Arve Henriksen – Groundswell

What is the value of strategy in the middle of a global crisis?

Global health, Learning strategy

A new global vision and strategy titled ‘Immunization Agenda 2030: A Global Strategy to Leave No One Behind (IA2030)’ was endorsed by the World Health Assembly less than a year before the World Health Organization declared COVID-19 a Public Health Emergency of International Concern. Today, the cumulative tension of both urgent and longstanding challenges is stretching people who deliver vaccines. Challenges include immunization service recovery, COVID-19 vaccine introduction, and the persistence of epidemic outbreaks of diseases that can already be prevented by vaccines. Is this the right time to launch a global strategy – especially one developed before the pandemic – to achieve the immunization goals? Yes, immunization staff the world over – and the societies we live in – are still reeling from the shock of the COVID-19 pandemic. Nevertheless, in times of crisis, thinking and acting strategically can help each of us stay focused on the global immunization goals, keeping us on the path to equitable …

Two false dichotomies: quality vs. quantity and peer vs. global expertise

Global health, Global health

The national EPI manager of the Expanded Programme for Immunization (EPI) of the Democratic Republic of the Congo (DRC), just addressed the COVID-19 Peer Hub Teams from DRC and Ivory Coast, saluting both teams for their effort to prepare and strengthen COVID-19 vaccine introduction. I am honored to have been invited and pleased to see how this initiative is not only country-led but truly owned and led by its participants. She has joined the Inter-Country Peer Exchange (reserved for COVID-19 Peer Hub Members) organized by the Peer Hub’s DRC Team to share rapid learning from COVID-19 vaccine introduction. In the room are immunization professionals, primarily those working for the Ministries of Health, directly involved in vaccine introduction from both countries and from all levels of the health system. Other COVID-19 Peer Hub country teams are organizing similar inter-country exchanges, in response to their own needs, building on what they have …

What does the changing nature of knowledge mean for global health?

Global health, Learning strategy

Charlotte Mbuh and I will be welcoming Julie Jacobson, one of the founders of Bridges to Development, for our 15-minute Global Health Symposium about neglected needs of women’s health, and specifically the upcoming Female Genital Schistosomiasis (FGS) workshop being organized by the FAST package, a group of international and country partners. Join the Symposium on Facebook, YouTube, or LinkedIn. (If you miss the live stream, the recording is immediately available afterward, via these same links.) During the Ebola crisis response of 2014-2015, I sweet-talked Panu Saaristo into doing the first “15-minute global health symposium”, giving him just 6 minutes for an update about the complex work he was leading. (You can read about it here.) I still remember every point of his presentation and the emotion associated with it, as he described how Red Cross volunteers were risking their own lives to help families bury their dead safely. It turns …

Social network and citation network in the COVID-19 Peer Hub

Disseminating rapid learning about COVID-19 vaccine introduction

Global health, Global health, Learning strategy

In July 2019, barely six months before the pandemic, we worked with alumni of The Geneva Learning Foundation’s immunization programme to build the Impact Accelerator in 86 countries. This global community of action for national and sub-national immunization staff pledged, following completion of one of the Foundation’s courses, to support each other in other to achieve impact. Closing the loop from learning to impact produced startling results, accelerating the rate at which locally-resourced projects were implemented and fostering new forms of collaborative leadership. Alumni launched what immediately became the largest network of immunization managers in the world. Then the pandemic dramatically raised the stakes: at least 80 million children under one were placed at risk of vaccine-preventable diseases such as diphtheria, measles and polio as COVID-19 disrupted immunization service as worldwide. Alumni were amongst the first in their countries to respond, leveraging the power of being connected to each other …

Solidarity across public health and medicine silos during a pandemic

Education business models, Global health, Global health, Learning strategy

We are launching a new Scholar programme about environmental threats to health, with an initial focus on radiation. (I mapped out what this might look like in 2017.) As part of the launch, we are enlisting support of immunization colleagues. Our immunization programme is our largest and most advanced programme, and still growing fast since its inception in 2016. At The Geneva Learning Foundation, we have spent 5 years pouring mind, body, and soul into building what has become the largest digital platform for national and sub-national immunization leaders. Along the way, we discovered that it is not only about scale. Social Network Analysis (SNA) by colleagues Sasha Poquet and Vitomir Kovanovic at the Centre for Complexity and Change in Learning is now helping us to understand the power in the relationships not just one-to-many but many-to-many across the network. Yes, there is a linkage as most vaccines are for …

What is the difference between a wicked problem and a grand challenge

What is the difference between a wicked problem and a grand challenge?

