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Water <strong>sources</strong>, <strong>infrastructure</strong>, <strong>space</strong> <strong>and</strong> <strong>the</strong> <strong>dynamics</strong> <strong>of</strong> environmental diseases in Saboba District: Using GISCHAPTER 1IntroductionFrom <strong>the</strong> beginning <strong>of</strong> <strong>the</strong> 21st century, most countries are faced withdevelopmental challenges <strong>of</strong> how to manage <strong>the</strong>ir <strong>water</strong> re<strong>sources</strong> toensure sustainable use <strong>and</strong> reduce its health consequences. This problemis estimated to be more prevalent in developing countries. For example,<strong>the</strong> International Water Management Institute (IWMI, 2000) haveestimated that by 2025, <strong>water</strong> shortages will be more prevalent amongpoorer countries, <strong>and</strong> that Sub-Saharan Africa (SSA) will face <strong>water</strong>supply shortages due to economic constraints to develop safe drinking<strong>water</strong>, as well as excessive population growth. This may deny <strong>the</strong>secountries from achieving <strong>the</strong> target <strong>of</strong> <strong>the</strong> Millennium DevelopmentGoals (MDGs) on <strong>water</strong> availability <strong>and</strong> quality. World HealthOrganisation <strong>and</strong> United Nations Children's Fund, WHO <strong>and</strong> UNICEF,(2004) have also stated that more than one billion people on earthcurrently rely on <strong>water</strong> <strong>sources</strong> that are unsafe, unreliable, or difficult toaccess for <strong>the</strong>ir daily domestic use. As a result, millions <strong>of</strong> people, most<strong>of</strong> <strong>the</strong>m children, women <strong>and</strong> <strong>the</strong> aged are dying annually from diseasesrelated to poor <strong>water</strong> quality. Vörösmarty et al (2000) believe <strong>the</strong>magnitude <strong>of</strong> this challenge could double in <strong>the</strong> next two decades. WhileWHO (2004) stated that diarrhoeal diseases are responsible for 1.8million annual death, it also estimated that 88% <strong>of</strong> that burden isattributable to unsafe <strong>water</strong> supply <strong>and</strong> sanitation – largely in developingcountries, where Ghana is not an exception. WHO (2004) noted that; “asignificant amount <strong>of</strong> <strong>the</strong>se diseases could be prevented… throughbetter access to safe <strong>water</strong> supply, adequate sanitation facilities <strong>and</strong> betterhygienic practices”.Ghana is no exemption from this estimated health burden, due in part to<strong>the</strong> depletion in quality <strong>of</strong> its <strong>water</strong> re<strong>sources</strong>. Such depletion <strong>of</strong> <strong>water</strong>quality has become key problem facing Ghana, making herdevelopmental objectives ever more daunting, as it places healthconsequences on <strong>the</strong> people <strong>and</strong> reduce <strong>the</strong>ir productivity. Recognisingthis need to reduce <strong>water</strong>-related health problems by protecting <strong>water</strong>re<strong>sources</strong>, <strong>the</strong> revised population policy <strong>of</strong> Ghana (Ghana, 1994) statesthat “Government’s new policies are to tackle <strong>the</strong> growing problems <strong>of</strong>… river pollution <strong>and</strong> toxic waste, through specific interventionmeasures including education <strong>and</strong> awareness programmes...” (p. 7). Aspart <strong>of</strong> efforts to help avert this problem, government has m<strong>and</strong>ated <strong>the</strong>Water Re<strong>sources</strong> Commission (WRC) to develop a Buffer Zone Policyto protect riverbanks <strong>and</strong> o<strong>the</strong>r <strong>water</strong> <strong>sources</strong>Most <strong>of</strong> <strong>the</strong>se health problems occur in poorer areas such as SabobaDistrict <strong>of</strong> Nor<strong>the</strong>rn Ghana. The health impacts <strong>and</strong> problems stretchout fur<strong>the</strong>r <strong>and</strong> fur<strong>the</strong>r in both <strong>space</strong> <strong>and</strong> time. Despite <strong>the</strong> recognition<strong>of</strong> <strong>the</strong> relation between <strong>water</strong> need <strong>and</strong> health related problems, itsintegration are yet to be clearly systematised <strong>and</strong> understood in Ghana,<strong>and</strong> many o<strong>the</strong>r developing countries. Spatial aspect on micro level <strong>of</strong>this health problem is not also identified, at least not in Saboba district.In order to allow informed decision-making on interventions aimed atprevention <strong>and</strong> control <strong>of</strong> environmental diseases, <strong>and</strong> specifically,<strong>water</strong>-related diseases, it is crucial to carry out research into its spatial<strong>dynamics</strong> <strong>and</strong> causes in each specific region.1

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