One quarter of the global disease burden is located within the African region, but only 3 percent of the world’s health care professionals care for these people in need. Dr. Johnston serves as an Honorary Professor of Neurology at Addis Ababa University, where the Neurology Residency Training Program has graduated 32 board certified neurologists since inception almost twelve years ago. There are 21 more physicians in the three year training program which continues to expand. These neurologists have changed the landscape of neurology in the Horn of Africa, treating tens of thousands of patients a year and, more importantly, teaching the general physicians how to care for common neurological problems such as epilepsy, stroke and related conditions. This represents an essential method of capacity building in a severely resource limited region which is unlikely to ever have the number of neurologists needed to care for the population. In a striking example of South-South cooperation, the Ethiopian neurologists are now training physicians from other African countries, so those physicians may return to their countries and provide better patient care.