This study set out to investigate how the inadequate institutional structure in the Ghana
water sector contribute to the poor operations of the water supply in Accra as the main
source of water for both industrial and domestic user. A descriptive, qualitative design was adopted. Key informant interviews were used to generate empirical data. The data collected found that there was a general lack of interest among actors involved in urban water supply process and non involvement of some actors in the process. It was also revealed that lack of political will manifested in lack of continuity of projects of previous governments and diversion of water sector funds for other uses, and huge consumption from industries such as Coca cola, Unilever, and Accra Brewery act together to suffocate urban water supply. Additionally, the findings show that uncontrolled urbanization exists on a massive scale and strangulates efforts to supply water because it makes it difficult for Ghana Water Company to map out strategy for service delivery and to wean bloc consumers. Based on these, it was recommended that the Sector Wide Approach (SWAP) put in place by the water sector to bring all stakeholders in the water sector be speed up, decentralized and more resources committed to its implementation. As a short term measure, Tanker Service Guidelines should be established to regulate the activities of water tankers. However, comprehensive programme should put in place to expand the water service lines with an aim of eliminating the water tanker operators. Finally, estate developers should work in collaboration with town and country planning and lands commission to have all lands service or developed before being sold out.