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Hierarchy of qualities in global health partnerships

A path towards equity and sustainability

Bibliographic Data

ID21880315
AuthorsSimone H Schriger (0000-0002-0662-5867, University of Pennsylvania), Agnes Binagwaho (0000-0002-6779-3151, University of Global Health Equity), Moses Keetile (Ministry of Health), Vanessa Kerry (0000-0001-9363-6830, Harvard University), Joel Mubiligi (Partners In Health), Joel M Mubiligi (Partners in Health/Inshuti Mu Buzima, Kigali, Rwanda), Doreen Ramogola‐Masire (0000-0001-9624-8366, University of Botswana), Doreen Ramogola-Masire (University of Botswana, Gaborone, Botswana), Michelle E Roland (Sutter Medical Center), Michelle Roland (Sutter Medical Group, An Affiliate of Sutter Medical Foundation, Jackson, California, USA), F K Barg (0000-0003-3328-1980, Center for Health, Exercise and Sport Sciences), Corrado Cancedda (0000-0002-0214-955X, Center for Health, Exercise and Sport Sciences, corresponding author)
Year2021
Volume6
Issue12
Pagese007132
Publication date2021-12-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2021-007132
PMID34969686
OpenAlexW4200251966
LanguageEN
Citations received8
References cited12

Despite the exponential growth of global health partnerships (GHPs) 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 article, we describe a theoretical model for partnerships developed by seven global health experts. Through semistructured interviews and an open-coding approach to data analysis, we identify 12 GHP pillars spanning across three interconnected partnership levels and inspired by Maslow’s hierarchy of needs. The transactional pillars are governance, resources and expertise, power management, transparency and accountability, data and evidence and respect and curiosity. The collaborative pillars (which build on the transactional pillars) are shared vision, relationship building, deep understanding and trust. The 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 article is complemented by real-life examples, which outline both the cost incurred when GHPs fail to live up to these pillars and the benefits gained when GHPs uphold them. We also provide lessons learnt and best practices that GHPs should adopt to further increase their strength and improve their effectiveness in the future. To continue improving health outcomes and reducing health inequities globally, we need GHPs that are transformational, not just rhetorically but de facto. These actualised partnerships should serve as a catalyst for the greater societal good and not simply as a platform to accrue and exchange organisational benefits

Accountability · Business · Corporate governance · Economics · General partnership · Management · Political science · Public relations · Sustainability · Transformational leadership · Global Health and Surgery · Global Maternal and Child Health · Global Public Health Policies and Epidemiology

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    Open Access•Corrado Cancedda, Matthew H Bonds et al.•BMJ Global Health•2022

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    Open Access•Alfredo Mayor, Lemu Golassa et al.•BMJ Global Health•2025

  • Beyond high-level recommendations and rule books

    Open Access•Isabelle Uny, Lusizi Kambalame et al.•BMJ Global Health•2024

  • Towards equitable partnerships in global health research

    Open Access•Kassahun Alemu Gelaye, Della Berhanu et al.•BMJ Global Health•2025

  • A pragmatic approach to equitable global health partnerships in academic health sciences

    Open Access•James Akiruga Amisi, Maria Sofia Cuba-Fuentes et al.•BMJ Global Health•2023

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  • Finding the balance between academic productivity and impact

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  • Grounding global health in care

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  • Global age-sex-specific fertility, mortality, healthy life expectancy (Hale), and population estimates in 204 countries and territories, 1950–2019

    Open Access•Haidong Wang, Kaja Abbas et al.•The Lancet•2020

  • Advancing global health and strengthening the HIV response in the era of the Sustainable Development Goals

    Open Access•Linda-Gail Bekker, George A O Alleyne et al.•The Lancet•2018

  • Will global health survive its decolonisation?

    Open Access•Seye Abimbola, Madhukar Pai•The Lancet•2020

  • Thematic Analysis

    G Terry, Nikki Hayfield et al.•The Sage Handbook of Qualitative…•2017

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    Arne Ruckert, Ronald Labonté•Third World Quarterly•2014

  • Health partnership research and the assessment of effectiveness

    Open Access•Dan Ritman•Globalization and Health•2016

  • Envisioning a Global Health Partnership Movement

    Open Access•Andrew Jones, Andrew M Jones•Globalization and Health•2016

  • A rapid evidence review on the effectiveness of institutional health partnerships

    Open Access•Ema Kelly, Vicki Doyle et al.•Globalization and Health•2015

  • Good collaborative practice

    Open Access•Claire Leonie Ward, David Shaw et al.•Globalization and Health•2018

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    Open Access•Suzanne Edwards, Dan Ritman et al.•Globalization and Health•2015

  • Impact of international experience on research capacity of Chinese health professionals

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Citations per year2
Citation span2022 - 2026 (5)
Highly citedNo

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