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Dynamic partnerships

Introduction
The vision
Day-to-day practice
Forming partnerships
Resources

 


Introduction

This tip sheet provides reflections, references and resources about partnerships. We hope that it suggests something new to people who are already working together and encourages others to think of ways to form and maintain partnerships.

Working together toward a common goal-through partnership-is at the core of health promotion efforts. Organizations and communities work with the complex factors that determine health. Health promotion coalitions, joint projects and resource-sharing have emerged when there is a concern common to many parts of a community. Researchers and health promotion practitioners collaborate to explore health issues. Coalitions of service agencies, voluntary organizations, businesses and schools are finding different ways to reduce health risks in many communities. In such situations, there is an interdependence of elements, along with increasing complexity, that requires less competition and more cooperation.

Partnerships are not new! But the conditions for working together continue to change. Sometimes we do not have a choice about whether or not to partner because policy and funding guidelines expect partnerships. And we are stretching beyond so-called traditional collaborations with like-minded organizations to form new and radical partnerships, perhaps going beyond our usual jurisdictions.

Partnerships are both a vision and a day-to-day practice. Let's look at the promises and the realities of partnerships.

 

The Vision

Partnerships hold the promise that:

We can strengthen our impact: Greater numbers can make greater change.
We will accomplish together the things that no one entity could achieve by itself.
More perspectives and ideas will widen our view of the problem with opportunities for new and creative action.
Together we will have access to a broad base of information.
We will have varied knowledge, experience and skills thus bringing more resources to the problem.
There will be energy and synergy: "The whole is greater than the sum of its parts."

 

Day-to-Day Practice

The expectations of the vision for partnerships are accompanied by tensions, challenges and day-to-day realities such as:

We may accomplish a greater impact together, but the work takes longer and can be more complex.
Partnerships share the strengths of each partner for mutual benefit, but they also bear risks and responsibilities.
Although concerns in a community are interconnected, each entity has its own "take" on the problem, with its own set of assumptions and values.
It can be difficult to nurture partnerships in times of rapid change.
Conflict is probably inevitable. Partnerships bring together different organizational styles and experience.

 

Forming partnerships

There is no single way of forging a partnership. Each partnership is unique. The work is about evolving systems rather than separate programs or individual parts. As we move to interconnected arrangements of working, there are guideposts to help. The following pointers reflect themes that repeat themselves-in the resources and references contained here, in our own experiences and in the lessons of various community partnerships.

People Be aware that organizations do not form partnerships-people do. The work of partnerships is the building of relationships, and that work is ongoing. There are intangibles in this work, for example, the "chemistry" among the partners-something that sparks interaction and results in change. It makes a difference if everyone feels committed to the work of partnership, though the degree of commitment will be different for each partner. The partners themselves remain distinct while the partnership emerges as a new form of its own.

Vision Pay attention to creating a shared vision and a common goal. Vision is something more than what gets posted on paper. It develops as partners identify mutual needs that cannot be met alone. Spend the time to explore differences and search for a vision beyond one perspective.

Trust Explore the common ground for awhile. It helps to have a history of trust among some of the partners, while recognizing that a history of working together among some partners may make newer partners feel excluded. Diverse experiences and perspectives also bring differences of opinion and fears of losing autonomy and control. Build expectations rather than rules. Trust is built through mutual respect for each partner's experience, knowledge and contributions. Ask how the interests of each partner fit into the larger goal.

Time Get to know each other. Planning and implementation take a long time and may compete with the need for speed and action.

Learning Together Take the time to learn together. Partners need to think and behave differently as they combine efforts. Despite mutual goals, the work of partnering highlights differences. Partners' experiences inform their approach to partnerships. Look at your own organization and its internal capacity to work in teams or to collaborate among departments or units. Partnerships transform the ways in which we think and work together.

Decision-Making Decide how the partners will work together. What decision-making processes will be used? Agree upon a problem-resolution process. No partner dominates or controls. There may be a lead organization, but no one partner should have more influence even if it can contribute more than others. Agreements may be voluntary, formal or contractual, but they require negotiation and an investment of people, time and material resources.

Leadership Explore the options for leadership and participation. Different roles may emerge. Shared leadership can renew energy. Leadership through partnership requires shared ownership, while maintaining focus and assessing progress and direction.

Technology Look for ways in which electronic communication can enhance and support the work of the partners. Technical network linkages will facilitate connections and opportunities for innovation. It will be important to understand the appropriate application of available technology and to take time to know about the systems that each partner already uses. Consider ways of creating joint systems to support collaboration across time and space.

Flexibility Be prepared to adapt. Though we sometimes feel stretched, individual and collective flexibility help deal with uncertainty. As circumstances change, partners and their organizations may not be able to remain involved. Partners need to be able to adjust accordingly.

The above elements of partnership building are interdependent. Paying attention to them helps to shape the partnership. The overall work of the partnership strengthens the ability to move on an issue. The work together takes thought, practice, discussion and planning with ongoing clarification. The following resources will assist your efforts.

