This paper will describe the experiences and setbacks thus far in developing a new initiative for supporting the advancement of local health technology management (HTM) skills in a developing country, specifically Ghana. Two workshops on Health Technology Management, held in Ghana in 2009, in which the faculty were mostly Canadians, marked the starting point of the relationship. It was realized after these two workshops, that short term interventions were not as successful as hoped in achieving long term sustainable change. Steps were taken to try a different approach based on a more long-term partnership that would continue over many years. We are still in the early stages of this partnership.