Enduring Partnerships
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Enduring Partnerships How do we ensure a strong egalitarian partnership?. Dr. Norgrove Penny, CM, MD, FRCS(C). Clinical Assistant Professor Faculty of Medicine University of British Columbia. Senior Advisor for Physical Impairments CBM International. together we can do more.

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Dr. Norgrove Penny, CM, MD, FRCS(C)

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Enduring Partnerships

How do we ensure a strong egalitarian partnership?

Dr. Norgrove Penny, CM, MD, FRCS(C)

Clinical Assistant Professor

Faculty of Medicine

University of British Columbia

Senior Advisor for Physical Impairments

CBM International

together we can do more

Partnership is not an option…It is an absolute necessity!

Partnerships can be the most powerful and rewarding thing in the world……or the most difficult and troublesome thing!


Definition: characterized by belief in the equality of all people, especially in political, economic, or social life.

  • From French égalitaire, from égalité, equality, from Latin aequālitās, from aequālis, equal.

How do we create a partnership characterized by equality?How do we create a partnership that will endure?


A partnership that can be:

  • Successful

  • Hard work

  • Tolerated for the kids

  • Incompatible

  • Different goals

Successful Marriages

  • Communication

  • Transparency

  • Mutual respect

  • Recognition of differences

  • Loyalty

  • Shared goals



I’d best tell him only what I think he wants me to say. I don’t want to offend my visitor.

I’d like to know all the details, good and bad, so I know how to assist.

Mutual Respect

Mutual Respect: Mutual Learning

“Walk a mile in the other persons shoes”

Leadership…not Ownership

  • “It is amazing what you can accomplish if you do not care who gets the credit.”

    Harry S. Truman


Recognizing Differences

Understanding Culture

Understanding Poverty

“Massive poverty and obscene inequality are such terrible scourges of our times that they have to rank alongside slavery and apartheid as social evils. And overcoming poverty is not a gesture of charity. It is an act of justice.”

Nelson Mandela

Avoiding paternalism and overcoming dependency

“Mzungu…give me money!”

What breaks down a marriage?

Mutually agreed goals

Dream togetherPlan together“Participatory development”

Mutually agreed goals

Overall objective: The big picture

Specific Objective: The project plan

Activities & expected outcomes

Catching the wave!

Millenium Development Goals

Millenium Development Goals

Maternal Health


Primary Health

Alma Mater Declaration

United Nations Convention on the Rights of Persons with Disabilities3 May 2008

“All elective surgery is disability surgery”

Overall Objective

To reduce mortality and disability by safe and effective surgery and anaesthesia

Specific Objective

To create a broad based collaboration between the University of British Columbia and Makerere College of Health Sciences to capacity build essential surgical, anesthetic and associated support services in Uganda.

58th.World Health Assembly


Strategic Development

National Programs

Partnerships & Alliances



Professional Associations


Alliance Partners


Parent groups


Ministries of Health

“VISION 2020 - working together to eliminate avoidable blindness”

  • International Agency for the Prevention of Blindness

  • 111 organizations

  • academic

  • public

  • private

  • commercial

  • non-profit

Can we pledge to:

  • Agree mutually on goals

  • Communicate effectively

  • Be transparent & honest

  • Have mutual respect

  • Be loyal

  • Be tolerant of our differences

  • Be scrupulous in our finances

The Swiss Principles (1)

Guidelines for Research in Partnership with Developing Countries” 1998

  • Decide on the objectives together

  • Build up mutual trust

  • Share information; develop networks

  • Share responsibility

  • Create transparency

The Swiss Principles (2)

  • Monitor and evaluate the collaboration

  • Disseminate the results

  • Apply the results

  • Share profits equitably

  • Increase research capacity

  • Build on the achievements

We have made a good start!

U of A Orthopaedic Department 1975

together we can do more

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