Internationally, efforts to improve health in under-resourced areas of the world frequently involve coalitions, often with at least one partner from the "outside," such as when NGOs or universities from Europe or the US work with institutions and communities in Africa or Asia. Little has been written about applying successful principles to multinational university collaborations as the unit of analysis and where challenges may be magnified by cultural differences and resource imbalances. The purpose of this article is to share the findings from an evaluation of the multi-year interdisciplinary public health Water and Health in Limpopo (WHIL) collaboration between the University of Venda (South Africa) and the University of Virginia (United States). We believe the learnings described easily transfer to collaborative educational endeavors because at their root they speak to the practices that enhance respectful engagement and partnership sustainability.
Keywords: North and South; Ubuntu; educational partnership; health; lifelong learning; multi-university collaboration.