Rapid urbanisation in sub-Saharan Africa has created dismal hygiene and sanitation conditions, particularly for children. The EU-funded project Fahophs looked at how to overcome these conditions and minimise disease. The project conducted case studies in Ghana, Kenya and Malawi, investigating how to use home-based care systems and improve hygiene for children under five years old. It encouraged policies that reduce the burden of child health on mothers and households, particularly in urban poor areas, in order to alleviate the strain on resources. By developing a collaborative effort that spans several countries, Fahophs was able to address this urgent issue and involve local communities in the process of improving child hygiene, sanitation and healthcare. The project also brought key policymakers together to examine ways of overcoming these child health issues, aiming to ensure the shift from research to actual policy adoption. There are plans to replicate the success of this strategy in more African countries, a move which will relieve suffering for children across the continent. Fahophs has great potential to ease the strain on low-income family budgets, raise living standards and even save lives in the years to come.