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WATSAN sector in Ghana since independence has implemented PPP reforms that aimed at enhancing the efficiency of the production and utilization. These reforms have culminated in the institutional re-alignment of key institutions in the sector. These PPP reforms in the history of Ghana were in two forms: The first form relates to assets ownership that remains with the public authority or government and it is known as Service and Management Contracts / Lease and Concessions .The second form wheredoi:10.24940/ijird/2019/v8/i8/jul19022 fatcat:vorljyyupzg4vdmoyajslnm4my