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To determine what children know about hand washing with soap, a multiple choice questionnaire was administered to 175 randomly selected schoolchildren. Although more than 97% said that hand washing with soap is for cleanliness and getting rid of germs, 75% admitted to hand washing only with water while at school. Only 30% of students reported soap at school while 55% of teachers claimed soap was available at school toilets. To improve the situation, workshops were held for teachers and school staff and washroom management and monitoring systems were revisited and upgraded. Follow up visits showed improvements.