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Ghana - Actions to reduce cholera risk in hotspots

Cholera prevention – Actions to reduce cholera risk in Ghana
Actions and recommendations based on a dedicated integrated study targeting cholera hotspots communities in Ghana, in Greater Accra Metropolitan Area (GAMA)

3,4 millions USD, an estimated budget to reduce risk of cholera in Ghana.


This file gathers the project sheets based on the analysis on local cholera transmission contexts in hotspots. A sound multi-sectoral study (Water, Sanitation and Hygiene – WASH – and Health and epidemiology) was conducted in 2014 to formulate adequate solutions linking epidemic response and control, and development programs.The national cholera action plan, WASH programs from stakeholders and if available, vaccination plan (planned, done or ongoing) were analysed in order to propose high priority and complementary actions.

The added value of such a study relies on a better understanding of epidemics, leading to developing targeted, well-adjusted and efficient actions on the strategic vulnerabilities to significantly reduce cholera risk over time.



Required Interventions and budget


General observations on Greater Accra Metropolitan Area (GAMA) - Health area investigated
  •  Accra is the epicenter of cholera in Ghana. Epidemics starting in the Accra metropolis often spread to other regions and beyond national borders into Togo and Benin.
  • Overpopulation, pronounced deficits in utility networks (e.g., water, electricity, and roads), poverty, unsanitary conditions and high population mobility inside and outside the city reinforce the spread of cholera.
  • A core group of sub-metros, including Ablekuma, Ashiedu Keteke and Osu Klottey, appeared to be the entry point for cholera and the initial distribution sites of the disease
  • The high population mobility within the city and intra-household/compound contamination likely played an important role in rapiddisease transmission, especially in unplanned areas, slums and squats. Index cases are often traders, taxi drivers and students.
  • The disease transmission is often associated at the beginning with consuming food and/or water purchased from street vendors.
  • Seasonal rainfall appears to play a role in exacerbating the epidemic by flooding drainage systems and contaminating the waternetwork.

 Download the Ghana - Cholera Investment plan

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