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Implementing Institutions

Munich_May2017_Copyright in von Fröschl

We are an alliance of governments and allied organizations. Our members engage institutions in effective and sustainable North-South partnerships. Our partnerships strengthen the capacity of the health workforce and institutions to provide quality health services for people in low and middle-income countries. We promote institutional health partnerships through knowledge generation, sharing best practice, collaboration, and advocacy.

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The ESTHER Alliance is set in the general framework of the Sustainable Development Goals. We contribute mostly to SDG 3 Good Health and Wellbeing and SDF 17 Partnerships for the Goals. Those two goals taken together highlight not only what we want to achieve (better health for all, or Universal Health Coverage), but also how we want to achieve it (through better, more equal, and balanced partnerships.


This is a new tool for institutional health partnerships, EFFECt stands for EFFective in Embedding Change.  The tool specifically focusses on assessing implementation best practice, embedding change and the added benefits to individuals and institutions of using a partnership approach.  The EFFECt tool measures these in relation to capacity building activities irrespective of the focus of the specific intervention. 

Latest Announcements

On June 14th, 2018, the ESTHER Alliance yearly meeting will take place in the Swiss city of Berne. The ESTHER Alliance delegates will work together on a stimulating program, reflecting jointly on how best to strengthen health systems through institutional health partnerships. The development of a new Theory of Change model for the Alliance will also be at the agenda.

The ESTHER Alliance meeting will be followed on June 15th, 2018, by the 2nd ESTHER Switzerland Forum, which will be an occasion to bring together international members of the Alliance and Swiss implementers partners to exchange and learn from each other. For more information or to participate to the Forum: (deadline for registration is Wednesday 13th).


Periodic webinars act as a mechanism for sharing emerging lessons from the field of quality within the context of UHC. The interactive webinars are open to all. Webinars focus on sharing experiences with the aim of catalysing change. On June 28 the GLL Webinar 7 will be available with the title “Improvement approaches spotlight: examining the Twinning Partnerships for Improvement model”. Find out more here.

The 90 minute webinar will provide an opportunity to hear from front-line workers, country leaders and global partners, on the role of twinning partnerships as a catalyst for sustainable change. An overview of the WHO TPI Preparation package, TPI action planning and 6-step model will be provided to support the future application of the model.

Learning Objectives:
The webinar will allow participants to:

  • Learn about how to use the WHO TPI Preparation Package and its complementary document on Action Planning;
  • Understand how twinning partnerships can influence national direction on quality;
  • Orient participants to the learning mechanisms put in place by the implementers of twinning partnerships;
  • Hear direct from the front-lines on the experience and realities of working in partnership and the impact it can have on behaviour change.

Intended audience:
Front-line workers, Administrators, Policy-makers, Academics

Date: Thursday, 28 June 2018 at 15:00 CEST

Our Intervention areas

Community health

Improve health service delivery and community involvement at district level.

Hospital management

Capacity building to improve management of human resources, and medical and pharmaceutical supplies. Strengthening of capacity for better financial management and implementation of quality management systems.


Capacity building to advance education, training, standards, research, and practice in surgical care.

Quality management

Capacity building for the introduction or strengthening of quality management systems including the creation of QM teams, adaptation of standards, and a supportive system of supervision and error management.

Maternal, newborn and child health

Capacity building to improve the quality of care before, during, and after, delivery for women and their babies.

TB Treatment

Improve diagnosis and care of TB patients through strengthening laboratory, medical, and nursing capacity. Improve adherence to treatment.

HIV prevention

Capacity building on HIV prevention (including PMTCT) in medical and non-medical settings such as prisons.


Capacity building for improved pandemic preparedness and response