An AI-generated podcast dialogue exploring The Geneva Learning Foundation’s progress in 2024

A generative AI podcast dialogue exploring The Geneva Learning Foundation’s progress in 2024

Global health

This experimental podcast, created in collaboration with generative AI, demonstrates a novel approach to exploring complex learning concepts through a conversational framework that is intended to support dialogic learning. Based on TGLF’s 2024 end-of-year message and supplementary materials, the conversation examines their peer learning model through a combination of concrete examples and theoretical reflection. The dialogue format enables exploration of how knowledge emerges through structured interaction, even in AI-generated content. Experimental nature and limitations of generative AI for dialogic learning This content is being shared as an exploration of how generative AI might contribute to learning and knowledge construction. While based on TGLF’s actual 2024 message, the dialogue includes AI-generated elaborations that may contain inaccuracies. However, these limitations themselves provide interesting insights into how knowledge emerges through interaction, even in artificial contexts. You can read our actual 2024 Year in review message here. Pedagogical value and theoretical implications of a …

The cost of inaction Quantifying the impact of climate change on health

The cost of inaction: Quantifying the impact of climate change on health

Global health

This World Bank report ‘The Cost of Inaction: Quantifying the Impact of Climate Change on Health in Low- and Middle-Income Countries’ presents new analysis of climate change impacts on health systems and outcomes in the regions that are bearing the brunt of these impacts. Key analytical insights to quantify climate change impacts on health The report makes three contributions to our understanding of climate-health interactions: First, it quantifies the massive scale of climate change impacts on health, projecting 4.1-5.2 billion climate-related disease cases and 14.5-15.6 million deaths in LMICs by 2050. This represents a significant advancement over previous estimates, which the report demonstrates were substantial underestimates. Second, it illuminates the profound economic consequences, calculating costs of $8.6-20.8 trillion by 2050 (0.7-1.3% of LMIC GDP). The report employs both Value of Statistical Life and Years of Life Lost approaches to provide a range of economic impact estimates. Third, it reveals stark …

Donald A. Schön The new scholarship requires a new epistemology

Knowing-in-action: Bridging the theory-practice divide in global health

Global health

The gap between theoretical knowledge and practical implementation remains one of the most persistent challenges in global health. This divide manifests in multiple ways: research that fails to address practitioners’ urgent needs, innovations from the field that never inform formal evidence systems, and capacity building approaches that cannot meet the massive scale of learning required. Donald Schön’s seminal 1995 analysis of the “dilemma of rigor or relevance” in professional practice offers crucial insights for “knowing-in-action“. It can help us understand why transforming global health requires new ways of knowing – a new epistemology. Schön’s analysis: The dilemma of rigor or relevance Schön begins by examining how knowledge becomes institutionalized through education. Using elementary school mathematics as an example, he describes how knowledge is broken into discrete units (“math facts”), organized into progressive modules, assembled into curricula, and measured through standardized tests. This systematization shapes not just content but the entire …

What are the consequences of the false dichotomy between global and local knowledge in health systems

Why guidelines fail: on consequences of the false dichotomy between global and local knowledge in health systems

Global health

Global health continues to grapple with a persistent tension between standardized, evidence-based interventions developed by international experts and the contextual, experiential local knowledge held by local health workers. This dichotomy – between global expertise and local knowledge – has become increasingly problematic as health systems face unprecedented complexity in addressing challenges from climate change to emerging diseases. The limitations of current approaches The dominant approach privileges global technical expertise, viewing local knowledge primarily through the lens of “implementation barriers” to be overcome. This framework assumes that if only local practitioners would correctly apply global guidance, health outcomes would improve. This assumption falls short in several critical ways: The hidden costs of privileging global expertise When we examine actual practice, we find that privileging global over local knowledge can actively harm health system performance: Evidence from practice Recent experiences from the COVID-19 pandemic provide compelling evidence for the importance of local …

Ahead of Teach to Reach 11, health leaders from 45 countries share malaria solutions in REACH network session

Ahead of Teach to Reach 11, health leaders from 45 countries share malaria experiences in REACH network session

Global health

Nearly 300 malaria prevention health leaders from 45 countries met virtually on November 20, 2024, in parallel English and French sessions of REACH. This new initiative connects organizational leaders tackling malaria prevention and control – and other pressing health challenges – across borders. REACH emerged from Teach to Reach, a peer learning platform with over 23,000 health professionals registered for its eleventh edition on 5-6 December 2024. The sessions connected community-based health workers with health leaders from districts to national planners from across Africa, Asia, and South America, bringing together government health staff, civil society organizations, teaching hospitals, and international agencies, in a promising cross-section of local-to-global health expertise. Global partnership empowers malaria prevention health leaders The sessions featured RBM Partnership to End Malaria as Teach to Reach’s newest global partner, ahead of a special event on malaria planned for December 10. Read about the RBM-TGLF Partnership… Request your invitation …

