The document summarizes a palliative care initiative in Zambia from 2008-2010 that aimed to establish the foundations of palliative care through government policy support, education of health professionals, and ensuring drug availability. It discusses progress made but also challenges faced, such as lack of funding, high staff turnover, and bureaucratic barriers to accessing pain medication. Currently palliative care is slowly being integrated into the national healthcare system through educational programs and policy recognition, though challenges around sustainability and equitable access remain.