Ghana has huge challenges in basic sanitation and education. Only one in seven homes has an indoor toilet. Twenty percent of people defecate outside. Clean drinking water is scarce. Education is free through age 11, but many families don’t send their kids because they can’t afford books and uniforms. Students struggle with lack of electricity for studying, the need for labor at home (like carrying water or tending siblings), lack of transportation and food. Attendance drops sharply as students age. At age 18, only 12% are still attending.