GlaxoSmithKline's (GSK) hygiene initiative is PHASE, Personal Hygiene and Sanitation Education, a simple and successful handwashing programme developed alongside children and their teachers for implementation in and through schools. Active since 1998, it is currently implemented in 15 international development settings. An evaluation of PHASE reported that the programme had proved to be highly effective and amenable to cross-cultural adaptation. PHASE is currently being transferred to UK primary schools with development taking place in London. During this process issues of ‘South to North’ knowledge transfer (experience, relevance and acceptance) have become key to the design and execution of the programme. This article reports work in progress.

AMREF (2010) PHASE Kenya: School Hygiene and Sanitation Project [online], African Medical and Research Foundation, available from: http://www.amref.org/what-we-do/phase-kenya--school-hygiene-and-sanitation-roject [accessed 26 July 2010]. http://www.amref.org/what-we-do/phase-kenya--school-hygiene-and-sanitation-roject

Babul, F. (2007) Child-to-Child: A Review of the Literature (1995-2007), Child to Child Trust, Institute of Education, London.

Biran, A. (2008) Hygiene Promotion, Social Marketing and the IRC [online], London School of Hygiene and Tropical Medicine, available from: http://www.hygienecentral.org.uk/docs/Report_for_IRC_final_version_Sept_08.doc [accessed 26 July 2010]. http://www.hygienecentral.org.uk/docs/Report_for_IRC_final_version_Sept_08.doc

Child-to-Child and developmentDirect (2009) ‘United Kingdom Project Activity’ [online], available from: http://www.child-to-child.org/ctcworldwide/unitedkingdom_project1.htm and http://www.developmentdirect.org.uk/index.htm [accessed 26 July 2010]. http://www.child-to-child.org/ctcworldwide/unitedkingdom_project1.htm http://www.developmentdirect.org.uk/index.htm

Curtis, V., Kanki, B., Cousens, S., Diallo, I., Kpozehouen, A., Sangare, M. and Nikiema, M. (2001) ‘Evidence of behaviour change following a hygiene promotion programme in Burkina Faso’, Bulletin of the World Health Organization 79: 518-27.

Fisher, J. (2008) ‘Avoidable illness amongst school age children in the developed world: Where does handwashing with soap figure? A literature review’, unpublished, GSK Global Community Partnerships, GSK, Brentford, UK.

Gibbs, S., Mann, G. and Mathers, N. (2002) Child-to-Child: A Practical Guide Empowering Children as Active Citizens [online], Community Health South London NHS Trust and the Lambeth, Southwark and Lewisham Health Action Zone (LSLHAZ), UK, available from: http://www.child-to-child.org/guide/guide.pdf [accessed 27 July 2010]. http://www.child-to-child.org/guide/guide.pdf

GSK (2007) PHASE Review, 2007, GSK Global Community Partnerships, GSK, Brentford, UK.

Pope, G. (2009) ‘The nature of heroes and their application in our programme: concept note for GSK’ unpublished, Kids Industries, London.

Save the Children (2009) ‘Improving the health of school-age children in Bangladesh through PHASE: Final three-year report: November 2005-October 2008’, submitted to GSK, Brentford, UK.

Scott, B. (2005) Social Marketing: A Consumer-Based Approach to Promoting Safe Hygiene Behaviours, WELL Factsheet, WELL Resource Centre, Loughborough University, UK.

AMREF (2010) PHASE Kenya: School Hygiene and Sanitation Project [online], African Medical and Research Foundation, available from: http://www.amref.org/what-we-do/phase-kenya--school-hygiene-and-sanitation-roject [accessed 26 July 2010]. http://www.amref.org/what-we-do/phase-kenya--school-hygiene-and-sanitation-roject

Babul, F. (2007) Child-to-Child: A Review of the Literature (1995-2007), Child to Child Trust, Institute of Education, London.

