The twentieth edition of the Mole Conference series took place in the Volta Regional Capital of Ghana, Ho, from July 14-18, 2009. This year’s conference was under the theme, “ 20 years of multi-stakeholder dialogue in Ghana: The State of the Water, Sanitation and Hygiene Sector”. In his opening address, the Vice President of the Republic of Ghana, HE John Mahama, called on civil society to create and promote the needed awareness that would change the behaviour and attitude of Ghanaians towards their environment, especially with regards to open defecation of which “Ghana has an unenviable position among the countries of sub Saharan Africa.” The call was contained in a speech read on behalf of the Vice President by Hon. Albert Abongo, Minister of Water Resources, Works and Housing (MWRWH) at the opening ceremony. “Government will continue to be open to suggestions from civil society on ways to ensure that water and sanitation is no longer a major cause of our poverty” HE John Mahama added. Solidarity messages were delivered by development partners, CWSA, WRC, GWCL/AVRL and WaterAid Ghana. In his solidarity message, Dr Philip Gyau-Boakye, the Chief Executive of CWSA, indicated that they are working towards the passage of relevant legislative instruments to enable CWSA carry out its facilitating and regulatory functions. The Chairman of CONIWAS, Mr Thomas Sayibu Imoro, noted that the prevailing conditions in the WASH sector call for swift action and that CONIWAS will pursue what he calls a 3C agenda: using Cooperation, Collaboration and Confrontation to hasten the process of pushing the WASH sector forward. As part of activities marking the 20th anniversary of the Mole Series, CONIWAS awarded 21 personalities and institutions for playing various roles to support the organisation of the Mole Series and the establishment of CONIWAS over the past twenty years at an impressive ceremony. Hon. Joseph Yieleh Chireh, the Minister for Local Government and Rural Development (MLGRD), officially closed the conference after three days of useful presentations, deliberations and discussions. About 167 participants took part in this year’s conference. These included local and international institutions/actors including, the MWRWH, MLGRD, CWSA, GWCL/AVRL, WRC, NGOs, Networks, Civil Society Organisations, and Development Partners among others.