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    Partnerships in sanitation service management and infrastructure provision in Kumasi, Ghana

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    This paper investigates the potentials of the private sector in the development and management of sanitation infrastructure and services within three Sub metros in the Kumasi Metropolitan Assembly (KMA). A case study approach was used and data on public toilets under Build-Operate-Transfer (BOT) and franchise management were collected. Results showed that users of BOT facilities were generally satisfied with the services they receive but the KMA-owned toilets under franchised management receive low patronage because of the poor management and political interference. Some factors plaguing the partnership include mistrust between the partners, political interference and socio-cultural behaviour of the users
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