Evidence-Based Programs Related to HealthImplementation of an Evidence-Based Hand Hygiene Program in Elementary Schools in Ghana, as Part of a City-to-City Partnership Between Ottawa Public Health and KEEA Health DirectorateLang, Marie-Claude BScN, RNAuthor Information Health Promotion and Disease Prevention, Ottawa Public Health, Ottawa, Ontario, Canada. Correspondence: Marie-Claude Lang, BScN, RN, Health Promotion and Disease Prevention, Ottawa Public Health, 100 Constellation Cr, Ottawa, ON K2G 6J8, Canada (Mariefirstname.lastname@example.org). The author thanks Alwyn Moyer, PhD, RN, for her support in writing this article. Her wisdom and feedback to the author were instrumental. The author also thanks Ottawa Public Health management team and the staff, for their engagement in this partnership and their support in ensuring the project's completion, and the KEEA Health Directorate, for its passion and its commitment to the partnership and the hand hygiene project. A special recognition is given to the Federation of Canadian Municipalities and to the Canadian International Development Agency that funded this project. The author declares no conflict of interest. Family & Community Health: July/September 2012 - Volume 35 - Issue 3 - p 203-211 doi: 10.1097/FCH.0b013e318250bc56 Buy Metrics Abstract Ottawa Public Health in partnership with health staff from the municipality of KEEA (Komenda, Edina, Eguafo, Abrem) in Ghana engaged in a city-to-city partnership to adapt, implement, and evaluate an evidence-based hand hygiene public health initiative in elementary schools in Ghana. All 4 participating schools gained the necessary resources to carry out proper hand hygiene practice, and hand hygiene practice improved. Furthermore, pupils were more likely to wash hands after using the toilets and teachers were better equipped to be good role models. Providing resources to schools was key to the success of the implementation. This partnership gave health and education workers in Ghana the tools, knowledge, and confidence to implement a simple, evidence-based, hand hygiene program. One other remarkable outcome is that school children were the initiators of a behavior change in their community. © 2012 Lippincott Williams & Wilkins, Inc.