Working in a Third World country is not always the easiest of undertakings, but it can be rewarding and enlightening. It can also pave the way for much better health care for the local population. Such a thing happened in Kenya in the 1990’s, where a group of nurses combined Private Duty Nursing Jobs with midwifery. These nurse-midwives established and operated small, private clinics as well as nursing homes and maternity homes. These facilities were located in both rural and urban areas. The lessons learned from this venture were that (a) it was essential to create a sustainable system of supervision, and (b) the private nurse-midwives in the area had a need for a continuing education program.