The health status of Ghanaians has evolved since independence. However, the pace of change is quite slow and as a result, the current health service indicators are not enviable. For example, a political economy analysis of the health sector commissioned by STAR Ghana revealed that though there has been a marginal increase in family planning uptake, antenatal care/visits, and supervised deliveries and in maternal and child morbidity and mortality, the rates remain comparatively high. Again, though there are various legal frameworks and some programmes, the disease burden remain high. This is because of attitudinal, economic, socio-cultural, geographical, and political barriers to accessing health care. WiLDAF’s interventions thus focus on Maternal and Adolescent Sexual and Reproductive health with Water, Sanitation and Hygiene (WASH) as a cross-cutting issue. The Program’s aim is to contribute to attitudinal changes on the part of Women and Adolescents in terms of lifestyle changes, health seeking behaviors on the one part and improving the responsiveness of service providers on the other part leading to increased access to critical services in the area of Maternal and Adolescent sexual and reproductive health care. Strategies being employed are building agency of women and girls through training and other capacity development, generating evidence through research, advocacy and engagement of key stakeholders such as traditional and religious leaders to change socio-cultural norms, engagement with district assemblies (local government personnel), health service providers to make them more responsive There are several projects under this program: Community and Maternal Health in Community Hands This is a Community Based Response project which aims at contributing to empowerment of rural people particularly women and pregnant teenagers to demand improved access and quality of health care from health service providers. This project is working with community people, traditional and religious leaders, local government offices to establish Community Health Coalitions (CHCs) to facilitate community mobilisation to demand, and engage / interface with health actors for access to improved health services. The project is also providing information on available health facilities and services in particular geographic areas, in particular maternal and neo-natal health facilities, Community-based Health Planning and Services (CHPS) to rural communities. The project also supports community and district health personnel with information on the gendered nature of health needs in order for them to provide comprehensive care and be more responsive to the needs of community people especially women and pregnant teenagers. This project has variously been funded by STAR Ghana and the European Union in Ghana. Adolescent Health in Adolescent Hands WiLDAF’s project aims to contribute to improved access to Adolescent Sexual and Reproductive health care in WiLDAF’s operational areas. Specifically, it aims to contribute to increased knowledge, advocacy capacity and agency of adolescents and community people to demand access to quality Adolescent Sexual and Reproductive health care from health actors. The project focuses on the promotion of access to and quality of contraceptive care and usage, promotion of community, school and family activities, practices and values that improve adolescent reproductive health and multi-stakeholder engagements/dialogues to strengthen the institutional response. The project targets adolescents from ages 10-17 and young adults from 18-24 as primary beneficiaries. This project is funded by UKaid through the Palladium group. Africa Women against Malaria Project This is an exclusively Water Sanitation and hygiene (WASH) project. This is a collaborative project between WiLDAF Ghana and Mujeres por Africa. Though currently located at Ahwiam which is close to Old Ningo in the Greater Accra Region, it will be brought to scale and extended to other districts. The project seeks to contribute to addressing the sanitation, waste management challenges of the people of Ahwiam in order to help reduce the residual vectors of malaria, a key driver of maternal and child deaths.