This document outlines the immediate next steps, tasks, and support needed for the Eastern and Southern Africa Higher Education Centers of Excellence project. Key actions include: completing an online survey; uploading presentations; drafting an aide memoire; sharing the aide memoire with governments by November 30th; reviewing the scientific excellence of the centers; conducting site visits to 10 centers in early 2016; providing revenue generation capacity building in Nigeria in February 2016; advancing funds to Ghana and Nigeria; supporting smooth implementation; signing performance contracts; endorsing manuals; and approving revised implementation plans in January 2016 to enable disbursement of funds. The centers are asked to continue enrolling students, conducting research, initiating accreditation processes, and scaling revenue generation