This project will continue a deep dive into understanding the impact of a 15 year partnership between Cornell University and Kilimanjaro Christian Medical University College in Moshi, Tanzania. The partnership is moving into a new phase under the Masters of Public Health program, with a focus on capacity building for partners and deeper learning for both KCMUCo and Cornell students. We expect our needs assessment and ongoing evaluation will allow us to move in that direction. Our partners are excited to learn new research and evaluation methods and we expect our students will continue to be transformed by this innovative partnership through contributions to the data analysis and reporting elements of the project.