1. The HIV/AIDS Twinning Center HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org James P. Smith Executive Director, American International Health Alliance XIX International AIDS Conference 2012 Satellite Session “Institutional Twinning Partnerships as a Mechanism for Health Systems Strengthening and Sustainable Development of Human Resources for Health” Washington, DC

2.  Description of the HRSA-funded HIV/AIDS Twinning Center Program  Program wide goals and objectives  Review of our Twinning Partnership Methodology and some of the advantages and results of twinning Presentation Overview HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

3. The HIV/AIDS Twinning Center  The Twinning Center utilizes a volunteer-driven, peer-to-peer “twinning” methodology refined by AIHA over nearly two decades of implementation in more than 150 partnerships in 33 countries.  Currently, the Twinning Center manages twinning programs in 10 countries: Botswana * Ethiopia * Kenya Mozambique * Namibia * Nigeria Russia * South Africa * Tanzania * Zambia  35 Active partnerships, including North-South institutional twinning partnerships, South-South partnerships, and triangular partnerships  Volunteer Healthcare Corps (VHC): long-term volunteer programs in Ethiopia, Tanzania, and South Africa, with volunteers also placed at selected partnership sites in Mozambique and Botswana (90+ volunteers; 27,000 professional days of service) HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

4. PEPFAR II SYSTEMS STRENGTHENING Organizational Development In-service training How Twinning Supports PEPFAR INSTITUTIONAL CAPACITY BUILDING DEVELOPING HUMAN RESOURCES FOR HEALTH Pre-service training TWINNING PARTNERSHIPS BUILDING SUSTAINABLE PROFESSIONAL RELATIONSHIPS Ongoing Mentoring Faculty Development Association Building

5. Technical Areas by Country HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org Botswana Cote d'IvoireEthiopiaKenyaM ozambique NamibiaNigeriaRussia South AfricaTanzaniaZambia Behavior Change X X Care & Treatment (Hospital Systems) X X X X Counseling & Testing XXX Health Information Technology X XX X X Health Professions Education X X XX XXXXX Lab Strengthening X X Medical Technology X X Palliative Care XX X XX Para Social Worker Program X X X Prevention through Media X X Professional Association Development XXX X XXX Substance Abuse / IDU X X TB/HIV Coinfection XX

6. Health Professions Education HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org Botswana (1) Cote d'Ivoire (0) Ethiopia (5) Kenya (0) Mozambique (4) Namibia (1) Nigeria (1) Russia (2) South Africa (4) Tanzania (3) Zambia (3) Medicine X X X X Pharmacy X X Nursing X X X XX Social Work X X X Emergency Medicine X X Clinical Associates (& other physician extenders) X X Medical Technology X Para Social Workers X X X Journalists X X Other (research, biomedical technology, etc.) X

7. Key Elements of Twinning  Institution-to-institution pairing  Peer-to-peer professional relationships  Emphasis on professional exchanges and mentoring  Volunteer-driven  Leverages private-sector institutional resources  Non-prescriptive but rigorous approach to collaborative process, work plan development, and outcomes  Demand-driven, with significant recipient investment and ownership  Significant returns to both sides HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

8. Twinning Process Identify Country Needs & Priorities Identify the Partners Conduct Initial Assessment Visit Exchanges & Work Plan Development Ongoing Capacity Building Where can the twinning approach help achieve national and PEPFAR goals for target areas and/or institutions? What local organization needs technical assistance and what organization(s) possesses the expertise to help and are the best match? Partners meet in host country, begin to build working relationships, conduct site visits, and prepare organizational and needs assessments. Host partner visits resource partner’s institution and community to learn appropriate new approaches and technologies. Partners jointly develop work plan in keeping with PEPFAR goals and objectives, ensuring maximum coordination with local stakeholders and other implementing organizations. Based on work plan, partners set a timeline and work together to meet objectives, goals, and targets. HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

9. Cumulative Trainings by Country HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org  FY 2011: 2,371 health professionals trained through partnerships or graduated from Twinning Center-supported pre-service programs  More than 22,000 trained between 2005-2012 across 11 countries Twinning Center Health & Allied Professionals Trained (2005-2012)

10. Twinning Gets Results! “In a partnership, it is not about you or me – it is about us. It takes a bit of time to get to that point, but when you nurture that relationship, sustainability will follow. ” Donald Simpson, University of Arkansas “With us, there are so many things that have stuck. Our collaboration and the results of this partnership relationship cannot be taken away. Instead, our collaboration is organic and constantly growing in new and exciting directions.” Dr. Sylvester Moyo, Polytechnic of Namibia HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org

11. HIV/AIDS Twinning Center ~ www.TwinningAgainstAIDS.org

12. Contact Information James P. Smith, Executive Director E-mail: jim@aiha.com Kelly Wolfe, MPH, Med, Director HIV/AIDS Twinning Center E-mail: kwolfe@aiha.com Kathryn Utan, Communications Manager E-mail: kutan@aiha.com American International Health Alliance 1250 Eye Street, NW, Suite 350 Washington, DC 20005 Tel: 202-789-1136 HIV/AIDS Twinning Center www.TwinningAgainstAIDS.org