Purpose Sanitation discourse has garnered significant momentum at the macro level, often at the expense of disadvantaged urban slums. These communities have many untold sanitation issues worth scholarly attention. This study explores the hidden and underreported sanitation issue in a slum community within the developing country context, Ghana. Design/methodology/approach Employing a qualitative methodology, the study triangulates data from field observations, policy documents and literature review as inputs of data. Findings Findings reveal that unsanitary conditions in disadvantaged communities stem from three interrelated factors: limited access to sustainable livelihoods, inadequate education and deviant behaviours exhibited by certain individuals. These factors not only compromise individual well-being but also pose significant threats to public health and environmental sustainability. Research limitations/implications The study underscores the need for a holistic and context-sensitive approach to addressing sanitation issues in informal settlements. This includes the implementation of life-supporting social programmes and cultural interventions aimed at fostering attitudinal and behavioural change. Originality/value The research offers innovative insights into a non-Western setting, contributing to a deeper understanding of the dynamics shaping sanitation crises in the Global South.
Agyabeng et al. (Fri,) studied this question.