Tetovo University (1994/2004) was a previously non-accredited Albanian university with 14 faculties. On 1 October 2004, following the Ohrid Agreement, the Tetovo State University (TSU) officially opened with 5 faculties, but without a Faculty of Medicine. Medical students organised disruptive protests. To resolve this, an agreement was signed between the Ministers of Education from Macedonia, Kosovo, and Albania in January 2005, to transfer these students to Faculties in Skopje, Pristina & Tirana. The Ministry of Education of FYROM requested that SPARK served as a monitoring agency to this transfer. The project made it possible for the medical students to continue their studies at the universities in Pristina, Tirana and Skopje .

In 2005, 220 students were transferred to the Medical Faculty in Pristina, 40 to Skopje and 57 to Tirana. Based on an entry-level assessment all students were placed in a certain year and have been integrated with regular students after a transition period. In the context of this transfer, SPARK performed the quantitative (accounting) and qualitative monitoring at the 3 host Universities and managed international funds related to this transfer.

The project was co-funded by 4 parties: The Netherlands & German Embassies in Skopje, the Ministry of Education, Science and Technology in Pristina (MEST) and the participating students. The co-funding existed of a contribution to the salaries of professors who engaged in giving extra classes to the transferred students, and in the acquisition of medical equipment that will be used in the teaching of the extra influx of students.