CARE Canada; formerly of RTI International, Winnipeg, Canada.
Abt Global; formerly of RTI International, Rockville, MD, USA.
Glob Health Sci Pract. 2024 Oct 29;12(5). doi: 10.9745/GHSP-D-23-00280.
We describe the development, implementation, and evaluation of a novel twinning approach: the Twinning Partnership Network (TPN). Twinning is a well-known approach to peer learning that has been used in a variety of settings to build organizational capacity. Although twinning takes many forms, the heart of the approach is that institutions with shared characteristics collaborate via sharing information and experiences to achieve a specific goal. We adapted a twinning partnership strategy developed by the World Health Organization to create a network of like-minded health institutions. The key innovation of the TPN is the network, which ensures that an institution always has a high-performing peer with whom to partner on a specific topic area of interest. We identified 10 hospitals and 30 districts in Rwanda to participate in the TPN. These districts and hospitals participated in a kickoff workshop in which they identified capacity gaps, clarified goals, and selected twinning partners. After the workshop, districts and hospitals participated in exchange visits, coaching visits, and virtual and in-person learning events. We found that districts and hospitals that selected specific areas and worked on them throughout the duration of the TPN with their peers improved their performance significantly when compared with those that selected and worked on other areas. Accreditation scores improved by 5.6% more in hospitals selecting accreditation than those that did not. Districts that selected improving community-based health insurance coverage improved by 4.8% more than districts that did not select this topic area. We hypothesize that these results are due to senior management's interest and motivation to improve in these specific areas, the motivation gained by learning from high-performing peers with similar resources, and context-specific knowledge sharing from peer hospitals and districts.
我们描述了一种新的结对方法——结对伙伴网络（TPN）的开发、实施和评估。结对是一种广为人知的同行学习方法，已在各种环境中用于建立组织能力。尽管结对有多种形式，但该方法的核心是具有共同特征的机构通过共享信息和经验来合作，以实现特定目标。我们采用了世界卫生组织开发的一种结对伙伴关系策略来创建一个志同道合的卫生机构网络。TPN 的主要创新是网络，它确保机构始终有一个表现出色的同行，可以在特定感兴趣的主题领域与之合作。我们确定了卢旺达的 10 家医院和 30 个区参与 TPN。这些区和医院参加了启动研讨会，在研讨会上，他们确定了能力差距、澄清了目标，并选择了结对伙伴。研讨会结束后，区和医院参加了交流访问、辅导访问、虚拟和实地学习活动。我们发现，选择特定领域并与同行一起在整个 TPN 期间致力于这些领域的区和医院，其绩效明显优于选择和致力于其他领域的区和医院。选择认证的医院的认证得分提高了 5.6%，而不选择认证的医院则提高了 5.6%。选择提高社区医疗保险覆盖范围的区比没有选择这一主题领域的区提高了 4.8%。我们假设这些结果是由于高级管理层对改善这些特定领域的兴趣和动力、从具有类似资源的表现出色的同行那里获得的动力，以及从同行医院和区获得的特定于背景的知识共享。
