availability and efficiency of water sources, the distance to water sources, the cost of accessing water, and the coping and management strategies adopted by households.These factors have significant implications for the livelihoods of the residents, as shown in Figure 3.
The availability of water sources plays a crucial role in determining access to potable water.Multiple water sources, including rivers, streams, dams, hand-dug wells, boreholes, and public standpipes, are identified in this study.These water sources are not efficient because most of them only flow seasonally.These findings align well with previous research conducted in various communities in Ghana.For example, research done by Jeil, Abass, and Ganle [53] in the Tatale-Sanguli district of Ghana's northern region found that boreholes and streams/dugouts served as the main water sources for the local residents.Stream and dam water sources are easily accessible by residents.However, the quality of the water in the stream and dam is highly questionable, as both animals and humans use these sources.Jeil, Abass, and Ganle also found that the boreholes were not easily accessible by their study respondents as compared to streams and dams.Water sources included unprotected dug wells; surface sources like rivers, dams, and streams; vendors supplying water via small tanks or tanker trucks; and bottled water [54].This is similar to the situation in Sibi, as our findings indicate that the boreholes and standpipes in the Sibi community are not reliable and the residents mostly rely on unprotected water sources such as streams and dams.These findings, coupled with the previous studies, suggest that these sources are commonly relied on in Ghanaian communities.
Households generally travel a distance of less than 1000 m (one kilometer) to access water sources within the community.However, it is observed that, during the dry season, residents are compelled to walk over 10 km to obtain water.This highlights the challenges faced by communities in accessing water, particularly during periods of water scarcity.To contextualize these findings, it is pertinent to refer to existing standards on water accessibility.Howard et al. [55] propose that access to water is deemed satisfactory when the distance traveled to access water does not exceed one kilometer.Similarly, the Ghana Water Company Limited [56], the regulatory body responsible for the water supply in Ghana, stipulates that if the target of providing water within household premises is not achieved, the maximum distance that an individual should travel to access water should not exceed 200 m.The findings of this study marginally align with these standards, indicating that 93% of households travel less than one kilometer in Sibi, Ghana.Furthermore, the study's findings are consistent with the research conducted by Misati [57] in Kisii County, Kenya.Misati's study reveals that the majority of water sources (92%) are located within a kilometer of households.This similarity suggests that communities in both Ghana and Kenya encounter comparable challenges regarding the proximity of water sources, emphasizing the importance of addressing distance-related barriers to water access in various contexts.Because of the data and resource limitations, we were not able to gauge the water supply capacity of water intake sites.The water supply capacity is also important in assessing the water demand.We plan to address this issue in a future study when such data are available.
The affordability of water access is a critical consideration in ensuring equitable and sustainable water access.The cost of accessing potable water affects households' financial resources and can potentially create disparities in access, particularly for economically disadvantaged communities.The annual cost of potable water for respondents ranged from Gh¢15.67 (US$2.59) to Gh¢1318.03 (US$218.27) in a year.The study findings are not significantly different from the UNICEF/WHO [58] report on WASH, which suggests that households in Ghana spend an average of Gh¢138.9 (US$23) per capita per year on water.The majority of the respondents considered surface water sources as the cheapest sources as they had no monetary cost to them.This could be why most households choose to access surface water for domestic usage.This finding is similar to the situation in some urban communities in Ghana, as previous studies indicated that households in the Ga West Municipality of Ghana accessed water from surface water sources for domestic usage because these water sources were the cheapest for them [14].
The United Nations [3] and the Sphere Project [59] specify that for one to have physical access to water, the collection time should not exceed 30 min.The collection time in this study is beyond the United Nations' standard as the maximum average waiting time to access water in Sibi communities is more than 2 h.The longer collection time may be attributed to inadequate water from the available water sources.This situation is similar to that of other communities in Ghana and Africa.Adjakloe [14] found that an average of one (1) hour was spent accessing water for household use in the Maryera community in Ghana.Peprah et al. [13] found that the irregular flow of water from pipes resulted in long queues, leading to longer waiting times to access water in the Awutu-Senya East Municipality of Ghana.Jonah et al. [23] found that 55.4% of their study respondents spent more than 1 h fetching water.Smits et al. [9] also found that the waiting time to collect water in Ward 16 of Bushbuckridge Local Municipality of South Africa was more than 4 h.Jonah et al. [23] further explained that the long queues and waiting times were caused by the non-functionality of the water sources that were shared by many households from different communities.
The main containers for the collection of water were the head pan, Jerry can, and bucket.Women mostly used head pans, while men used Jerry cans to collect water.Drums/tanks, Jerry cans/gallons, clay pots, aluminum pots, and buckets are used to store water.Drums/tanks, Jerry cans/gallons, and clay pots are used by most households in the three communities compared to the other facilities.Misati [57] also found that most of the Kisii households used Jerry cans to store their water.
This study revealed some of the water usage strategies adopted by households.A reduction in the quantity of water usage for some specific purposes, rainwater harvesting, and reductions in the number of baths per day were some of the most adopted strategies in the three communities.Some respondents also used sachet or bottled water for drinking purposes.These results align with Agyemang's [28] research, which also found that households in the Sekyere Kumawu district of Ghana adopted such strategies to manage their water, e.g., using bottled water for drinking purposes, purchasing additional storage facilities, preventing others from using their stored water, and reducing the water quantities used for specific purposes.
Inadequate potable water access has significant impacts on the livelihoods of households.This study revealed that the distance to water sources and the cost of accessing water have significant effects on households' livelihoods.These findings support Sorenson and colleagues' research, which found that the distance and cost of fetching water significantly affected the livelihood status of individuals, especially women and children in low-income countries (including Ghana), as it was a time-consuming and physically demanding task that could have adverse effects on health, education, and income [60].
Surprisingly, waiting times did not have a significant impact on livelihood activities, which is contrary to the Sphere Project's report [59], which suggested that longer waiting times reduced water consumption, increased non-potable water usage, and limited time for other activities.This inconsistency may be due to the fact that residents in Sibi are used to long waiting times, knowing that they will eventually obtain water.Additionally, from the personal experience of one of the authors, who lived in the community for over 20 years, it is known that most households engage in tuber cultivation during the rainy season and spend time at water sources during the dry season, when water stress is more prevalent, which increases the waiting time.
Based on the water access challenges faced by the communities in Sibi, we recommend that the local government and authorities collaborate closely with the Ghana Water Company Limited and water and sanitation NGOs to tackle the pressing issue of clean drinking water in the Sibi communities.Through combined resources and expertise, this joint effort could provide a thorough and long-lasting resolution to the water access difficulties.A collaborative task force should be created by the local government and authorities.This task force should comprise representatives from regulatory agencies, community leaders, and local government bodies to formulate a comprehensive plan for water infrastructure development that caters to the needs of the community.Adequate resources should be allocated to implement this plan, and regular water quality testing and enforcement of standards must be prioritized to ensure safe water consumption.
In addition, the Ghana Water Company Limited should initiate community engagement programs and provide technical training for the community members to help in water infrastructure maintenance.It is also recommended that NGOs and aid agencies partner with local community-based organizations to launch hygiene education campaigns and promote safe water storage practices.By allocating resources to capacity-building initiatives that empower local water management and governance structures, international donor organizations and global health entities can support sustainable water infrastructure projects and collaborate with local agencies for monitoring and evaluation.These targeted measures can serve as a transformative model to resolve water access challenges, not only in Sibi but also as a blueprint for global efforts toward equitable water access.Therefore, it is imperative that these recommendations be taken into consideration and implemented for the benefit of the Sibi community and beyond.

