The HIV/AIDS Twinning Center HIV/AIDS Twinning Center James P. Smith Executive Director, American International Health Alliance.

The HIV/AIDS Twinning Center

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

James P. SmithExecutive Director, American International Health Alliance

XIX International AIDS Conference 2012 Satellite Session

“Institutional Twinning Partnerships as a Mechanism for Health Systems Strengthening and Sustainable Development of Human Resources for Health”

Washington, DC

Description of the HRSA-funded HIV/AIDS Twinning Center Program

Program wide goals and objectives

Review of our Twinning Partnership Methodology and some of the advantages and results of twinning

Presentation Overview

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

The HIV/AIDS Twinning Center The Twinning Center utilizes a volunteer-driven, peer-to-peer “twinning” methodology refined by AIHA over nearly two decades of implementation in more than 150 partnerships in 33 countries.

Currently, the Twinning Center manages twinning programs in 10 countries:

Botswana * Ethiopia * Kenya Mozambique * Namibia * Nigeria

Russia * South Africa * Tanzania * Zambia

35 Active partnerships, including North-South institutional twinning partnerships, South-South partnerships, and triangular partnerships

Volunteer Healthcare Corps (VHC): long-term volunteer programs in Ethiopia, Tanzania, and South Africa, with volunteers also placed at selected partnership sites in Mozambique and Botswana (90+ volunteers; 27,000 professional days of service)

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

PEPFAR II

SYSTEMS STRENGTHENING

Organizational Development

In-service training

How Twinning Supports PEPFAR

INSTITUTIONAL CAPACITY BUILDING

DEVELOPING HUMAN

RESOURCES FOR HEALTH

Pre-servicetraining

TWINNING PARTNERSHIPS

BUILDING SUSTAINABLE PROFESSIONAL RELATIONSHIPS

Ongoing Mentoring

Faculty Development

Association Building

Technical Areas by Country

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

BotswanaCote

d'Ivoire Ethiopia Kenya Mozambique Namibia Nigeria RussiaSouth Africa Tanzania Zambia

Behavior Change X X

Care & Treatment (Hospital Systems) X X X X

Counseling & Testing X X X

Health Information Technology X X X X X

Health Professions Education X X X X X X X X X

Lab Strengthening X X

Medical Technology X X

Palliative Care X X X X X

Para Social Worker Program X X X

Prevention through Media X X

Professional Association Development X X X X X X X

Substance Abuse / IDU X X

TB/HIV Coinfection X X

Health Professions Education

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

Botswana (1)

Cote d'Ivoire (0)

Ethiopia(5)

Kenya (0)

Mozambique (4)

Namibia(1)

Nigeria (1)

Russia(2)

South Africa (4)

Tanzania (3)

Zambia (3)

Medicine X X X X

Pharmacy X X

Nursing X X X X X

Social Work X X X

Emergency Medicine X X

Clinical Associates (& other physician

extenders) X X

Medical Technology X

Para Social Workers X X X

Journalists X X

Other (research, biomedical

technology, etc.) X

Key Elements of Twinning Institution-to-institution pairing Peer-to-peer professional relationships Emphasis on professional exchanges and mentoring Volunteer-driven Leverages private-sector institutional resources Non-prescriptive but rigorous approach to collaborative

process, work plan development, and outcomes Demand-driven, with significant recipient investment and

ownership Significant returns to both sides

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

Twinning Process

Identify Country Needs & Priorities

Identify the Partners

Conduct Initial Assessment Visit

Exchanges & Work Plan Development

Ongoing Capacity Building

Where can the twinning approach help achieve national and PEPFAR goals for target areas and/or institutions?

What local organization needs technical assistance and what organization(s) possesses the expertise to help and are the best match?

Partners meet in host country, begin to build working relationships, conduct site visits, and prepare organizational and needs assessments.

Host partner visits resource partner’s institution and community to learn appropriate new approaches and technologies. Partners jointly develop work plan in keeping with PEPFAR goals and objectives, ensuring maximum coordination with local stakeholders and other implementing organizations.

Based on work plan, partners set a timeline and work together to meet objectives, goals, and targets.

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

Cumulative Trainings by Country

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

Ethiopia Tanzania Kenya Zambia Botswana Russia South Africa Mozambique Namibia Nigeria Cote d'Ivoire0tan28a566028

0tan24a566224

0tan19a566519

0tan15a566815

0tan12a567112

0tan6a56736

0tan3a56763

0tan29a567929

FY 2011: 2,371 health professionals trained through partnerships or graduated from Twinning Center-supported pre-service programs

More than 22,000 trained between 2005-2012 across 11 countries

Twinning Center Health & Allied Professionals Trained (2005-2012)

Twinning Gets Results!“In a partnership, it is not about you or me – it is about us. It takes a

bit of time to get to that point, but when you nurture that relationship, sustainability will follow. ”

Donald Simpson, University of Arkansas

“With us, there are so many things that have stuck. Our collaboration and the results of this partnership relationship cannot be taken away. Instead, our collaboration is organic and constantly growing in new and exciting directions.”

Dr. Sylvester Moyo, Polytechnic of Namibia

HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

HIV/AIDS Twinning Center ~ www.TwinningAgainstAIDS.org