In part one of this case report, published in the Spring Issue of Kentucky Libraries (Volume 76, Number 2), I described my journey to Tamale, Ghana to provide a series of training workshops at the Tamale Teaching Hospital (TTH), Nursing Training School (NTS), and the University of Development Studies (UDS), and to conduct a needs assessment to gather information to develop a series of grant proposals to assist the local health sciences libraries with improving their collections. Part two of this report briefly describes the consultations that took place and the planning and project outcomes to-date.