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Symposia

Dissemination & Implementation Science

Session: Fiscal, Organizational, and End-User Considerations for Improving Use of Evidence in Large Scale Healthcare Systems

5 - (SYM 150) Hierarchy of Qualities in Global Health Partnerships: A Path Towards Equity and Sustainability

Sunday, November 19, 2023
10:30 AM – 12:00 PM PST
Location: Sol Duc (708), Level 7

Despite the exponential growth of global health partnerships over the past 20 years, evidence for their effectiveness remains limited. Furthermore, many partnerships are dysfunctional as a result of inequitable partnership benefits, low trust and accountability and poor evaluation and quality improvement practices. In this presentation, I will describe a theoretical model for partnerships developed through interviews of seven global health experts. Through semi-structured interviews and an open-coding approach to data analysis, and inspired by Maslow’s hierarchy of needs, we identify 12 global health partnership pillars spanning across three interconnected partnership levels. The six transactional pillars, which are the most foundational of the pillars, are governance, resources and expertise, power management, transparency and accountability, data and evidence and respect and curiosity. The four collaborative pillars (which build on the transactional pillars) are shared vision, relationship building, deep understanding and trust. The two transformational pillars (which build on the collaborative pillars and allow partnerships to achieve their full potential) are equity and sustainability. The theoretical model described in this presentation will be complemented by real-life examples, which demonstrate both the cost incurred when global health partnerships fail to live up to these pillars and the benefits gained when global health partnerships uphold them. I will also present key lessons learned from these interviews as well as best practices that global health partnerships should adopt to further increase their strength and improve their effectiveness in the future. To continue improving health outcomes, including mental health, and reducing health inequities globally, we need global health partnerships that are transformational, not just rhetorically but de facto. These actualized partnerships should serve as a catalyst for the greater societal good and not simply as a platform to accrue and exchange organizational benefits.