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 …

Strengthening primary health care in a changing climate

Strengthening primary health care in a changing climate

and Global health

A new article by Andy Haines, Elizabeth Wambui Kimani-Murage, and Anya Gopfert, “Strengthening primary health care in a changing climate,” outlines how climate change is already impacting health systems worldwide, with primary health care (PHC) workers bearing the immediate burden of response. Haines and colleagues make a compelling case for strengthening primary health care (PHC) as a cornerstone of climate-resilient health systems. First, they note that approximately 90% of essential universal health coverage interventions are delivered through PHC settings, making these facilities and workers the backbone of healthcare delivery. This is particularly significant because PHC systems address many of the health outcomes most affected by climate change, including non-communicable diseases, childhood undernutrition, and common infectious diseases like malaria, diarrheal diseases, and respiratory infections. Furthermore, PHC workers are often the first responders to extreme weather events such as floods, droughts, and heatwaves. They must manage both the immediate health impacts and …

Anecdote or lived experience reimagining knowledge for climate-resilient health systems

Anecdote or lived experience: reimagining knowledge for climate-resilient health systems

Global health

A health worker in rural Kenya notices that malaria cases are appearing earlier in the season than usual. A nurse in Bangladesh observes that certain neighborhoods are experiencing more heat-related illnesses despite similar temperatures. These observations often remain trapped in the realm of “anecdotal evidence.”  The dominant epistemological framework in public health traditionally dismisses such knowledge as unreliable, subjective, and of limited scientific value. This dismissal stems from a deeply-rooted global health paradigm that privileges quantitative data, randomized controlled trials, and statistical significance over the nuanced, contextual understanding that emerges from direct experience. The phrase “it’s just anecdotal” has become a subtle but powerful way of delegitimizing knowledge that does not conform to established scientific methodologies. Yet this epistemological stance creates a significant blind spot in our understanding of how climate change affects health at the community level. Climate change manifests in complex, locally specific ways that often elude traditional …

Teach to Reach network of organizational leaders

Teach to Reach’s new leadership network connects health organizations tackling common challenges

Global health

The Geneva Learning Foundation is launching REACH (Relate, Engage, Act, Connect, Help), a new initiative to connect leaders of health organizations who are solving similar problems in different countries. Launching November 6, 2024 REACH responds to an unexpected outcome of Teach to Reach, a peer learning platform that–in less than four years–has already documented over 10,000 local solutions and experiences to health challenges by connecting more than 60,000 participants across 77 countries. When organizations began formally participating in Teach to Reach in June 2024, many leaders discovered they were tackling similar challenges. A digital immunization tracking system in Rwanda sparked interest from several African countries. A community engagement approach to vaccine hesitancy in Nigeria resonated with teams in Kenya and Zimbabwe. These spontaneous connections led to the creation of REACH. What is Teach to Reach? “Teach to Reach is a place where you learn in the most formidable way. You’re …

Meeting of The Geneva Learning Foundation's Scholars and Alumni of Ghana

Making connections: Ghana’s Alumni of The Geneva Learning Foundation meet in Accra

Global health

The Geneva Learning Foundation (TGLF) will host its first physical-world meeting of Ghana Scholars and Alumni on Wednesday, October 30, 2024 in Accra. Seventy-two health professionals from across Ghana’s health system will participate in the evening event. The participants include staff from the Ghana Health Service, teaching hospitals, district health directorates, and non-governmental organizations. They represent all levels of the health system, with 8 working at the national level, 8 at regional facilities, 39 in district health services, and 13 in community-based programs. “This is a great opportunity for all health workers for impact,” says one participant, reflecting the anticipation among attendees. These professionals are alumni of TGLF’s programs, including the Movement for Immunization Agenda 2030 (IA2030) and Teach to Reach initiatives, which focus on transforming global health strategies into practical, locally-adapted solutions. “TGLF’s learning platforms give us great information and knowledge that are feasible and can be applied in …

The pedagogy of Teach to Reach

What is the pedagogy of Teach to Reach?

Global health, Learning strategy, Theory

In a rural health center in Kenya, a community health worker develops an innovative approach to reaching families who have been hesitant about vaccination. Meanwhile, in a Brazilian city, a nurse has gotten everyone involved – including families and communities – onboard to integrate information about HPV vaccination into cervical cancer screening. These valuable insights might once have remained isolated, their potential impact limited to their immediate contexts. But through Teach to Reach – a peer learning platform, network, and community hosted by The Geneva Learning Foundation – these experiences become part of a larger tapestry of knowledge that transforms how health workers learn and adapt their practices worldwide. Since January 2021, the event series has grown to connect over 21,000 health professionals from more than 70 countries, reaching its tenth edition with 21,398 participants in June 2024. Scale matters, but this level of engagement begs the question: how and why does it …

Teach to Reach 10 Experiences shared

Experiences shared at Teach to Reach 10

Global health

Before, during, and after Teach to Reach on 20-21 June 2024, 21,398 health workers across the Global South—from veteran national managers to newly-trained community health workers—shared their unfiltered, frontline experiences of delivering care in an increasingly complex world. Ahead of Teach to Reach 11, The Geneva Learning Foundation has just released the English-language collection of “Experiences shared“. A second collection of experiences shared by French-speaking participants is also available. This remarkable collection captures over 600 experiences that health workers shared, in their own words, offering rare, ground-level perspectives on how global health challenges manifest in communities. Themes and topics explored in this collection: Through questions that probe specific moments rather than seeking generalizations, these accounts detail personal encounters with everything from climate change’s effects on malaria transmission to the challenges of integrating immunization with other health services. Health workers share candid stories of their successes, failures, and innovations: using WhatsApp …

Teach to Reach 11 briefing for partners

Ahead of Teach to Reach 11, organizational leaders share experience of ‘what works’ for health

Global health

Over 730 organizations have already confirmed their participation in Teach to Reach 11, a peer learning platform, network, and community for health workers facilitated by the Geneva Learning Foundation (TGLF). This announcement came during TGLF’s first partnership briefing held on 16 October 2024. Voir la présentation aux partenaires en français… Teach to Reach, which connects health professionals across borders, is expanding its focus on local partnerships for its upcoming 11th edition, scheduled for 5-6 December 2024. Why does this matter? The initiative’s reach is substantial. Teach to Reach 10, held in June 2024, attracted 21,398 participants from over 70 countries. Notably, 80% of participants were from district and facility levels. Each participant is now being encouraged to involve their organization – and to invite staff, volunteers, and community members to join. “I plan to involve women from every province. We made a small committee. So our network is represented“ at …

World Health Summit World Health Organization Investment Round Climate change and health

World Health Summit: to rebuild trust in global health, invest in health workers as community leaders

Global health

Discussions at the World Health Summit in Berlin this week have rightly emphasized the role of health workers, especially those directly serving local communities. Health workers stand at the intersection of climate change and community health. They are first-hand eyewitnesses and the first line of defense against the impacts of climate on health. There is real horror in the climate impacts on health they describe. Read the Health Worker Eyewitness reports “Climate change and health: Health workers on climate, community, and the urgent need for action“ and “On the frontline of climate change and health: A health worker eyewitness report”. There is also real hope in the local solutions and strategies they are already implementing to help communities survive such impacts, most often without support from their government or from the global community. There is no alternative to the health workforce as the ones most likely to drive effective adaptation …