Biran, A. (2008) Hygiene Promotion, Social Marketing and the IRC [online], London School of Hygiene and Tropical Medicine, available from: http://www.hygienecentral.org.uk/docs/Report_for_IRC_final_version_Sept_08.doc [accessed 26 July 2010]. http://www.hygienecentral.org.uk/docs/Report_for_IRC_final_version_Sept_08.doc

Child-to-Child and developmentDirect (2009) ‘United Kingdom Project Activity’ [online], available from: http://www.child-to-child.org/ctcworldwide/unitedkingdom_project1.htm and http://www.developmentdirect.org.uk/index.htm [accessed 26 July 2010]. http://www.child-to-child.org/ctcworldwide/unitedkingdom_project1.htm http://www.developmentdirect.org.uk/index.htm

Curtis, V., Kanki, B., Cousens, S., Diallo, I., Kpozehouen, A., Sangare, M. and Nikiema, M. (2001) ‘Evidence of behaviour change following a hygiene promotion programme in Burkina Faso’, Bulletin of the World Health Organization 79: 518-27.

Fisher, J. (2008) ‘Avoidable illness amongst school age children in the developed world: Where does handwashing with soap figure? A literature review’, unpublished, GSK Global Community Partnerships, GSK, Brentford, UK.

Gibbs, S., Mann, G. and Mathers, N. (2002) Child-to-Child: A Practical Guide Empowering Children as Active Citizens [online], Community Health South London NHS Trust and the Lambeth, Southwark and Lewisham Health Action Zone (LSLHAZ), UK, available from: http://www.child-to-child.org/guide/guide.pdf [accessed 27 July 2010]. http://www.child-to-child.org/guide/guide.pdf

GSK (2007) PHASE Review, 2007, GSK Global Community Partnerships, GSK, Brentford, UK.

Pope, G. (2009) ‘The nature of heroes and their application in our programme: concept note for GSK’ unpublished, Kids Industries, London.

Save the Children (2009) ‘Improving the health of school-age children in Bangladesh through PHASE: Final three-year report: November 2005-October 2008’, submitted to GSK, Brentford, UK.

Scott, B. (2005) Social Marketing: A Consumer-Based Approach to Promoting Safe Hygiene Behaviours, WELL Factsheet, WELL Resource Centre, Loughborough University, UK.

AMREF (2010) PHASE Kenya: School Hygiene and Sanitation Project [online], African Medical and Research Foundation, available from: http://www.amref.org/what-we-do/phase-kenya--school-hygiene-and-sanitation-roject [accessed 26 July 2010]. http://www.amref.org/what-we-do/phase-kenya--school-hygiene-and-sanitation-roject

Babul, F. (2007) Child-to-Child: A Review of the Literature (1995-2007), Child to Child Trust, Institute of Education, London.

Biran, A. (2008) Hygiene Promotion, Social Marketing and the IRC [online], London School of Hygiene and Tropical Medicine, available from: http://www.hygienecentral.org.uk/docs/Report_for_IRC_final_version_Sept_08.doc [accessed 26 July 2010]. http://www.hygienecentral.org.uk/docs/Report_for_IRC_final_version_Sept_08.doc

Child-to-Child and developmentDirect (2009) ‘United Kingdom Project Activity’ [online], available from: http://www.child-to-child.org/ctcworldwide/unitedkingdom_project1.htm and http://www.developmentdirect.org.uk/index.htm [accessed 26 July 2010]. http://www.child-to-child.org/ctcworldwide/unitedkingdom_project1.htm http://www.developmentdirect.org.uk/index.htm

Curtis, V., Kanki, B., Cousens, S., Diallo, I., Kpozehouen, A., Sangare, M. and Nikiema, M. (2001) ‘Evidence of behaviour change following a hygiene promotion programme in Burkina Faso’, Bulletin of the World Health Organization 79: 518-27.

Fisher, J. (2008) ‘Avoidable illness amongst school age children in the developed world: Where does handwashing with soap figure? A literature review’, unpublished, GSK Global Community Partnerships, GSK, Brentford, UK.

