This is an educational grant under the Developing Partnerships in Higher Education Scheme that is provided jointly by the British Council and the Department for International Development. The partnerships are designed to increase capacity and capability in Higher Education Institutions (HEIs) in the poorest countries of the world, contributing to achievement of the Millennium Development Goals (MDGs). A recent needs assessment in Rwanda indicated that ratio of midwives to women of reproductive age should be 1:500 to ensure adequate healthcare coverage. The ratio currently is 1:29,000. In Rwanda only 38.7% of births are attended by qualified health personnel. The project is increasing the numbers of midwives in practice in Rwanda by enabling registered nurses to undertake a shortened midwifery programme at Kigali Health Institute. The new midwifery programme is predominantly practice-based. To support students on the programme, the project is also developing a system of clinical mentorship to enable clinical midwives to develop their skills in teaching and assessment.