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Implementing Institutions

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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

The ESTHER Alliance met on June 13th and 14th 2018 in Bern for its bi-annual meeting. The first day, the Alliance Board Member representatives (including ESTHER France, Germany, Ireland, Norway and Switzerland) discussed progress towards year plan and the Strategic Plan 2015-2020.

The decisions made are related to its  governance structure and to the participation of the Alliance in international global health events during the second year’s half. The ESTHER Alliance’s priority for 2018 is the on-line launch of the self-evaluation EFFECt Tool. The goal is that at least 70% of all active ESTHER partnerships conduct a self-evaluation of their projects together with their partners. The Alliance will publish a report with the results of this evaluation in early 2019.

The second day included a working session with all representatives of the ESTHER Alliance and some external guests from WHO. The collaborative session focused on the contribution of institutional health partnerships to health system strengthening and on a Theory of Change-Modell for the Alliance. Guests from WHO presented their new publication on Twinning Patnerships for Improvement.


Find here the open WHO webinar from June 28th with the title “Improvement approaches spotlight: examining the Twinning Partnerships for Improvement model”.

The 90 minute webinar provides 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. WHO provides an overview of the TPI Preparation package, TPI action planning and 6-step model to support the future application of the model.

Learning Objectives:
The webinar allows 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

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