This report details the programme, findings and recommendations from a regional workshop held in Accra, Ghana in February 2012 as part of the Global Review on Phytosanitary Surveillance in the Context of the International Standard for Phytosanitary Measures (ISPM) 6: Guidelines for Surveillance. Participants came from 16 Anglophone countries representing Central, Eastern, Southern Africa and Western Africa to jointly identify the main challenges for ISPM surveillance guidelines implementation.