Many countries rich and poor alike, among them Norway, have committed themselves to work to reach the Millennium Development Goals (MDG’s) 4 and 5, which focus on children’s health and maternal mortality. An initiative developed between Bwaila hospital in Malawi and the three Norwegian teaching hospitals Haukeland University Hospital, Oslo University Hospital (Ullevål) and University Hospital Northern Norway aims at improving the quality of care at Bwaila hospital by sending personnel and equipment. The overall goal is to contribute to reducing the maternal mortality in Malawi, by improving pregnant women’s access to basic and comprehensive maternal health care. The objectives of this thesis are to look at how Malawian and Norwegian health personnel perceive this health intervention and how it affects their daily work in the maternity ward. This has been done by a qualitative study with interviews of a number of health personnel who have been actively working in the maternity unit during the intervention period. The study finds that there is an exchange of knowledge and skills going both ways. Several of the Malawian health workers expressed that this intervention is an important support in tough times. This study also reveals that different incentives for working are important for the understanding of the individual health workers situation and motivation. Both monetary and non-monetary incentives like career development, equipment and personal development are incentives important for job performance. Motivation is a topic that emerges, and it is being emphasized in this study that incentives for the different groups of health personnel should be taken into consideration when trying to understand the internal dynamics of a human resource intervention programme like this.