The Digitized Fundamental Interventions Referral and Safe Transfer (FIRST) for clinical Officers led by Dr. Badria Mushi and FIRST for midwives led by Mrs.Leah Makala were taught in a hybrid format in Tanga, Tanzania. Subsequently, a FIRST instructors course for Clinical Officers and Midwives was taught to ensure that local faculty could sustain digital teaching. The EssentialSurgical Skills course was taught in Moshi, Tanzania with two volunteers from Canada (Drs Bugis and Wells) and funded by KCMC under the leadership of Professor Alfred Mteta and Dr. Kondo Chilonga. At the request of Dr.Respicious Boniface and the support of Muhibli Orthopaedic Institute a TTTdigital instructors course was conducted in Dar Es Salam.