The document presents baseline findings on the status of water facilities in Akatsi District, Volta Region of Ghana. It finds that more than 80% of boreholes are broken down or performing suboptimally. It also finds that many water systems lack proper governance, management, financial and operational practices as outlined in national guidelines. This puts the sustainability of water services in the district at risk. Key issues that must be addressed include repairing non-functional boreholes, providing training to water committees, establishing clear financial accounting, and ensuring water quality monitoring and infrastructure maintenance.