ISPASC Bunia (University Degree programme) and ITPASC Aru (Diploma Programme) continue to train high quality students. Both courses are monitored and evaluated by the Central Government Education Ministry to ensure that the highest standards are maintained. The graduates are the life blood of Community Health projects in north east Congo and beyond. In general they receive excellent reports from their employers and their contribution raises health standards with the participation of the communities they serve. It is a slow process due to the huge task to reach all communities in the area and it is therefore of paramount importance that a steady flow of trained primary health care workers continues into the future.