In all communities of the 16 metropolitan, municipal and district assemblies in the Greater Accra region open defecation is still practised by some of the residents.

This is according to the 2016 District League Table which showed that not a single community in the region has been certified as open-defecation free.

All the communities in the region scored zero in the assessment of household access to toilet facilities.

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He blamed the non-existence of toilet facilities in households on poor urban planning.

The District League table is an assessment of the performance of MMDAs in Education, Health, Security, Water, Sanitation & Governance.

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Some indicators with which the Districts are measured include BECE pass rate, rural water coverage, and community open defecation certification.

It also measures the MMDAs on skilled delivery services in the health sector, police to population coverage and FOAT performance.

Overall, La Nkwantanang-Madina Municipal, Tema Metropolitan, and Awutu Senya East Municipal topped the 2016 League Table, while North Tongu, Ekumfi, and East Gonja Districts came last.

Below is the 2016 district league table: