For years, campaigns in the Solomon Islands sought to improve the issue of open defecation in peri-urban and rural areas. This practice has long been a major health concern. Pasifika conducted a baseline KAP survey in seven communities to assess the current knowledge, attitudes and perception of this practice. A series of behavioural change communication materials were then developed, including game boards for schools, posters, radio ads, a jingle, flashcards, radio programs and other materials. Following the pre-testing of these materials, they were distributed throughout the Solomon Islands through schools, communities and to the broadcast media.