Open defecation costs the country $79m each year, according to the Institute of Environment and Sanitation at the University of Ghana.

The practice shuns tourism and impacts the country’s budget for the importation of drugs to cure diseases triggered by poor insanitary conditions.

An estimated 19% of the population practice open defecation, according to UNICEF.

This photo by Myjoyonline’s award-winning photojournalist, David Andoh, was taken at Glefe beach in the Ablekuma South Municipal Assembly in Accra on May Day Tuesday.