Abstract

BackgroundIn response to health care challenges worldwide, extensive funding has been channeled to the world’s most vulnerable health systems. Funding alone is not sufficient to address the complex issues and challenges plaguing these health systems. To see lasting improvement in maternal and infant health outcomes in the developing world, a global commitment to the sharing of knowledge and resources through international partnerships is critical. But partnerships that merely introduce western medical techniques and protocols to low resource settings, without heeding the local contexts, are misguided and unsustainable. Forming partnerships with mutual respect, shared vision, and collaborative effort is needed to ensure that all parties, irrespective of whether they belong to resource rich or resource poor settings, learn from each other so that meaningful and sustained system strengthening can take place.MethodsIn this paper, we describe the partnership building model of an international NGO, Kybele, which is committed to achieving childbirth safety through sustained partnerships in low resource settings. The Kybele model adapts generic stages of successful partnerships documented in the literature to four principles relevant to Kybele’s work. A multiple-case study approach is used to demonstrate how the model is applied in different country settings.ResultsThe four principle of Kybele’s partnership model are robust drivers of successful partnerships in diverse country settings.ConclusionsMuch has been written about the need for multi-country partnerships to achieve sustainable outcomes in global health, but few papers in the literature describe how this has been achieved in practice. A strong champion, support and engagement of stakeholders, co-creation of solutions with partners, and involvement of partners in the delivery of solutions are all requirements for successful and sustained partnerships.

Highlights

  • In response to health care challenges worldwide, extensive funding has been channeled to the world’s most vulnerable health systems

  • Collaborative quality improvement initiatives in healthcare are described in the US and UK; few have been reported in low and middle income countries (LMIC) [1]

  • The tenets of productive global health partnerships will be explored, and a multi-country partnership approach developed by a US based non-governmental organization, Kybele, will be described

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Summary

Introduction

In response to health care challenges worldwide, extensive funding has been channeled to the world’s most vulnerable health systems. Unique challenges within each country eliminate a one-size fits all approach and demand creative solutions to address local healthcare problems. These solutions need to go beyond mere clinical training and necessitate the strengthening of systems to improve the quality of care and patient satisfaction. These complex interventions cannot be achieved without the customization of global best practice in collaboration with local care providers. Collaborative quality improvement initiatives in healthcare are described in the US and UK; few have been reported in low and middle income countries (LMIC) [1]. The tenets of productive global health partnerships will be explored, and a multi-country partnership approach developed by a US based non-governmental organization, Kybele, will be described

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