1. Dr. Norgrove Penny, CM, MD, FRCS(C) Clinical Assistant Professor Faculty of Medicine University of British Columbia Senior Advisor for Physical Impairments CBM International Enduring Partnerships How do we ensure a strong egalitarian partnership?

2. together we can do more

3. Partnership is not an option… It is an absolute necessity!

4. Partnerships can be the most powerful and rewarding thing in the world… …or the most difficult and troublesome thing!

5. Egalitarian Definition: characterized by belief in the equality of all people, especially in political, economic, or social life. From French égalitaire, from égalité, equality, from Latin aequālitās, from aequālis, equal.From French égalitaire, from égalité, equality, from Latin aequālitās, from aequālis, equal.

6. How do we create a partnership characterized by equality? How do we create a partnership that will endure?

7. Marriage A partnership that can be: Successful Hard work Tolerated for the kids Incompatible Different goals

8. Successful Marriages Communication Transparency Mutual respect Recognition of differences Loyalty Shared goals

9. Communication

11. Transparency

12. I’d like to know all the details, good and bad, so I know how to assist. I’d best tell him only what I think he wants me to say. I don’t want to offend my visitor.

13. Mutual Respect

14. Mutual Respect: Mutual Learning

15. “Walk a mile in the other persons shoes”

16. Leadership…not Ownership

17. “It is amazing what you can accomplish if you do not care who gets the credit.”“It is amazing what you can accomplish if you do not care who gets the credit.” Harry S. Truman

18. Loyalty

19. Recognizing Differences

20. Understanding Culture

21. UgandaVancouver Island Population26,700,000752,000 Health budget 240 million1,600 million Per person$ 9$ 2128 Understanding Poverty

22. “Massive poverty and obscene inequality are such terrible scourges of our times that they have to rank alongside slavery and apartheid as social evils. And overcoming poverty is not a gesture of charity. It is an act of justice.” Nelson Mandela

23. Avoiding paternalism and overcoming dependency “Mzungu…give me money!”

24. What breaks down a marriage?

25. Mutually agreed goals

26. Dream together Plan together “Participatory development”

27. Mutually agreed goals Overall objective: The big pictureOverall objective: The big picture Specific Objective: The project planSpecific Objective: The project plan Activities & expected outcomesActivities & expected outcomes

28. Catching the wave!

29. Millenium Development Goals Maternal Health Disability Millenium Development Goals Primary Health Alma Mater Declaration

30. United Nations Convention on the Rights of Persons with Disabilities 3 May 2008

31. “All elective surgery is disability surgery”

32. Overall Objective To reduce mortality and disability by safe and effective surgery and anaesthesia

33. Specific Objective To create a broad based collaboration between the University of British Columbia and Makerere College of Health Sciences to capacity build essential surgical, anesthetic and associated support services in Uganda.

34. Research Strategic Development National Programs Partnerships & Alliances 58th.World Health Assembly

35. Collaborations Academia NGO’s Ministries of Health Professional Associations Parent groups DPO’s Alliance Partners (WHO)

36. International Agency for the Prevention of Blindness 111 organizations academic public private commercial non-profit “VISION 2020 - working together to eliminate avoidable blindness”

37. Can we pledge to: Agree mutually on goals Communicate effectively Be transparent & honest Have mutual respect Be loyal Be tolerant of our differences Be scrupulous in our finances

38. The Swiss Principles (1) Decide on the objectives together Build up mutual trust Share information; develop networks Share responsibility Create transparency Guidelines for Research in Partnership with Developing Countries” 1998

39. The Swiss Principles (2) Monitor and evaluate the collaboration Disseminate the results Apply the results Share profits equitably Increase research capacity Build on the achievements

40. We have made a good start!

42. U of A Orthopaedic Department 1975

43. together we can do more