This project was developed in response to a lack of much needed specialized nursing care for critically- ill and unstable patients.  Nurses were expected to care for very sick patients soon after qualification without any further training and there was only one nurse in Zambia at the time this project was develop that had been trained in critical care (in South Africa).  With funding from the British Council’s England Africa Partnership scheme a post registration diploma in Critical Care Nursing was developed by the School of Nursing and Midwifery in Lusaka (now Lusaka University College of Nursing and Midwifery) and its counterpart at the University of Brighton.  The Critical Care Nursing Programme was established in 2012 and is validated by the Zambian Nursing Council.