This article describes the development and implementation of a distance graduate public health education program in Africa by Loma Linda University, Loma Linda, California, U.S.A. The program started in March 2000 and ended in September 2003 with formal teaching sessions on-site held twice a year at the University of Eastern Africa, Kenya. The instruction was given in English and French. Of the cohort of 67 students from 20 African countries who started the program, 57 received an M.P.H. degree and six received a certificate in public health. The experiential learning model allowed students to immediately put into practice what they had learned. Challenges included security-related problems, accommodation/travel logistics and communication. In addition to the graduates, successful outcomes included the formation of the Pan-African Public Health Association. The new cadre of trained public health professionals represents enhancement to public health capacity in Africa.