of Tropical and Humanitarian Medicine at the University Hospitals of Geneva and that I had been involved in health-related development projects for many years. His plea touched me, not only because it was about church-related health services (I had worked for 7 years in that field in Angola), but also because I was a lecturer at the Institute of Nursing Science (University of Basel).

2007 {#S0003-S20002}
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In my first trip to Tanzania, the Hospital Management Team proudly showed me around. The 150-bed hospital was old (given the long-standing presence of the respective churches in the region), clean, under-occupied, under-equipped (few essential drugs), and understaffed. There was a shortage of nurses in all wards. Although formerly, nurses often preferred mission hospitals to the governmental ones, this trend had been clearly reversedof dirt road) and showed me round the hospital and the adjacent nursing school. They succeeded in convincing me that it was feasible to set up a nursing school in a district-size hospital in a remote rural area. They explained eloquently that there was no diploma-granting nursing school in the region, neither governmental nor FBO. Back in their own region, they showed me a potential site for a future nursing school in the vast compound, which belonged to the church. On my return from Tanzania, I started writing up reports and concepts. The drafts I sent to the hospital management team remained unanswered for several months, which I found puzzling. Finally, after some emails and phone calls, the medical director of the mission hospital reassured me that the