This report documents the development of the Zambian hospital accreditation program from 1997 onward and highlights the major milestones, important players, and sequence of events involved in the ongoing development of the program. Data were collected through a review and analysis of written documentation and a field visit to Zambia in May-June 2000 to interview major stakeholders in the accreditation program. The research found that the country's hospital accreditation program has achieved 10 major milestones. In general, the program has focused on developing realistic standards, educating hospitals on their performance vis-a-vis these standards, and making decisions on whether hospitals have achieved accreditation status. The research also revealed that the Zambian hospital accreditation program is at a critical juncture and urgently needs to resolve important issues including finalizing an accreditation manual for hospitals, helping the Zambian Health Accreditation Council achieve legal status, communicating survey results, and determining how to assist hospitals that do not achieve accreditation status. Finding alternative sources of funds are crucial to the program's future.