Community-based monitoring for immunization

Integrating community-based monitoring (CBM) into a comprehensive learning-to-action model

Global health

According to Gavi, “community-based monitoring” or “CBM” is a process where service users collect data on various aspects of health service provision to monitor program implementation, identify gaps, and collaboratively develop solutions with providers. By engaging service users, CBM aims to foster greater accountability and responsiveness to local needs. The Geneva Learning Foundation’s innovative learning-to-action model offers a compelling framework within which CBM could be applied to immunization challenges. The model’s comprehensive design creates an enabling environment for effectively integrating diverse monitoring data sources – and this could include community perspectives. Health workers as trusted community advisers… and members of the community A distinctive feature of TGLF’s model is its emphasis on health workers’ role as trusted advisors to the communities they serve. The model recognizes that local health staff are not merely service providers, but often deeply embedded community members with intimate knowledge of local realities. For example, in …

Heini Utenen OpenWHO confusion about methods and learner preferences

Why asking learners what they want is a recipe for confusion

Global health, Theory

A survey of learners on a large, authoritative global health learning platform has me pondering once again the perils of relying too heavily on learner preferences when designing educational experiences. One survey question intended to ask learners for their preferred learning method. The list of options provided includes a range of items. (Some would make the point that the list conflates learning resources and learning methods, but let us leave that aside for now.) Respondents’ top choices (source) were videos, slides, and downloadable documents. At first glance, this seems perfectly reasonable. After all, should we not give learners what they want? As it happens, the main resources offered by this platform are videos, slides, and other downloadable documents. (If we asked learners who participate in our peer learning programmes for their preference, they would likely say that they prefer… peer learning.) Beyond this availability bias, there is a more significant …

Learn health, but beware of the behaviorist trap

Global health, Theory

The global health community has long grappled with the challenge of providing effective, scalable training to health workers, particularly in resource-constrained settings. In recent years, digital learning platforms have emerged as a potential solution, promising to deliver accessible, engaging, and impactful training at scale. Imagine a digital platform intended to train health workers at scale. Their theory of change rests on a few key assumptions: On the surface, this seems sensible. Mobile optimization recognizes health workers’ technological realities. Multimedia content seems more engaging than pure text. Assessments appear to verify learning. Incentives promise to drive uptake. Scale feels synonymous with success. While well-intentioned, such a platform risks falling into the trap of a behaviorist learning agenda. This is an approach that, despite its prevalence, is a pedagogical dead-end with limited potential for driving meaningful, sustained improvements in health worker performance and health outcomes. It is a paradigm that views learners …

Why health leaders who are critical thinkers choose rote learning for others-small

Why health leaders who are critical thinkers choose rote learning for others

Global health

Many health leaders are highly analytical, adaptive learners who thrive on solving complex problems in dynamic, real-world contexts. Their expertise is grounded in years of field experience, where they have honed their ability to rapidly generate insights, test ideas, and innovate solutions in collaboration with diverse stakeholders. In January 2021, as countries were beginning to introduce new COVID-19 vaccines, Kate O’Brien, who leads WHO’s immunization efforts, connected global learning to local action: “For COVID-19 vaccines […] there are just too many lessons that are being learned, especially according to different vaccine platforms, different communities of prioritization that need to be vaccinated. So [everyone]  has got to be able to scale, has got to be able to deal with complexity, has got to be able to do personal, local innovation to actually overcome the challenges.” In an Insights Live session with the Geneva Learning Foundation in 2022, she made a compelling …

Self-Regulated Learning: Beliefs, Techniques, and Illusions

8 things we know about learning across the lifespan in a complex world

Theory

The work by Robert A. Bjork and his colleagues is very helpful to make sense of the limitations of learners’ perceptions. Here are 8 summary points from their paper about self-regulated learning. Source: Bjork, R.A., Dunlosky, J., Kornell, N., 2013. Self-Regulated Learning: Beliefs, Techniques, and Illusions. Annu. Rev. Psychol. 64, 417–444. https://doi.org/10.1146/annurev-psych-113011-143823

Petra Klepac Climate change, malaria and neglected tropical diseases-a scoping review

Klepac and colleagues‘ scoping review of climate change, malaria and neglected tropical diseases: what about the epistemic significance of health worker knowledge?

