1. Overview of the ESTHER Hospital Twinning Partnership Model
Farid LAMARA – European ESTHER Alliance Secretariat
Dublin, IFGH 2012, February 2

2. I - ESTHER Background, Evolutions and Modus Operandi

3. 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

4. European ESTHER Alliance
12 member States
2002: France, Italy,
Luxembourg, Spain
2004: Austria, Belgium,
Germany, Portugal
2006: Greece
2008: Norway
2011: Switzerland
2012: Ireland
Secretariat in Paris

5. Background ESTHER Initial mandate (2002):
Capacity building for quality care, treatment and support of PLWHIV/Aids and related diseases
North/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

6. EVOLUTIONS Situation in 2012
Health 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.

7. 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

8. and Geographic Coverage
II – ESTHER Networks
and Geographic Coverage
Two examples

9. 50 French hospitals mobilised
2011 : mobilization of the Caribbean
Hospitals involved in the ESTHER programme

10. 19 country partners End 2010 166 hospital partners 142 CSOs partners
Morocco
Asia
Mali
Niger
Chad
Senegal
Burkina Faso
Benin
Ghana
Cote d’Ivoire
Togo
Central African Republic
Liberia
Cameroon
Africa
Cambodia
Laos
Vietnam
Gabon
Burundi
2011 : Haïti
End 2010
166 hospital partners
142 CSOs partners

11. 10 Spanish hospitals mobilised
7 partner countries
49 sites supported

12. 2002 to 2011 : more than 40 country partners
South-East Europe: Albania
Middle East: Syria
Latin America:
Colombia
Costa Rica
Ecuador
Guatemala
Honduras
Nicaragua
El Salvador
Asia:
-Cambodia
Laos
Nepal
India
Vietnam
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).

13. Some figures (period 2002–2011)
More than 120 hospital twinning partnerships
270 Health facilities beneficiaries
professionals trained

14. III - ESTHER contribution to face Health Human Resources Crisis in country partners Some Figures and Outcomes from the ESTHER France experience

15. Number of people trained by country partners
CAPACITY BUILDING / TRAINING 4038 Health Professionals Trained in 2010 (more than from 2002 to 2010)
Number of people trained by country partners

16. Training beneficiaries - 2010

17. Capacity Building Areas - 2010
Thematic repartition
Workshops and Mentorships Missions
Prise en charge
Biologie
Accompagnement psychosocial
Hygiène hospitalière et AES
PTME - Pédiatrie

18. IV - ESTHER Twinning Partnerships Model Lessons Learnt and Conclusions

19. 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

20. Quality of Partnership
Principles based on the following 8 AXES
Adherence to national policies and strategies
Agreement between partner institutions
Reciprocity
Joint and Equal Responsibility
Capability
Equity and Respect
Transparency
Ethics

21. THANK YOU www. esther. eu European ESTHER Alliance Secretariat farid
THANK YOU European ESTHER Alliance Secretariat