Bongo faces a serious problem with its underground water supply. This paper examined the factors accounting for the poor water situation in the Bongo District. Bongo is in the Upper East Region of Ghana. Data was collected from the Water and Sanitation Committees and District Water and Sanitation Teams in all the communities under the District. Most of the boreholes were contaminated with high fluoride contents making it unsafe to drink with levels going up to 4 mg/L. The fluoride Situation is worst so much that people have to compromise by still using these contaminated water sources including those that have been capped due to extremely high fluoride contents. The study reviewed that only 32% of the population in the Bongo District have access to potable drinking water and safe sanitation facilities. Access to water and sanitation is very inadequate in the district.