Four key steps were identified in partnership functioning. First, develop expertise in a hospital in Mali through a north-south partnership with Geneva University Hospitals. Second, develop capacity in APPS partnership hospitals in Senegal, Mali, Cameroon through a south-north-south mechanism. Third, test ABHR production workshop design through capacity-building in multiple hospitals in Yaoundé, Cameroon through a Mali-Cameroon partnership. Fourth, scale-up capacity in 6 further African countries (Ghana, Mozambique, Rwanda, Tanzania, Zambia, Zimbabwe) through a multi-country south-south ABHR production workshop led by Malian expertise and involving APPS hospitals in each country. The end product from this multi-step process is a practical ABHR production workshop with quality control in-built, designed through partnership and available for wide replication in the African Region.