Our COVID-19 prevention efforts have centered in rural communities outside of Accra.  Our team created a baseline survey to better understand community knowledge and spread of COVID-19. We trained and deployed health care facilitators and volunteers to create community awareness while gathering essential baseline information to determine program effectiveness.  We are grateful to report that community spread has been limited and government lockdowns are slowly easing in some places Gratefully, it appears that 70 percent of those in communities we have served are wearing masks, engaging in social distancing, and using proscribed hand washing protocols in public places.