A cross-sectional study was undertaken in senior high schools in Ghana’s Western North Region to evaluate the state of  sanitation and hygienic conditions. Simple random sampling technique was used to select 360 students from three senior high schools. A structured questionnaire was used for data collection. Multiple logistic regression and t-test statistics were used to analyse the data. The study revealed that tap water was the main source of drinking water students used followed by ground water. About half of the students used flush latrine while one-fifth used pit latrine.  Toilet facilities were never covered after use and some too had no lids as a result produced offensive odour. Urinary bays in the schools were untidy and produced offensive odour as well. About 80.0 % of students washed their hands after using toilet facilities with water and soap. However, 1 out of every 16 students washed their hands with water only. Stagnant water was found in most schools. Unwholesome environmental practices such as open dumping and burning were ways schools disposed of their solid waste. Some students hardly participated in school sanitation exercise. Statistically, there was a significant difference between male and female mean responses on their participation in school sanitation exercise (p<0.05). In all, the sanitation situation in the schools was not encouraging. Proper maintenance of toilet facilities is needed to improve the sanitation and hygienic conditions in the schools.

Keywords: Hygiene, Open burning, Portable water, Public health, Toilet facilities