This report presents the results of a survey of the rural water sub sector in order to understand rural business livelihoods and supply chains and of the capacity of local government to enable and regulate the sub sector in Ghana. The study survey took place in the Volta Region of Ghana. Three districts in the region were chosen based on geographical locations. Nkwanta District representing the savanna belt, Ho District representing the middle belt and Akatsi District representing the coastal belt. The survey consists of the following three components: Assessment of demand for guidelines among key stakeholder groups; Assessment of capacity of local government to enable and regulate small rural-based private sector; and Assessment of capacity of small and medium size enterprises and non-governmental organizations.