 

Resources

Building and Mobilizing Partnerships for Health: a National Strategy. Pamela R. Thompson and Sylvie Stachenko. Health Promotion International, 1994 (9): 3, 211-215.
Increasingly, health professionals are called upon to integrate prevention and health promotion into their day-to-day practice. Working in partnership with a variety of disciplines and sectors is also an emerging reality in the health field. This paper describes a national collaborative strategy development process, "Enhancing Preventive Practices of Health Professionals," which involved Health and Welfare Canada and eight national health professional associations working in partnership.

Available from libraries. This journal's online archives are for published material from 1996 forward.

Building Community for Health: Lessons from a Seven-Year-Old Neighbourhood/ University Partnership. Louise H. Flick, Cordie Given Reese, Gail Rogers, Pamela Fletcher & Joyce Sonn. Health Education Quarterly, Fall 1994, (21): 3, 369-380.
Two case studies highlight the role of community conflict in the process of community empowerment. A graduate program for community health nurses (CHNs) in a large American city formed a partnership with a diverse, integrated neighbourhood to enhance the community's capacity to improve its own health and to teach CHNs community organizing as a means to improve health. Central to the partnership is a broad definition of health, trust developed through long-term involvement, a commitment to reciprocity and social justice, and the application of Freire's model of adult learning.

Available at http://www.ryerson.ca/ORS/find_funding/partnerships/collaboration.doc.

Collaboration Framework-Addressing Community Capacity. The National Network for Collaboration, 1995.
The National Network for Collaboration is one of five networks funded by the Cooperative State Research, Education, and Extension Service (CSREES), USDA to marshal faculty and program resources to respond to the economic, social and human stresses faced by children, youth and families. The Framework provides a concise model for developing collaborative relationships with guidance for setting outcomes that can be evaluated. It also helps partners develop an awareness of both the process factors and the contextual factors that can affect the working and achievements of a partnership.
Available at http://www.cyfernet.org/nnco/framework.html

Collaboration Handbook: Creating, Sustaining, and Enjoying the Journey. Michael Winer & Karen Ray, 1997. ISBN 0-90069-03-2.
This handbook is a step-by-step guide to developing a collaborative effort. Part 1 provides a story to describe the stages and challenges ahead. Part 2 explores factors that make or break collaboration: ideology, leadership, power, history, competition and resources. Part 3 is devoted to exploring the stages of collaboration.

Available from Amherst H. Wilder Foundation Publishing Center, 919 Lafond Avenue, St. Paul, MN 55104. Tel: 1-800-274-6024, Fax: (612) 642-2061. http://www.wilder.org/pubs/collab_hndbk/collab_hndbk
Price: $31.50 US.

Collaboration: What Makes It Work-A Review of Research Literature on Factors Influencing Successful Collaboration. Paul Mattessich, Marta Murray-Close & Barbara Monsey, 2001 (2nd edition). ISBN 0-940069-32-6.
This 53-page report reviews and summarizes existing research literature on factors that influence the success of collaboration. The researchers identify and thoroughly describe 19 factors that influence the success of collaborations formed by human service, government and other non-profit agencies.

Available from Amherst H. Wilder Foundation Publishing Center, 919 Lafond Avenue, St. Paul, MN 55104. Tel: 1-800-274-6024, Fax: (612) 642-2061. http://www.wilder.org/pubs/collab_wmiw/
Price $20.00 US.

Creating Coordination Among Organizations-An Orientation and Planning Guide. Charles L. Mulford & Gerald E. Klonglan, 1982.
This article emphasizes many options available for coordination. Linkages such as joint planning and purchase of services are discussed with examples. Results are tied together in an applied model to create coordination. Practice sheets are included.

Available from University of Science and Technology, Sociology Department, 107 East Hall, Ames, IA 50011-1070. Tel: (515) 294-6480 Fax: (515) 294-2303. http://www.soc.iastate.edu/contact.html

Dance Lessons: Six Steps to Great Partnerships in Business and Life. Chip R. Bell & Heather Shea, 1998.
Using the metaphor of learning to dance with another, these authors offer tools, activities and resources to build partnerships by exploring the "heart and soul" of partnerships. As such, this book is a guide to the interpersonal side of partnership. They define partnership as "a deliberate blending of capacities for the continuous mutual benefit of involved parties." The authors review the steps of the dance of partnership with attention to planning and practice.

Available from Berrett-Koehler Publishers 235 Montgomery Street, Suite 650, San Francisco, CA 94104. Tel: (415) 288-0260, Fax: (415) 362-2512, E-mail: bkpub@bkpub.com
Price: $39.95

Intersectoral Action…Toward Population Health. Report of the Federal/Provincial/Territorial Advisory Committee on Population Health, 1999.
This 27-page discussion paper was prepared for the Federal/Provincial/Territorial Conference of Deputy Ministers of Health in 1999. Its purpose is to stimulate thinking, discussion and action among health policy makers and program planners, developers and managers. They use the term "intersectoral action for health" to emphasize that social responsibility for improving health requires a focus on the broad determinants of health, not just on health care services. Although it is not a detailed guide for designing and implementing intersectoral action, it does describe eight conditions for successful intersectoral action, steps for moving ahead and examples of what intersectoral action can accomplish in health promotion.

