difficulty handling the daily burdens of running a hospital and contributing to the nursing school project. A group of supervisors consisting of an accreditation council member, a Ministry of Health advisor, and a representative of the Tanzanian Nursing and Midwife Council visited the new nursing school site. The group provided a report and a list of requirements that had to be fulfilled before the institution could function as a diploma-granting nursing school. The most pressing one was that the head nurse of the hospital, designated to be the nursing school principal, did not fulfil the necessary certification for this role, and therefore had to be replaced. A further difficulty was that most of the available nursing school tutors were retired, necessitating the need for a succession plan.

Back inwould stop the funding entirely and look for other fundable projects in Tanzania. The funds were still available and earmarked for nurse training in an African country.

Two colleagues with project management experience joined me on this trip. Upon arrival in Tanzania, we were quickly taxied to the large hospitals and introduced to a large number of students: They were students from the region, doing their internships. We were amazed to see this but we were even more amazed to see how the new nurse principal was running the school. Clearly she had the required leadership skills, managed the school with assured calmness and enthusiasm that showed her experience in handling expatriates. Moreover, she had various qualifications, including a nursing education degree from the Muhimbili University of Health and