Environmental sanitation policy implementation is a vital factor that ensures that citizens are kept healthy and productive. The study sought to assess key factors impeding the implementation of environmental sanitation policy in Ghana. Using an explanatory design, a sample of 384 respondents was selected from the population of Accra through a simple random sampling technique. The questionnaire was the main instrument used to collect the data. The Partial Least Square-Structural Equation Modeling (PLS-SEM) technique was used to analyse the hypothesised path models. Based on the results, government approach, community representation, and lack of citizens' commitment were found to be statistically significant. The study also revealed that the government approach partially mediated the relationship between community representation and environmental sanitation policy implementation, and lack of citizens' commitment and environmental sanitation policy implementation. The study has contributed to knowledge in the research endeavour by demonstrating that the implementation of public policy can easily be realised when the government uses the right approach in involving its citizens in policy decision-making and enhance their commitment to policy implementation.
Keywords: Citizens; Environmental sanitation; Government; Implementation; Policy.