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This report summarises the results of a study of household environmental problems in the Greater Accra Metropolitan Area (GAMA), undertaken jointly by the Department of Geography and Resource Development of the University of Ghana and the Stockholm Environment Institute. The study is action oriented, and is intended to enhance the understanding of household environmental problems with a view towards improving them. Past environmental assessments of Accra have emphasised the larger scale problems, which range from marine pollution to ambient air pollution. In time, these large scale problems may indeed become critical, as they continue to undermine the sustainability of the city. Currently, however, it is the problems which GAMA dwellers face in their homes and neighbourhoods which are of primary concern. Given the previous lack of information on household environmental problems, this report concentrates on providing a summary of existing conditions. The problem areas covered include water, sanitation, solid waste, pests and pesticides, food contamination and household air pollution. Special attention is given to issues of environment and health. In addition, the report provides information on the households own views on what needs to be done and by whom, and summarises the institutional context within which household environmental management takes place. Finally, some of the policy implications are discussed briefly. The empirical basis for this study includes a questionnaire survey of 1000 representative households, physical tests of water and air quality among sub-sets of about 200, focus group discussion in …