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 The Eleventh NLLAP took place on Thursday November 11, 2010 on the theme, "Sustainability of rural water services: looking back to inform our way forward". There were two presentations; the first was made by Mrs Vida Affum Duti, Country Team Leader, Triple-S Ghana while the second was jointly done by Prosper Dzansi of Triple-S Ghana and Marieke Adank of IRC. This WASH Reflections is intended to share with the wider WASH community the most important issues brought up during the meeting.