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There is high agreement by all national and regional scale analyses of vulnerability by various sources including government commissioned reports and independent scholastic research10 that vulnerability especially to drought effects has geographical patterns and socioeconomic associations, with the three northern regions (Northern, Upper West and Upper East regions) the most vulnerable. Similarly, the adaptive capacity of these three northern regions is the lowest nationwide due to low socioeconomic development and heavy dependence of local economies and livelihoods on rain-fed systems such as agriculture and forestry. Decreasing annual rainfall and increasingly erratic rainfall patterns, due to climate change, are adversely affecting rural livelihoods in northern Ghana especially agricultural and pastoral practices. Such decreases in annual rainfall with erratic patterns are also expressed as drought and flooding posing enormous challenges to local communities to deal with such extreme events. The Government of Ghana (GoG), through the Adaptation Fund financed Program titled “Increased resilience to climate change in northern Ghana through the management of water resources and diversification of livelihoods” aims therefore at addressing climate change-induced decreases in the availability and increasing unpredictability of water resources, and the associated negative impacts of these trends on the livelihoods of rural communities.