Teach to Reach Health workers are sharing how they protected their communities when extreme weather hit

You are not alone: Health workers are sharing how they protected their communities when extreme weather hit

Global health

Today, The Geneva Learning Foundation launched a new set of “Teach to Reach Questions” focused on how health workers protect community health during extreme weather events. This initiative comes at a crucial time, as world leaders at COP29 discuss climate change’s mounting impacts on health. As climate change intensifies extreme weather events worldwide, health workers are often the first to respond when disasters strike their communities. Their experiences – whether facing floods, droughts, heatwaves, or storms – contain vital lessons that could help others prepare for and respond to similar challenges. Read the eyewitness report: From community to planet: Health professionals on the frontlines of climate change, Online. The Geneva Learning Foundation. https://doi.org/10.5281/zenodo.10204660 Why ask health workers about floods, droughts, and heatwaves? “Traditional surveys often ask for general information or statistics,” explains Charlotte Mbuh of The Geneva Learning Foundation. “Teach to Reach Questions are different. We ask health workers to share …

Why answer Teach to Reach Questions-small

Why answer Teach to Reach Questions?

Global health

Have you ever wished you could talk to another health worker who has faced the same challenges as you? Someone who found a way to keep helping people, even when things seemed impossible? That’s exactly the kind of active learning that Teach to Reach Questions make possible. They make peer learning easy for everyone who works for health. What are Teach to Reach Questions? Once you join Teach to Reach (what is it?), you’ll receive questions about real-world challenges that matter to health professionals. How does it work? What’s different about these questions? Unlike typical surveys that just collect data, Teach to Reach Questions are active learning that: See what we give back to the community. Get the English-language collection of Experiences shared from Teach to Reach 10. The new compendium includes over 600 health worker experiences about immunisation, climate change, malaria, NTDs, and digital health. A second collection of …

Health at COP29

Health at COP29: Workforce crisis meets climate crisis

Global health

Health workers are already being transformed by climate change. COP29 stakeholders can either support this transformation to strengthen health systems, or risk watching the health workforce collapse under mounting pressures. The World Health Organization’s “COP29 Special Report on Climate Change and Health: Health is the Argument for Climate Action“ highlights the health sector’s role in climate action. Health professionals are eyewitnesses and first responders to climate impacts on people and communities firsthand – from escalating respiratory diseases to spreading infections and increasing humanitarian disasters. The report positions health workers as “trusted members of society” who are “uniquely positioned” to champion climate action. The context is stark: WHO projects a global shortage of 10 million health workers by 2030, with six million in climate-vulnerable sub-Saharan Africa. Meanwhile, our communities and healthcare systems already bear the costs of climate change through increasing disease burdens and system strain. Health workers are responding, because …

ASTMH 2024 How can we reliably spread evidence-based practices at the speed and scale modern health challenges demand

How can we reliably spread evidence-based practices at the speed and scale modern health challenges demand?

Global health

At a symposium of the American Society for Tropical Medicine and Hygiene (ASTMH) Annual Meeting, I explored how peer learning could help us tackle five critical challenges that limit effectiveness in global health. For epidemiologists working on implementation science, peer learning provides a new path for solving one of global health’s most persistent challenges: how to reliably spread evidence-based practices at the speed and scale modern health challenges demand. The evidence suggests we should view peer learning not just as a training approach, but as a mechanism for viral spread of effective practices through health systems. How do we get to attribution? Of course, an epidemiologist will want to know if and how improved health outcomes can be attributed to peer learning interventions. The Geneva Learning Foundation (TGLF) addresses this fundamental challenge in implementation science – proving attribution – through a three-stage process that combines quantitative indicators with qualitative validation. …

Critical evidence gaps in the Lancet Countdown on health and climate change

Critical evidence gaps in the Lancet Countdown on health and climate change

Global health

The 2024 report of the Lancet Countdown on health and climate change “reveals the health threats of climate change have reached record-breaking levels” and provides “the most up-to-date assessment of the links between health and climate change”. Yet its treatment of experiential knowledge – particularly the direct observations and understanding developed by frontline health workers and communities – reveals both progress and persistent gaps in how major global health assessments value different forms of knowing. The fundamental tension appears right at the start. The report notes a significant challenge: “A global scarcity of internationally standardised data hinders the capacity to optimally monitor the observed health impacts of climate change and evaluate the health-protective effect of implemented interventions.” This framing privileges standardized, quantifiable data over other forms of knowledge. Yet paradoxically, the report recognizes that “health workers are already intimate witnesses to the impacts of climate change on the health of …