Global health

The management concepts of wicked problems and grand challenges are closely related but have some key distinctions: Similarities Both wicked problems and grand challenges refer to complex, systemic issues that are difficult to solve and have far-reaching societal impacts. They share several characteristics: Distinctions While closely related, there are some nuanced differences: Scope and framing Solution approach Origin and usage Relationship Many scholars view grand challenges as a subset or reframing of wicked problems. Grand challenges can be seen as large-scale wicked problems that have been formulated into more actionable goals. The grand challenges framing aims to mobilize collaborative efforts to make progress on wicked problems, even if they cannot be fully solved. Both concepts highlight the need for: Understanding both wicked problems and grand challenges can help managers and policymakers develop more effective approaches to complex societal issues. The grand challenges framing, in particular, may help motivate action and …

Aboard the USS Bowfin (Pearl Harbor, Hawaii, United States of America). Personal collection.

Implementation of guidelines, officially

Global health

This is everything that the World Health Organization’s Handbook for Guideline Development says about implementation.  Implementation of a guideline should be taken into account right from the beginning of the guideline development. Implementation is generally the responsibility of national or subnational groups, which explains why their participation in guideline development is critical. WHO headquarters and regional and country offices can support implementation activities by promoting new guidelines at international conferences and providing guideline dissemination workshops, tools, resources and overall coordination [emphasis mine]. Implementation strategies are context-specific. The basic steps for implementing a guideline are: convene a multidisciplinary working group to analyse local needs and priorities (looking for additional data on actual practice); identify potential barriers and facilitating factors; determine available resources and the political support required to implement recommendations; inform relevant implementing partners at all levels; and design an implementation strategy (considering how to encourage theadoption of the recommendations and how …

USS Bowfin diving plane control levers

From guidelines to impact

Global health, Thinking aloud

Most global public health organizations issue guidelines that are of a high methodological quality and are developed through a transparent, evidence-based decision-making process. However, they often lack an effective, scalable mechanism to support governments and health workers at country and sub-country level in turning these into action that leads to impact. Existing activities intended to help countries build public health capacity carry potential risk for these organizations, as they rely on high-cost, low-volume workshops and trainings that may be characterized by startling disparities in quality, scalability, replicability, and sustainability, often making it difficult or impossible to determine their impact. In some thematic areas, stakeholders have recognized the problem and are developing their own frameworks to improve quality of training and improve capacity-building. A few stakeholders are experimenting with new capacity-building approaches to empower local actors and strengthen the resilience of communities. The global community allocates considerable human and financial resources …

New learning and leadership for front-line community health workers facing danger

Global health, Learning design, Scholar Approach

This presentation was prepared for the second global meeting of the Health Care in Danger (HCiD) project in Geneva, Switzerland (17–18 May 2017). In October  2016, over 700 pre-hospital emergency workers from 70 countries signed up for the #Ambulance! initiative to “share experience and document situations of violence”. This initiative was led by Norwegian Red Cross and IFRC in partnership with the Geneva Learning Foundation, as part of the Health Care in Danger project. Over four weeks (equivalent to two days of learning time), participants documented 72 front-line incidents of violence and similar risks, and came up with practical approaches to dealing with such risks. This initiative builds on the Scholar Approach, developed by the University of Illinois College of Education, the Geneva Learning Foundation, and Learning Strategies International. In 2013, IFRC had piloted this approach to produce 105 case studies documenting learning in emergency operations. These are some of the questions which I address in …

How close to the village can a global, digital education initiative get?

Global health

This is the final in a series of five blog posts reflecting on what is at stake in how we learn lessons from the Ebola crisis that erupted in 2014 and continued in 2015. A new blog post will be published each morning this week (subscribe here). “Opportunities to contain the virus were lost soon after, largely because of a lack of trust between local communities and the officials and medical professionals trying to nip the epidemic in the bud.” (Petherick 2015:591) Online training of humanitarian professionals is one thing, but what about community participation? “Beneficiary communications” and “listening” approaches have emerged to encourage inclusive approaches to all aspects of humanitarian work. Learning needs to include not just professionals but also volunteers and affected families, whether or not they are involved in social mobilization efforts. As the Red Cross Red Crescent Movement has taught us, volunteers are far more than part-time humanitarians. They are embedded in …