Overview of the ESTHER Hospital
Twinning Partnership Model
Farid LAMARA – European ESTHER Alliance Secretariat
Dublin, IFGH 2012, February 2
I - ESTHER Background, Evolutions and
Modus Operandi
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
3
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
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
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.
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
50 French hospitals mobilised
2011 :
mobilization
of the
Caribbean
Hospitals involved in the ESTHER programme
9
19 country partners
Morocco
Asia
Mali
Senegal
Liberia
Cambodia
Laos
Vietnam
Niger
Burkina
Faso
Benin
Ghana
Cote
Togo
d’Ivoire
Cameroon
Chad
Central African Republic
Africa
Gabon
Burundi
2011 : Haïti
End 2010
166 hospital partners
142 CSOs partners
10
10 Spanish hospitals mobilised
7 partner countries
49 sites supported
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).
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 / TRAINING
4038 Health Professionals Trained in 2010
(more than 25.000 from 2002 to 2010)
Number of people trained by country partners
15
Training beneficiaries - 2010
Capacity Building Areas - 2010
Thematic repartition
Workshops and Mentorships
Missions
Prise en charge
Biologie
Accompagnement
psychosocial
PTME - Pédiatrie
Hygiène hospitalière
et AES
17
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 AXES
Adherence to national policies and strategies
Agreement between partner institutions
Reciprocity
Joint and Equal Responsibility
Capability
Equity and Respect
Transparency
Ethics
THANK YOU
www.esther.eu
European ESTHER Alliance Secretariat
farid.lamara@esther.fr