Summary: MCC’s $547 million Ghana Compact (2007-2012) funded the $15 million Water and Sanitation Sub-Activity to improve water systems in districts participating in the compact. The sub-activity aimed to decrease waterborne illnesses and reduce the time spent fetching water and caring for the sick so that community members would have more time to devote to economic activities. The sub-activity constructed or repaired 392 water points, including boreholes, small town water systems, and pipe extensions across 137 selected communities. It also provided hygiene and sanitation training to 778 participants.