<jats:p> “Clean Team” provides serviced, free-standing toilets as a sanitation option in low-income areas of Kumasi, Ghana. A cross-sectional survey was carried out to assess sanitation and hygiene practices in 199 Clean Team households and 201 neighbouring, non-Clean Team households. Adults in non-Clean Team households were no more likely to report unsafe defecation (faeces not contained in a latrine) than their Clean Team neighbours, although their reliance on public toilets may lead to occasional unsafe practices. Children in Clean Team households used the household toilet from a younger age than those in non-Clean Team households, and their faeces were thus more often disposed of safely. Soap and water were more frequently found at the latrine in Clean Team households than in latrine-owning non-Clean Team households. </jats:p><jats:p> Use of Clean Team toilets is likely to reduce faecal contamination of the environment through safer child defecation and stool disposal practices, and may increase the opportunity for post-defecation handwashing with soap. </jats:p>