Twinning Partnership Model
A twinning partnership happens when two or more academic institutions or community organizations share collective knowledge and resources to address issues and concerns. They are based on peer-to-peer relationships among health care (or another discipline) professionals to design technologically- and economically-appropriate solutions to problems in the host country. The twinning partnership model was chosen for this collaboration because its principles aligned with our vision, mission and values, and because there were positive outcomes when this model was adapted previously to similarly resource-limited settings. This model differs from traditional professional exchanges or global health partnerships in that it involves all partners in the decision-making process, emphasizes long-term relationships, builds collective efficacy, requires significant volunteer time from all partners, and values the experience and knowledge of all.
The structure of the twinning partnership to develop emergency medicine at AAU/TASH was designed according to the model developed by the American International Health Alliance (AIHA), a U.S.-based NGO that manages global health twinning partnerships [see figure].
The six phases to developing a twinning partnership are 1) Initiate the partnership, 2) Develop a shared work plan, 3) Implement the program, 4) Monitor outcomes, 5) Evaluate results, and 6) Disseminate information. The Ethiopia emergency medicine partnership followed the twinning partnership 6-phase model to address the entire spectrum of services: