Access to water is important to promoting health and preventing a number of diseases in low-income rural areas. Studies have found that in areas without household water access, proximity to water source is correlated with the amount of water fetched and associated health outcomes such as prevalence of diarrhea and under-five mortality. Improved water sources, such as boreholes, provide the most health gains. However, many boreholes fall into disrepair if communities do not have the ability or motivation to maintain them. In 2016, researchers recorded the spatial location of all water sources and houses in 15 towns in the Eastern Region of Ghana and surveyed multiple stakeholders. This project examines the effect of spatial and management characteristics on borehole functionality and evaluates the impact of non-functionality on access to improved water sources.