Dr. Norgrove Penny, CM, MD, FRCS(C)

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

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.

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

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.” Harry S. Truman

18. Loyalty

19. Recognizing Differences

20. Understanding Culture

21. 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 togetherPlan together“Participatory development”

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

28. Catching the wave!

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

30. United Nations Convention on the Rights of Persons with Disabilities3 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. 58th.World Health Assembly Research Strategic Development National Programs Partnerships & Alliances

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

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

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) Guidelines for Research in Partnership with Developing Countries” 1998 • Decide on the objectives together • Build up mutual trust • Share information; develop networks • Share responsibility • Create transparency

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