In the Kwahu South region of Ghana, the plumbing training is conducted at the local vocational school. The best way to describe this region of Ghana is that it would resemble West Virginia in the 1920s. It is high country with many winding dirt and partially paved roads. The main roads are paved.
While there is indoor plumbing in the area, only about 10% of the people have it. In order to assist the villages with indoor plumbing, there has been a concerted effort to building toilet-room buildings in each village. In addition, wells are dug or drilled in many parts of the country. Many of the wells are sponsored by various organizations that promote the installation of wells in Africa.