Informed by the findings and recommendations of a 2015 formative assessment, Zambia’s Ministry of Health (MOH) requested that IntraHealth International, the University of Zambia (UNZA), Johnson & Johnson (J&J), and mPowering Frontline Health Workers partner, with support from key Zambian leaders in workforce development, to design and deliver a program to strengthen the leadership capacity of nurses in charge of rural health facilities. Most rural facilities in Zambia are headed by nurses or nurse-midwives, referred to in this report as “head nurses” or “facility heads.” The training was designed to enable these nurses to better lead frontline teams to deliver quality care and advance universal health coverage (UHC). This report presents the experience of delivering this initial training approach to address Zambia’s need for greater leadership and management capacity at primary health care facilities in rural, low-resourced areas.