"The Policy Voices Series examines the policy implications arising from the experience of innovators in Africa. This paper considers the work of an organisation, chronicling what must be the ultimate test of any distance-learning programme: to achieve new standards of clinical care from hard-pressed nurses on the front line in Kenya’s busy hospitals and clinics. Mindful of that challenge, the African Medical and Research Foundation (AMREF) has devised an e-learning programme supported by local instructors in nursing schools and other clinical centres across Kenya. If a computer-based syllabus can be effective in training clinical staff, within stringent criteria regulated by the Nursing Council of Kenya, surely other professions will find much to emulate in their example."