Health care is provided by hospitals at Mount Darwin District Hospital and Karanda Mission Hospital. In the district there is an infrastructure of clinics and rural health centres, but the availability of the health care facilities is offset by the great distances that people must travel to avail themselves of health care. The distances are also complicated by the relative paucity of roads and public transport. With this background in mind, AMANI carried out during January 1995 an examination of the need for a community-based rehabilitation service in these the districts. AMANI'S PROGAMME If we were to take seriously the problems of Zimbabwean survivors in Mount Darwin, then any strategy must consider all the issues from rehabilitation in the medical sense to rehabilitation in the social sense. This meant designing a strategy that will allow the possibility of offering health care and social support. All of these components have a place, and cannot be separated if we are to take the needs of survivors seriously. Detailed programmes were worked out for activities at Karanda and Mount Darwin Hospitals. AMANI is training all nursing staff, and other selected primary care workers at these hospitals, which will amount to about 90 workers in all. Thus, one practical side-effect of the AMANI programme is that, by the end of 1995 virtually all front-line health care staff in the 2 districts will have received training in basic management of psychological disorders. The health workers will also be trained in an approach to assessment and basic management of survivors of violence. The training programme attempts to provide skills in several areas as follows: 1. Basic skills training: Since many of the care-givers will not be experienced in the management of psychological disorders, it is intended that all care-givers receive a basic training in the identification, assessment, and management of psychological disorders. The approach that is being used here was developed for primary care settings in general psychiatry, and has been used succesfully in the refugee setting. Care-givers are being taught