Partnerships provide a work structure based on human interactions that allow sharing, adaptability and learning in both directions. Partnership-based approaches to health systems improvement is increasingly recognized as a potentially effective means of stimulating and sustaining change at the frontline. This use of inter-country exchange and institutional twinning as a way of facilitating future country efforts in health system strengthening was emphasized in the 2011 World Health Assembly.
While African health systems have much to learn about safety, these same systems can also provide the world with some clear insights into how to develop and nurture safe systems. The potential for knowledge and skills to flow from Africa to the world cannot be ignored.