This Gender Equality and Social Inclusion (GESI) Analysis identified pathways for advancing equality and inclusion within the parameters of the Enhancing Water, Sanitation and Hygiene (En-WASH) Activity funded by USAID. The analysis is based on a literature review; data from a comprehensive baseline survey conducted by En-WASH consortium member Aguaya; and a qualitative GESI study undertaken by Global Communities. The study involved discussions with the representatives of the Government of Ghana, implementing partners, WASH service providers and community members. It included 67 key informant interviews at the national, district and community levels as well as 9 focus group discussions and 6 household dialogues at the community level.