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)

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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

THANK YOU

www.esther.eu

European ESTHER Alliance Secretariatfarid.lamara@esther.fr