Global Communities Ghana, with funding from USAID, as part of the WASH for Health project has been collaborating with the Government of Ghana Ministry of Sanitation and Water Resources to develop Guidelines for Targeting the Poor and Vulnerable for Basic Sanitation Services in Ghana. These guidelines were published in June 2018. The partnership also produced a video highlighting the need for such Guidelines.

A major policy change reflected in the guidelines is the Government of Ghana support for publicly financed subsidies for poor household sanitation latrines. This is a major shift from policies of the past. The guidelines serve to ensure that equity, inclusion and sustainability for those who are unable to afford household toilets, without undermining strong community cohesion and strength in building their own toilets.