title: Towards sustainable partnerships in global health: the case of the CRONICAS Centre of Excellence in Chronic Diseases in Peru.
abstract: Human capital requires opportunities to develop and capacity to overcome challenges, together with an enabling environment that fosters critical and disruptive innovation. Exploring such features is necessary to establish the foundation of solid long-term partnerships. In this paper we describe the experience of the CRONICAS Centre of Excellence in Chronic Diseases, based at Universidad Peruana Cayetano Heredia in Lima, Peru, as a case study for fostering meaningful and sustainable partnerships for international collaborative research. The CRONICAS Centre of Excellence in Chronic Diseases was established in 2009 with the following Mission: "We support the development of young researchers and collaboration with national and international institutions. Our motivation is to improve population's health through high quality research." The Centre's identity is embedded in its core values - generosity, innovation, integrity, and quality- and its trajectory is a result of various interactions between multiple individuals, collaborators, teams, and institutions, which together with the challenges confronted, enables us to make an objective assessment of the partnership we would like to pursue, nurture and support. We do not intend to provide a single example of a successful partnership, but in contrast, to highlight what can be translated into opportunities to be faced by research groups based in low- and middle-income countries, and how these encounters can provide a strong platform for fruitful and sustainable partnerships. In defiant contexts, partnerships require to be nurtured and sustained. Acknowledging that all partnerships are not and should not be the same, we also need to learn from the evolution of such relationships, its key successes, hurdles and failures to contribute to the promotion of a culture of global solidarity where mutual goals, mutual gains, as well as mutual responsibilities are the norm. In so doing, we will all contribute to instil a new culture where expectations, roles and interactions among individuals and their teams are horizontal, the true nature of partnerships.
authors.affiliation: CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Miraflores, Lima 18, Peru. jaime.miranda@upch.pe.|School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru. jaime.miranda@upch.pe.
authors.forename: J Jaime
authors.initials: JJ
authors.lastname: Miranda
authors.affiliation: CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Miraflores, Lima 18, Peru.|School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
authors.forename: Antonio
authors.initials: A
authors.lastname: Bernabé-Ortiz
authors.affiliation: CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Miraflores, Lima 18, Peru.
authors.forename: Francisco
authors.initials: F
authors.lastname: Diez-Canseco
authors.affiliation: CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Miraflores, Lima 18, Peru.|School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.|Division of Internal Medicine, Hospital Nacional Cayetano Heredia, Lima, Peru.
authors.forename: Germán
authors.initials: G
authors.lastname: Málaga
authors.affiliation: CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Miraflores, Lima 18, Peru.
authors.forename: María K
authors.initials: MK
authors.lastname: Cárdenas
authors.affiliation: CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Miraflores, Lima 18, Peru.|School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.
authors.forename: Rodrigo M
authors.initials: RM
authors.lastname: Carrillo-Larco
authors.affiliation: CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Miraflores, Lima 18, Peru.
authors.forename: María
authors.initials: M
authors.lastname: Lazo-Porras
authors.affiliation: CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Miraflores, Lima 18, Peru.
authors.forename: Miguel
authors.initials: M
authors.lastname: Moscoso-Porras
authors.affiliation: CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Miraflores, Lima 18, Peru.
authors.forename: M Amalia
authors.initials: MA
authors.lastname: Pesantes
authors.affiliation: CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Miraflores, Lima 18, Peru.
authors.forename: Vilarmina
authors.initials: V
authors.lastname: Ponce
authors.affiliation: Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Araya
authors.affiliation: Division of Tropical and Humanitarian Medicine, Geneva University Hospitals, Geneva, Switzerland.|University of Geneva, Geneva, Switzerland.
authors.forename: David
authors.initials: D
authors.lastname: Beran
authors.affiliation: Instituto de Estudios Peruanos, Lima, Peru.
authors.forename: Peter
authors.initials: P
authors.lastname: Busse
authors.affiliation: Division of Non-Communicable Diseases, Dirección General de Salud de las Personas, Ministerio de Salud, Lima, Peru.
authors.forename: Oscar
authors.initials: O
authors.lastname: Boggio
authors.affiliation: Division of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.|Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: William
authors.initials: W
authors.lastname: Checkley
authors.affiliation: School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
authors.forename: Patricia J
authors.initials: PJ
authors.lastname: García
authors.affiliation: School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.|Department of Pediatrics, Instituto Nacional de Salud del Niño, Lima, Peru.|School of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru.
authors.forename: Luis
authors.initials: L
authors.lastname: Huicho
authors.affiliation: School of Sciences, Universidad Peruana Cayetano Heredia, Lima, Peru.
authors.forename: Fabiola
authors.initials: F
authors.lastname: León-Velarde
authors.affiliation: School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.|Department of Parasitology, and Public Health Training Program, USA Naval Medical Research Unit No. 6 (NAMRU-6), Lima, Peru.
authors.forename: Andrés G
authors.initials: AG
authors.lastname: Lescano
authors.affiliation: Center for Behavioral Intervention Technologies, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
authors.forename: David C
authors.initials: DC
authors.lastname: Mohr
authors.affiliation: Division of Environmental Science and Policy, Nicholas School of the Environment, Duke University, Durham, NC, USA.
authors.forename: William
authors.initials: W
authors.lastname: Pan
authors.affiliation: The George Institute for Global Health, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Peiris
authors.affiliation: Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.|World Heart Federation, Geneva, Switzerland.
authors.forename: Pablo
authors.initials: P
authors.lastname: Perel
authors.affiliation: Office of Global Affairs, U.S. Department of Health & Human Services, Washington, DC, USA.
authors.forename: Cristina
authors.initials: C
authors.lastname: Rabadán-Diehl
authors.affiliation: School of Sciences, Universidad Peruana Cayetano Heredia, Lima, Peru.
authors.forename: Maria
authors.initials: M
authors.lastname: Rivera-Chira
authors.affiliation: Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Katherine
authors.initials: K
authors.lastname: Sacksteder
authors.affiliation: Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: Liam
authors.initials: L
authors.lastname: Smeeth
authors.affiliation: Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Antonio J
authors.initials: AJ
authors.lastname: Trujillo
authors.affiliation: Childhood Nutrition Research Centre, UCL Institute of Child Health, University College London, London, UK.
authors.forename: Jonathan C K
authors.initials: JC
authors.lastname: Wells
authors.affiliation: Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, China.
authors.forename: Lijing L
authors.initials: LL
authors.lastname: Yan
authors.affiliation: School of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru.|Center for Global Health - Tumbes, Universidad Peruana Cayetano Heredia, Tumbes, Peru.|Cysticercosis Unit, Instituto Nacional de Ciencias Neurológicas, Lima, Peru.
authors.forename: Héctor H
authors.initials: HH
authors.lastname: García
authors.affiliation: Division of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.|Asociación Benéfica PRISMA, Lima, Peru.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Gilman
mesh_terms: D035843:Biomedical Research / Q000458:organization & administration; D057191:Capacity Building / Q000458:organization & administration; D002908:Chronic Disease / Q000517:prevention & control; D014943:Global Health; D006801:Humans; D007391:International Cooperation; D019982:Organizational Case Studies; D010568:Peru
keywords: Capacity building; Low- and middle-income countries; Partnerships; Team management; Training