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Improving access to safe water, adequate sanitation and proper hygiene are on the frontline of efforts to combat related diseases and their accompanying effects. Using a household survey, focus group discussion and key informant interviews, the authors explored how rural livelihoods could be improved through water and sanitation interventions. The study revealed a complex web of configuration between water and sanitation interventions and rural livelihoods. The study found that the provision of water and sanitation infrastructure does not guarantee reductions in related diseases and improvements in livelihoods. Although rural dwellers are aware of the consequences of poor sanitary and hygiene conditions, related diseases and the implications on livelihoods, their persistent demonstration of poor sanitary and hygiene behaviours attributable to intertwined historical and socio-economic factors, adversely affect interventions. Thus, the organisation and management of water and sanitation interventions, require an integrated attention to behaviour change mechanisms. Keywords: Water-related Diseases, Access to Water, Hygiene, Livelihoods, Sanitation

Water, sanitation and rural livelihoods nexus: an exploratory study of Wogu in the Upper West Region of Ghana