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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

 Two days, 360 delegates and 89 speakers including Top ministers and leading practitioners from the world of global health debating and discussing the contradictions and challenges we face working in global health and the innovative ways health partnerships are working to tackle these: our 2018 Annual Conference provided insight into the enormous strength and power of global health initiatives.

Top ministers and leading practitioners from the world of global health gathered at the UK’s biggest Health Partnership event to debate the challenges and responses to global health issues and how the UK is contributing to the attainment of Universal Health Coverage (UHC).

Prolific speakers including, the Chief Medical Officer for Scotland, Dr Catherine Calderwood, Director of the Institute of Global Health Innovation at Imperial College, Professor the Lord Darzi and a video message from the Director General of the WHO, Dr Tedros Adhanom Ghebreyesus, gave the global health and development community an opportunity to discuss how health partnerships can improve healthcare abroad as well as at home as the NHS celebrates its 70th anniversary.

Best practice, innovation and the ethics of volunteering within the health partnership community were also furthered as the conference saw the announcement of the Commonwealth Partnerships for Antimicrobial Stewardship Project announced, a welcome and much celebrated commitment from the UK government as part of the wider work of the Fleming Fund.

Over two days, the conference brought to bear the need for partnerships, research and programmes to combat the continually growing health inequalities, whilst highlighting the continued and growing contribution the UK is making to combat this.

For further information on the Conference and exclusive content please visit:


Report from the World Health Summit 2018, which took place on October 15th in Berlin.
Presenting the German initiative ‘Hospital Partnerships – Partners Strengthen Health’ on the world stage

‘Institutional capacity development is the single most important challenge that hospitals in low- and middle-income countries face today,’ states Andrew Likaka, Director of Quality Management and E-Health at Malawi’s Ministry of Health. This challenge was the focus of a panel discussion on October 15 2018 at the World Health Summit in Berlin entitled ‘Hospital partnerships for improved service delivery – strengthening competencies of medical personnel’, which attracted over 150 international participants. Moderated by Oliver Haas, Head of GIZ Section Health, Education and Social Development, the panel of five included international experts and hospital partners in Germany’s most recent initiative for promoting clinical partnerships.

A dynamic initiative for peer-to-peer learning

A member of the ESTHER Alliance of Global Health Partnerships, the initiative ‘Hospital Partnerships – Partners Strengthen Health’ was launched in 2016 by the German Federal Ministry for Economic Cooperation and Development (BMZ) together with the Else Kröner-Fresenius Foundation (EKFS) in order to support hospital partnerships between German medical and health institutions and their colleagues in low- and middle-income countries in Africa, Latin America, Asia and Eastern Europe. Implementation and knowledge transfer are coordinated by the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH. GIZ is responsible for publishing calls for project proposals, for managing financial support and for delivering expert advice. To date the Initiative is accompanying 113 projects in 37 countries. Eighty-six of these projects are on the African continent. It is now launching its fifth round of funding.

To access the full article please click here.

For further information please visit:

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