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James P. Smith Executive Director, American International Health Alliance. The HIV/AIDS Twinning Center. XIX International AIDS Conference 2012 Satellite Session
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James P. Smith Executive Director, American International Health Alliance The HIV/AIDS Twinning Center XIX International AIDS Conference 2012 Satellite Session “Institutional Twinning Partnerships as a Mechanism for Health Systems Strengthening and Sustainable Development of Human Resources for Health” Washington, DC HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org
Presentation Overview • Description of the HRSA-funded HIV/AIDS Twinning Center Program • Program wide goals and objectives • Review of our Twinning Partnership Methodology and some of the advantages and results of twinning HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org
The HIV/AIDS Twinning Center • The Twinning Center utilizes a volunteer-driven, peer-to-peer “twinning” methodology refined by AIHA over nearly two decades of implementation in more than 150 partnerships in 33 countries. • Currently, the Twinning Center manages twinning programs in 10 countries: Botswana * Ethiopia * Kenya Mozambique * Namibia * Nigeria Russia* South Africa * Tanzania * Zambia • 35 Active partnerships, including North-South institutional twinning partnerships, South-South partnerships, and triangular partnerships • Volunteer Healthcare Corps (VHC): long-term volunteer programs in Ethiopia, Tanzania, and South Africa, with volunteers also placed at selected partnership sites in Mozambique and Botswana (90+ volunteers; 27,000 professional days of service) HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org
How Twinning Supports PEPFAR PEPFAR II SYSTEMS STRENGTHENING TWINNING PARTNERSHIPS DEVELOPING HUMAN RESOURCES FOR HEALTH BUILDING SUSTAINABLE PROFESSIONAL RELATIONSHIPS INSTITUTIONAL CAPACITY BUILDING Organizational Development Faculty Development In-service training Pre-service training Ongoing Mentoring Association Building
Technical Areas by Country HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org
Health Professions Education HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org
Key Elements of Twinning • Institution-to-institution pairing • Peer-to-peer professional relationships • Emphasis on professional exchanges and mentoring • Volunteer-driven • Leverages private-sector institutional resources • Non-prescriptive but rigorous approach to collaborative process, work plan development, and outcomes • Demand-driven, with significant recipient investment and ownership • Significant returns to both sides HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org
Twinning Process Identify Country Needs & Priorities Where can the twinning approach help achieve national and PEPFAR goals for target areas and/or institutions? What local organization needs technical assistance and what organization(s) possesses the expertise to help and are the best match? Identify the Partners Partners meet in host country, begin to build working relationships, conduct site visits, and prepare organizational and needs assessments. Conduct Initial Assessment Visit Host partner visits resource partner’s institution and community to learn appropriate new approaches and technologies. Partners jointly develop work plan in keeping with PEPFAR goals and objectives, ensuring maximum coordination with local stakeholders and other implementing organizations. Exchanges & Work Plan Development Based on work plan, partners set a timeline and work together to meet objectives, goals, and targets. Ongoing Capacity Building HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org
Cumulative Trainings by Country • FY 2011: 2,371 health professionals trained through partnerships or graduated from Twinning Center-supported pre-service programs • More than 22,000 trained between 2005-2012 across 11 countries • Twinning Center Health & Allied ProfessionalsTrained (2005-2012) HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org
“In a partnership, it is not about you or me – it is about us. It takes a bit of time to get to that point, but when you nurture that relationship, sustainability will follow. ” Donald Simpson, University of Arkansas “With us, there are so many things that have stuck. Our collaboration and the results of this partnership relationship cannot be taken away. Instead, our collaboration is organic and constantly growing in new and exciting directions.” Dr. Sylvester Moyo, Polytechnic of Namibia Twinning Gets Results! HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org