TABLE 1.

Twinning Partnership Examples

Goal and DescriptionOutcome
Twinning partnerships among 8 districts in Ethiopia in 2018 to improve performance of district health systems in Ethiopia.16

High-performing primary health care units saw their mean score rise from 17.96 to 23.32. Woreda management standards improved from 6.42 to 8.15, and model villages increased from 11.58 to 20.85.

Overall, district health system performance improved from 50.97 to 72.07.

The Ministry of Health in Tonga and St. John of God Hospital in Ballarat, Australia, had a 25-year twinning partnership that encouraged open discussion and collaboration.17Enhanced skills transfer, learning, and improved health care practices.
Twenty-six organizations that focused on HIV support in Canada partnered with HIV projects in several low- and middle-income countries to strengthen capacity of both HIV-focused organizations and projects.18Identification of communication and cultural barriers, improved programming, new skills in developing partnership agreements, integration of international perspectives into routine work, and improved information exchange.
ANEMO partnered with the African Palliative Care Association from Uganda to strengthen ANEMO's human and institutional capacity to implement, monitor, and evaluate programs.19

ANEMO developed a new governance structure, enhanced strategic planning, and improved professional practices.

ANEMO also incorporated effective palliative care methods learned from Uganda, which enhanced their ability to manage and sustain HIV programs.

  • Abbreviation: ANEMO, Associação Nacional dos Enfermeiros de Moçambique.