The partnership between the Institute for Tropical Medicine and International Health at Charité Universitätsmedizin Berlin, Germany, and the University Teaching Hospital of Butare (CHUB), Rwanda, promotes improved patient care with ultrasound diagnostics. Problem: At CHUB, antibiotics are used incorrectly resulting in resistances, even though an antimicrobial stewardship programme (ASP) is in place. There is no capacity for specific ultrasound diagnostics, for instance of neglected tropical diseases (NTDs) such as infectious diseases caused by parasitic blood flukes (schistosomiasis). Main activities: Pharmacies, laboratories and all departments of the teaching hospital implement an antimicrobial stewardship programme. Training is held to educate staff about antimicrobial resistance, clinical processes, and stemming outbreaks of diseases. There are also to be internships of the CHUB-staff at the Charité departments and at the Robert Koch Institute. Short-term results: More staff are to be trained in ultrasound techniques and antimicrobial resistance. Medical professionals can initiate activities in line with local public health plans should highly pathogenic organisms like the Ebola virus emerge. Long-term results: The building of antimicrobial resistance is to be reduced by ensuring that antibiotics are used to optimum effect in line with the ASP. Ultrasound diagnostics are to be improved.