Improving Performance Together: Twinning Partnership Between Medium and Low Performer Districts in Ethiopia

Mesele Damte Argaw 1 , 2 , Binyam Fekadu Desta 1 , 2 , Melkamu Getu Abebe 1 , Elias Mamo 1 , Tesfaye Gebru 1 , Wubishet Kebede Heyi 1 , Chala Gela 1 , and Temesgen Ayehu Bele 3
  • 1 USAID Transform: Primary Health Care, JSI Research & Training Institutes, , Ethiopia
  • 2 University of South Africa (UNISA), , Pretoria, South Africa
  • 3 Federal Ministry of Health (FMOH), Health Extension Program and Primary Health Care Services Directorate, , Ethiopia

Abstract

This article describes the United States Agency for International Development Transform: Primary Health Care Activity supported a twinning partnership strategy, which was implemented between districts (woredas) in the different performance categories. This study presents the details of the partnership and the result observed in health systems strengthening in Ethiopia. The twinning partnership strategy was implemented with six steps. The established relationship helps the health systems to build the skill and capacities of the health workforce at primary healthcare entities. Both partner woredas improved their performances through the established win-win relationship and institutionalized the characteristics of a learning organization.

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  • 1. Federal Ministry of Health (FMOH). Health Sector Transformation Plan (2015/16 - 2019/20) [Internet]. FMOH: Addis Ababa, Ethiopia; 2015/16 [cited 2020 Jan 28]. Available from: https://www.globalfinancingfacility.org/ethiopia-health-sector-transformation-plan-201516-201920

  • 2. Federal Ministry of Health (FMOH). Woreda Transformation Implementation Manual. FMOH: Addis Ababa, Ethiopia; 2015/16.

  • 3. USAID Transform: Primary Health Care Project. Theory of change in practice. USAID Transform: Primary Health Care, Addis Ababa, Ethiopia; 2017.

  • 4. United States Agency for International Development (USAID): Transform Primary Health Care. Implementation guidelines: Twinning partnership strategy to improve performance of wore-das and primary health care units. USAID: Transform Primary health care: Addis Ababa, Ethiopia; 2017.

  • 5. Cadée F, Nieuwenhuijze MJ, Lagro-Janssen AL, De Vries R. The state of the art of twinning, a concept analysis of twinning in healthcare. Glob Health. 2016;12(1):66. https://doi.org/10.1186/s12992-016-0205-5

  • 6. World Health Organization. Twinning partnerships for improvement: recovery partnership preparation package: building capacity to reactivate safe essential health services and sustain health service resilience [Internet]. World Health Organization; 2016 [cited 2020 Jan 22]. Available from: https://apps.who.int/iris/handle/10665/206542

  • 7. ICAD, Interagency coalition on AIDS and development. Beyond Our Borders: A Guide to Twinning for HIV/AIDS Organizations [Internet]. S.N.L.O. Calle Almedal, UNAIDS, et al., editors. Canada; 1999 [cited 2020 Jan 18]. ISBN: 0-662-28211-6. Available from: http://www.icad-cisd.com/pdf/Twinning/Beyond_Our_Borders_Twinning_Manual.pdf

  • 8. Partnership Preparation Package. A practical guide to implementing twinning partnerships. WHO Twinning Partnerships for Improvement [Internet]. Geneva: World Health Organization; 2018 [cited 2020 Jan 02]. Available from: https://apps.who.int/iris/bit-stream/handle/10665/273158/WHO-HIS-SDS-2018.13-eng.pdf

  • 9. Argaw MD, Desta BF, Bele TA, Ayne AD. Improved performance of district health systems through implementing health center clinical and administrative standards in the Amhara region of Ethiopia. BMC Health Scrv Res. 2019;19(1):127. https://doi.org/10.1186/s12913-019-3939-y

  • 10. Microsoft Corporation. Microsoft Excel [Internet]. 2018 [cited 2020 Jan 02]. Available from: https://office.microsoft.com/excel

  • 11. Saha N, Sáha P. Twinning strategy: Is it a vehicle for sustainable organizational learning and institutional capacity development? [Internet]. WSEAS Transactions on Business and Economics. 2015[cited 2020 Jan 02];(12):317–24. Available from: http://www.wseas.org/multimedia/journals/economics/2015/a585807-365.pdf

  • 12. Federal Ministry of Health (FMOH). Ethiopian health centers reform implementation guidelines. Addis Ababa: Federal Ministry of Health of Ethiopia; 2016.

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