and Global health

By Luchuo E. Bain and Reda Sadki The scoping review by Klepac et al. provides a comprehensive overview of codified academic knowledge about the complex interplay between climate change and a wide range of infectious diseases, including malaria and 20 neglected tropical diseases (NTDs). The review synthesized findings from 511 papers published between 2010 and 2023, revealing that the vast majority of studies focused on malaria, dengue, chikungunya, and leishmaniasis, while other NTDs were relatively understudied. The geographical distribution of studies also varied, with malaria studies concentrated in Africa, Brazil, China, and India, and dengue and chikungunya studies more prevalent in Australia, China, India, Europe, and the USA. One of the most striking findings of the review is the potential for climate change to have profound and varied effects on the distribution and transmission of malaria and NTDs, with impacts likely to vary by disease, location, and time. However, the …

77th World Health Assembly Climate and Health Resolution

How will we turn a climate change and health resolution at the World Health Assembly into local action?

Global health

This video was prepared by the World Health Organization with voices of health workers speaking at the Special Event “From community to planet” hosted by The Geneva Learning Foundation. The Geneva Learning Foundation (TGLF) has developed a new model that could help address the urgent challenge of climate change impacts on health by empowering and connecting health workers who serve communities on the receiving end of those impacts. This model leverages TGLF’s track record of facilitating large-scale peer learning networks to generate locally-grounded evidence, elevate community voices, and drive policy change. A key strength of TGLF’s approach is its ability to rapidly connect diverse networks of health workers across geographic and health system boundaries. For example, in March 2020, with support from the Bill and Melinda Gates Foundation, TGLF worked with a group of 600 of its alumni – primarily government staff working in local communities of Africa, Asia, and …

50 years of the Expanded Programme on Immunization

50 years of the Expanded Programme on Immunization

Global health

In two articles published during the fiftieth year of the World Health Organization’s Expanded Programme on Immunization (EPI), Samarasekera and Shattock provide valuable insights into EPI’s remarkable impact on reducing childhood mortality and morbidity since its launch in 1974. Shattock et al. present a detailed quantitative analysis of the lives saved and health gains attributed to vaccination. They estimate that “since 1974, vaccination has averted 154 million deaths, including 146 million among children younger than 5 years of whom 101 million were infants younger than 1 year.”  The authors further emphasize the long-term benefits of vaccination, noting that “for every death averted, 66 years of full health were gained on average, translating to 10.2 billion years of full health gained.” These findings underscore the transformative impact of EPI on global health outcomes. Bill Moss of the International Vaccines Access Center (IVAC) calls this “one of humankind’s greatest achievements”. Inherent uncertainties …

Climate change and health-Health workers on climate, community, and the urgent need for action

Climate change and health: Health workers on climate, community, and the urgent need for action

Global health

As world leaders gathered for the COP28 climate conference, the Geneva Learning Foundation called for the insights of health workers on the frontlines of climate and health to be heard amidst the global dialogue. Ahead of Teach to Reach 10, a new eyewitness report analyses 219 new insights shared by 122 health professionals – primarily those working in local communities across Africa, Asia and Latin America – to two critical questions: How is climate change affecting the health of the communities you serve right now? And what actions must world leaders take to help you protect the people in your care? (Teach to Reach is a regular peer learning event. The tenth edition on 20-21 June 2024 is expected to gather over 20,000 community-based health workers to share experience of climate change impacts on health. Request your invitation here.) Their answers paint a picture of the accelerating health crisis unfolding in the world’s most climate-vulnerable …

International Nurses Day 2024 Teach to Reach

International Nurses Day 2024: Climate change and health

Global health

English version | Version française On International Nurses Day 2024, The Geneva Learning Foundation stands in solidarity with the over 28 million nurses worldwide who form the backbone of health systems globally. As an organization dedicated to researching, developing, and implementing new approaches to learning and leadership for health, we recognize the vital role of nurses in driving progress towards global health goals, including the health-related Sustainable Development Goals and Universal Health Coverage. Nurses represent a significant proportion of participants in our Teach to Reach peer learning programme, which exemplifies commitment to lifelong learning and desire to connect with and learn from colleagues around the world to improve practice. Teach to Reach is the world’s largest health peer learning event, bringing together tens of thousands of health professionals, primarily from low- and middle-income countries, in dynamic digital convenings. Request your invitation It exemplifies our vision of empowering health workers as …