This course was designed for health care leaders including representatives from the ministry of health, regional health directors, hospital directors and others involved in decision-making regarding the implementation of licensure, accreditation, and/or certification. The Accreditation Course was based on the content of the Quality Assurance Project monograph entitled “Licensure, Accreditation, and Certification: Approaches to Health Services Quality”. The intent of the course was to clarify the three approaches to external evaluation: licensure, accreditation, and certification and, provided the participants an opportunity to consider the application of these approaches in their respective countries.