In 2004, the Lesotho-Boston Health Alliance (LeBoHA) began to address critical service delivery issues by building capacity for individual problem solving through Problem Solving for Better Health® (PSBH) with support from the Dreyfus Health Foundation. PSBH® participants develop an individual action plan that addresses a problem they face in the workplace that they can solve using available resources. After eight workshops, we have trained over 500 front-line and mid-level caregivers and managers in this methodology. This has proven to be an extremely effective tool for health services improvement and is a core component of our work.