Evaluation of a global health partnership

ABSTRACT

1349 Table 1Impact on practice at QECHChanges in the workplace Clinical Management Professional Practice Induction for new nursesTriageColour-coded syringes for oral and IVTelevision installed in ward(after seeing similar at BWC) Seizure, asthma managementFluid management in malnourished childChild protectionIncreased frequency of measuring vital signsInitiating resuscitationHand hygiene Intra- and inter-disciplinary team workTime keepingIncreased competence and confidenceAutonomy and decision makingMotivation Abstract 1349 Table 2Impact on practice at BWCChanges in the workplace Clinical management Professional practice More resourcefulEmpathy and cultural awarenessCreating a supportive environment Increased clinical knowledgeConfidence in managing sick patientsMore confidence, autonomy Better leaderInnovative and adaptive practiceCost-effective approachMentorshipExperience in teaching Evaluation also revealed areas of suboptimal engagement, such as a sense of inequity in the exchange placements which involves a 2-week observership in Birmingham for Malawi staff compared to a 6–12-month placement for BWC staff in Malawi. Lack of a nursing contact in Malawi to co-ordinate nurse placements was also highlighted.Recommendations included continuing educational courses and refreshers, increasing peer support and establishing a nurse link in Malawi. Future priorities were to establish services for common childhood conditions like asthma and epilepsy and improvements to exchange placements.The BWC evaluation, which had to be changed to virtual interviews due to COVID-19 pandemic restrictions, highlighted the need for urgent evaluation of post-pandemic modes of working.ConclusionsGHP evaluations form the cornerstone of effective partnerships by evidencing successes as well as determining areas for improvements and goal setting. Well-conducted evaluations enable identification of SMART objectives for future actions. While the COVID-19 pandemic has reiterated the concept of health interdependence, it has also shown that GHPs including BWC-Malawi partnership should be agile in tailoring their action plans to suit the post-pandemic world of limited international travel, with particular focus on digital health technologies.