April 2022
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Adequate access to sanitation and safe water is a main challenge to improve urban health in low-income countries. Diseases derived of precarious hygiene conditions are a major burden in African rapidly growing urban areas. These challenges are embedded in complex stakeholder networks and need to be addressed through a holistic approach. It is argued that schools are a key objective for sanitation, water, and hygiene actions in the city. Concerns for improvement of hygiene conditions among school children have risen in the context of contemporary sanitary crisis. Furthermore, schools play a pivotal role between the public and the private realms and a potential to foster change. The study focuses on WASH actions implemented in schools of the city of Makeni, Sierra Leone. It seeks to define a set of context specific recommendations to improve the health-related conditions in the school environment.