This project analyzes cross cultural factors in a public health program that was implemented to control for schistosomiasis, a parasitic disease in Adasawase, a rural village located in eastern Ghana. This report is a narrative of my own experiences there as I worked in this program and it is an analysis of the ideological, sociopolitical, institutional/professional, ethnocultural, and material factors that might have account for the success and failure of the initiative. I use this study to propose a culturally sensitive model for communicating health in communities.