Figure 1 .
Figure 1.Geographical location of the study area within the Nkwanta North District of Ghana.Source: Authors' construct, 2023.

Figure 1 .
Figure 1.Geographical location of the study area within the Nkwanta North District of Ghana.Source: Authors' construct, 2023.

Figure 2 .
Figure 2. A summary of the research methods.

Figure 2 .
Figure 2. A summary of the research methods.

26 Figure 5 .
Figure 5. Locations of available water point sources in the study communities.

Figure 6 .
Figure 6.Functionality of the water point sources in the three study communities.

Figure 5 .
Figure 5. Locations of available water point sources in the study communities.

Figure 5 .
Figure 5. Locations of available water point sources in the study communities.

Figure 6 .
Figure 6.Functionality of the water point sources in the three study communities.

Figure 6 .
Figure 6.Functionality of the water point sources in the three study communities.

Figure 7 .
Figure 7. Cost-distance to water point sources in the study communities.

Figure 7 .
Figure 7. Cost-distance to water point sources in the study communities.

Figure 8 .
Figure 8.Average waiting times of respondents at the water point sources.

Figure 8 .
Figure 8.Average waiting times of respondents at the water point sources.

Table 1 .
Annual cost (Gh¢) of accessing water by households.

Table 1 .
Annual cost (Gh¢) of accessing water by households.

Table 2 .
Containers used for collecting water by households.

Table 2 .
Containers used for collecting water by households.

Table 3 .
Types of storage facilities used to store water by the households.

Table 3 .
Types of storage facilities used to store water by the households.

Table 4 .
Water usage strategies adopted by the households.
4.3.Experienced Effects of Limited Potable Water Access on the Livelihoods of Sibi Residents

Table 4 .
Water usage strategies adopted by the households.

Table 5 .
Experienced impacts of limited potable water access on livelihood activities.

Table 6 .
GLM gamma log link model results.

Table A1 .
Sample Size of the Target Population.

Projected Population (2021) Projected Households (2021) Sample Size
is the total number of households; e is the margin of error = 5%.

Table A1 .
Sample Size of the Target Population.