Background: As recently as 2021, 32% of the WHO Africa region’s 47 countries did not have postgraduate public health training. We describe the development of advanced public health training (APHT) in Cabo Verde (CV), emphasizing the unique aspects of the sustainability of this development. Methods: The presentation will be structured as a case study based on documentary analysis. Results: In 2022 public health competencies are still lacking and local training capacity is limited and the country remains without a functional national health workforce observatory. This situation is being corrected through the proposal by the Ministry of Health of plans for the development of human resources in health, through the strengthening of APHT and through partnerships, national and international. We review the development of advanced public health medical specialist training in (2011) analyze the failure to sustain it and trace the professional development of its graduates. We review the development of the first edition of the University of Cabo Verde (Uni-CV)-based public health master program (in 2010), analyze the failure to sustain it and review the professional development of its multi-professional graduates. We further describe the attempts to revitalize the master program, which already 2 new editions since 2019. We describe the development of the National Program to train field epidemiologists, coordinated by the National Public Health Institute, responsible for training of frontline epidemiologists, and the collaboration with the Uni-CV for advanced (master level) field epidemiologists. Conclusions: Sustainability of APHT in CV is achievable through institutional capacity building (at universities and national public health institute), the development of collaborative national consortia, including service providers and professional councils, establishment of strong international partnerships and adopting new information and communication technologies for distance learning.