This is a continuous process with various people travelling to train and teach. Our main emphasis is in providing simple basic care of patients such as hand washing. In view of the high mortality generally in developing countries emphasis has been placed on the care of pregnant mothers and also the newborn babies. Midwives have travelled to train and teach as has Michael butler the newborn nurse specialist. He has travelled 3 times and is an enthusiastic teacher who hopes to travel more frequently in the coming months. Farida Khawaja, a specialist in emergency medicine has set the curriculum and travels frequently from Australia to reinforce emergency care. Training is provided by Dr Rafiq and Professor Gatrad when they are there too. Nurses have travelled from the UK and N Ireland to help improve nursing care, both in theatre and the wards.