Available from the Health Canada web site at http://www.hc-c.gc.ca/hppb/phdd/pdf/inters_eng.pdf

Partnership Perspectives. Community-Campus Partnerships for Health, Summer 2000 1: (2).
Founded in 1996, Community-Campus Partnerships for Health (CCPH) is a non-profit organization that promotes health through partnerships between communities and higher educational institutions. This issue of their magazine, Partnership Perspectives, outlines nine principles for successful partnerships derived from the experiences of communities and educational institutions from across the United States.

Available from http://www.futurehealth.ucsf.edu/pdf_files/summer1-f.pdf

Partnerships Between Community Residents and Professionals: Issues of Power and Social Class Across the Lifespan of Neighbourhood Organizations. Canadian Journal of Community Mental Health, 1995 14: (1) 61-77.
This article presents the findings of a qualitative study of four neighbourhood centres jointly created by a sponsoring agency and community members to prevent problems in the lives of children and adults. Individual interviews and focus groups with staff, community members and other agency workers were used to develop an understanding of issues involved at various stages across the lifespan of these settings. Two tensions were between community members and professionals from the sponsoring organization and between lower-class and middle-class community members. The implications of these findings for practice in community development and partnerships are discussed.

Available from http://www.wlu.ca/cjcmh/backiss.htm
Price: $20.00 for institutions, $15.00 for individuals, $10.00 for students. The number of back issues available is limited.
Partnerships for Health. Women's Network PEI.
A number of resources on partnership building have been developed by the Women's Network PEI (Prince Edward Island).

First Aid Kit.
The "First Aid Kit" is a 54-page, easy-to-read manual that explores how to build healthy partnerships between individuals, organizations and government. It contains a step-by-step process for creating leadership and support structures that foster healthy partnerships.

Price: $9.95

Helping Each Other.
This 17-page illustrated workbook, written in plain language, gives several examples of partnerships that can be used with individuals or groups and includes worksheets for individuals and groups.

Price: $7.95

About Partnerships for Health.
This 39-page book tells the stories of 11 partnerships analysing what worked and what did not, and offering suggestions for improvement.

Price: $8.95
Available from Women's Network, Box 233, Charlottetown, Prince Edward Island C1A 7K4.Tel: (902) 368-5040, Fax: (902) 368-5039. http://www.wnpei.org/literacy.html

Partnerships with the Private Sector. Centre for Health Promotion, University of Toronto, 1996.
The Centre for Health Promotion at the University of Toronto has compiled resources to aid community organizations to form partnerships with private sector organizations. They provide information on developing various kinds of partnerships, such as private sector groups joining community coalitions in health promotion initiatives, companies sponsoring health promotion projects, or businesses donating money or expertise to community health promotion endeavours. They also provide resources on partnerships with private foundations that give grants to community organizations.

Available from Centre for Health Promotion, 100 College Street, Suite 207, Banting Institute, Toronto, Ontario M5G 1L5, Canada. Tel: (416) 978-1809, Fax: (416) 971-1365. http://www.utoronto.ca/chp/
Permission to copy this resource is granted for educational purposes only. If you are reproducing in part only, please credit Centre for Health Promotion, University of Toronto.

The Evolving Strategic Benefits for Business in Collaborations with Nonprofits in Civil Society: A Strategic Resources, Capabilities and Competencies Perspective. Steve Waddell, 1999.
Steve Waddell, a senior consultant and researcher for a consulting firm in Rhode Island, offers a systems analysis of what motivates the three main sectors of our society: business, government and non-profit. He brings together two approaches- strategic business focus and sectoral analysis-to create a strategic framework for building more comprehensive and productive relationships between business and civil society. He also explores his ideas through examples of partnerships between business and civil society around the world.

Available at http://www.gppi.net/index.php?page=publications on the web site of The Global Public Policy Project. The Global Public Policy Project explores the role of global public policy networks as innovative responses to the governance challenges of today's constantly changing global environment. The site contains a number of related articles from international authors and links to a wide array of web sites of international organizations.

The Partnership Way: New Tools for Living and Learning, Healing Our Families, Our Communities, and Our World. Riane Eisler & David Loye, 1990.
The authors offer ideas, information and exercises for imagining and experiencing new ways of thinking, feeling and acting in various aspects of our lives. With the principles in this book, the authors demonstrate how to developing partnerships in diverse settings- from churches to colleges-that will effect both personal and global transformation.

Available through bookstores. The publisher, Harper Collins, does not sell books directly to consumers, but will link you to booksellers through their web site, http://www.harpercollins.com/catalog/order
Price: 34.49

The Web of Life-A New Scientific Understanding of Living Systems. Fritjof Capra, 1996.
Fritjof Capra, a systems theorist, leads readers through an exploration of nature's self-organizing and self-regulating ecosystems. His premise is that organizations can learn from the principles of interdependence in order to develop new avenues for interdisciplinary thinking and partnerships.

Available from Random House/Anchor Books, 1540 Broadway, New York, New York 10036.
Tel: (212) 782-9000. http://www.randomhouse.com/anchor/
Price: 21.50