Gibbs, S., Mann, G. and Mathers, N. (2002) Child-to-Child: A Practical Guide Empowering Children as Active Citizens [online], Community Health South London NHS Trust and the Lambeth, Southwark and Lewisham Health Action Zone (LSLHAZ), UK, available from: http://www.child-to-child.org/guide/guide.pdf [accessed 27 July 2010]. http://www.child-to-child.org/guide/guide.pdf

GSK (2007) PHASE Review, 2007, GSK Global Community Partnerships, GSK, Brentford, UK.

Pope, G. (2009) ‘The nature of heroes and their application in our programme: concept note for GSK’ unpublished, Kids Industries, London.

Save the Children (2009) ‘Improving the health of school-age children in Bangladesh through PHASE: Final three-year report: November 2005-October 2008’, submitted to GSK, Brentford, UK.

Scott, B. (2005) Social Marketing: A Consumer-Based Approach to Promoting Safe Hygiene Behaviours, WELL Factsheet, WELL Resource Centre, Loughborough University, UK.

AMREF (2010) PHASE Kenya: School Hygiene and Sanitation Project [online], African Medical and Research Foundation, available from: http://www.amref.org/what-we-do/phase-kenya--school-hygiene-and-sanitation-roject [accessed 26 July 2010]. http://www.amref.org/what-we-do/phase-kenya--school-hygiene-and-sanitation-roject

Babul, F. (2007) Child-to-Child: A Review of the Literature (1995-2007), Child to Child Trust, Institute of Education, London.

Biran, A. (2008) Hygiene Promotion, Social Marketing and the IRC [online], London School of Hygiene and Tropical Medicine, available from: http://www.hygienecentral.org.uk/docs/Report_for_IRC_final_version_Sept_08.doc [accessed 26 July 2010]. http://www.hygienecentral.org.uk/docs/Report_for_IRC_final_version_Sept_08.doc

Child-to-Child and developmentDirect (2009) ‘United Kingdom Project Activity’ [online], available from: http://www.child-to-child.org/ctcworldwide/unitedkingdom_project1.htm and http://www.developmentdirect.org.uk/index.htm [accessed 26 July 2010]. http://www.child-to-child.org/ctcworldwide/unitedkingdom_project1.htm http://www.developmentdirect.org.uk/index.htm

Curtis, V., Kanki, B., Cousens, S., Diallo, I., Kpozehouen, A., Sangare, M. and Nikiema, M. (2001) ‘Evidence of behaviour change following a hygiene promotion programme in Burkina Faso’, Bulletin of the World Health Organization 79: 518-27.

Fisher, J. (2008) ‘Avoidable illness amongst school age children in the developed world: Where does handwashing with soap figure? A literature review’, unpublished, GSK Global Community Partnerships, GSK, Brentford, UK.

Gibbs, S., Mann, G. and Mathers, N. (2002) Child-to-Child: A Practical Guide Empowering Children as Active Citizens [online], Community Health South London NHS Trust and the Lambeth, Southwark and Lewisham Health Action Zone (LSLHAZ), UK, available from: http://www.child-to-child.org/guide/guide.pdf [accessed 27 July 2010]. http://www.child-to-child.org/guide/guide.pdf

GSK (2007) PHASE Review, 2007, GSK Global Community Partnerships, GSK, Brentford, UK.

Pope, G. (2009) ‘The nature of heroes and their application in our programme: concept note for GSK’ unpublished, Kids Industries, London.

Save the Children (2009) ‘Improving the health of school-age children in Bangladesh through PHASE: Final three-year report: November 2005-October 2008’, submitted to GSK, Brentford, UK.

Scott, B. (2005) Social Marketing: A Consumer-Based Approach to Promoting Safe Hygiene Behaviours, WELL Factsheet, WELL Resource Centre, Loughborough University, UK.