Overview of the ESTHER Hospital Twinning Partnership Model Farid LAMARA – European ESTHER Alliance Secretariat Dublin, IFGH 2012, February 2
Jan 12, 2016
Overview of the ESTHER Hospital Twinning Partnership Model
Farid LAMARA – European ESTHER Alliance SecretariatDublin, IFGH 2012, February 2
I - ESTHER Background, Evolutions and Modus Operandi
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Background
• “Together for a Networked Hospital therapeutic Solidarity”• Launched by MoH and MFA • Part of the French bilateral Development Cooperation in Health•North and South hospitals twinning partnerships•GIP ESTHER set up in 2002
European ESTHER Alliance
12 member States• 2002: France, Italy, Luxembourg, Spain• 2004: Austria, Belgium, Germany, Portugal• 2006: Greece• 2008: Norway• 2011: Switzerland• 2012: IrelandSecretariat in Paris
Background
• ESTHER Initial mandate (2002): Capacity building for quality care, treatment and support
of PLWHIV/Aids and related diseasesNorth/South Coop. and Exchanges (hospital partnerships)Training on site and in European hospitals, lab equipments
(including CD4 and other machines), ARV buffer stock, drugs for Ois
Project approach: Site to site partnerships through hospital twinnings and CSOs partnerships, in agreement with national authorities
EVOLUTIONS
• Situation in 2012Health focus far beyond HIV/AIDS and associated diseases:
hygiene, patient and professional safety, MCH, operational research, handicap, blood bank...
Various modes of action: multi-level partnerships strategy (hospitals, research centers, CSOs, IOs etc.), TA, E-learning, South/South partnerships, advocacy and Communication.
Partnerships activities focus: training on site and in European hospitals, OR, M&E, Psychosocial Support (PSC), specific programs (MARPs: prisoners, IDUs, MSM ; PMTCT).
HSS approach: Decentralization of Care, National health policies, M&E, DPSM, HRH Capacity building (Task Shifting for Paramedics), lab Capacity Dev., PMTCT integration in reproductive health etc.
ESTHER Model
hospital twinning partnership as the main pillar for ESTHER programs
Additional & complementary approaches for comprehensive care and health system strengthening
Integration in the national health strategies
II – ESTHER Networks and Geographic Coverage
Two examples
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50 French hospitals mobilised
Hospitals involved in the ESTHER programme
2011 : mobilization of the Caribbean
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19 country partners
Asia
Africa
Morocco
Mali
Senegal
LiberiaCote d’Ivoire
Ghana
Burkina Faso
Togo
Benin
Central African Republic
Niger
Cameroon
Chad
GabonBurundi
CambodiaLaosVietnam
2011 : Haïti
End 2010
166 hospital partners142 CSOs partners
10 Spanish hospitals mobilised
7 partner countries
49 sites supported
2002 to 2011 : more than 40 country partners
Latin America:-Colombia-Costa Rica-Ecuador-Guatemala-Honduras-Nicaragua-El Salvador
Africa: Benin, Burkina Faso, Burundi, Cameroon, Chad, Côte d’Ivoire, Ethiopia, Gabon, Ghana, Guinea Bissau, Lesotho, Liberia, Malawi, Mali, Morocco, Niger, Nigeria, Republic of Central Africa, Democratic Republic of Congo, Rwanda, Senegal, Soudan, South Africa, Tanzania, Togo, Uganda. Portuguese speaking countries in progress (Capo Verde, Angola).
Asia:-Cambodia-Laos-Nepal-India-Vietnam
South-East Europe: Albania
Middle East: Syria
Some figures (period 2002–2011)
• More than 120 hospital twinning partnerships
• 270 Health facilities beneficiaries
• 40.000 professionals trained
III - ESTHER contribution to face Health Human Resources Crisis in country partners
Some Figures and Outcomes from the ESTHER France experience
CAPACITY BUILDING / TRAINING4038 Health Professionals Trained in 2010
(more than 25.000 from 2002 to 2010)
15
Number of people trained by country partners
Training beneficiaries - 2010
Capacity Building Areas - 2010
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Hygiène hospitalière et AES
Prise en charge
PTME - Pédiatrie
Accompagnement psychosocial
Biologie
Thematic repartition Workshops and Mentorships
Missions
IV - ESTHER Twinning Partnerships Model
Lessons Learnt and Conclusions
ESTHER Model: Lessons Learnt and Conclusions
• ESTHER twinning partnerships enable Sustainable Development of HRH
• ESTHER twinning partnerships enable capacity building programs implementation combining MDGs 4, 5 and 6
• ESTHER Model adapted for HSS interventions• Quality of partnership key for success• EEA Charter for QoP as a guiding document
for technical partners to implement quality interventions and increase their impact
Quality of Partnership
• Principles based on the following 8 AXESAdherence to national policies and strategiesAgreement between partner institutionsReciprocityJoint and Equal ResponsibilityCapabilityEquity and RespectTransparencyEthics