
oto by EVG Kowalievska on Pexels.com
Michel Majdalani1, Lea Stadtler2, and Charles-Clemens Rüling2
1Lebanese American University, Beirut, Lebanon, 2Grenoble Ecole de Management, France
Picture a familiar scene in international development: A well-established organization from the global North partners with a hospital, school, or community-based group in the global South. Expertise travels South. Funds travel South. Protocols and standards are adapted. Over time, the Southern partner grows stronger, but the partnership remains marked by asymmetry. So what happens when the Northern partner changes direction? And what possibilities arise when the Southern partner is ready not just to receive, but to lead?
Our recent study, published in NVSQ1, examines exactly this question through the evolution of a long-standing North-South twinning relationship in global health. The case shows that partnerships do not have to end in conflict, withdrawal, or dependency. They can evolve.
More specifically, we show how a Southern organization built on the resources gained through collaboration, while the Northern organization shifted into a more supportive, less directive role. Over time, the relationship moved toward greater balance, not by cutting ties, but by reshaping them.
Continue reading “When North-South Partnerships Evolve: What Happens When the Balance Begins to Shift? “


