Learning from Front-line Health Workers in the Climate Change Era

Learning from Frontline Health Workers in the Climate Change Era

Reda SadkiGlobal health, Writing

By Julie Jacobson, Alan Brooks, Charlotte Mbuh, and Reda Sadki The escalating threats of climate change cast long shadows over global health, including increases in disease epidemics, profound impacts on mental health, disruptions to health infrastructure, and alterations in the severity and geographical distribution of diseases. Mitigating the impact of such shadows on communities will test the resilience of health infrastructure in low- and middle-income countries (LMICs) and especially challenge frontline health workers. The need for effective and cost-efficient public health interventions, such as immunization, will evolve and grow. Health workers, approximately 70% of which are women, that provide immunization and other health services will be trusted local resources to the communities they serve, further amplifying their centrality in resilient health systems. Listening to and building upon the experiences and insights of frontline health workers as they live with and increasingly work to address the manifestations of climate change on …

Interplay between climate and health

What does immunization have to do with climate change?

Reda SadkiGlobal health, Thinking aloud

With climate-driven shifts in disease patterns and emerging health threats, the need for a robust immunization infrastructure is more obvious than ever. As the demand for both existing and novel vaccines rises in response to an expanding disease burden and new health threats, immunization staff will inevitably play a key role. Immunization staff, trusted health advisors to communities, already stand as sometimes-overburdened but always critical actors in resilient health systems. These professionals, entrusted with administering vaccines, contribute to preventing disease outbreaks and maintaining population health. Furthermore, their direct engagement with local communities, their intimate understanding of community health concerns, and their role as trusted advisors position them to recognize and respond to emerging health needs. The role of immunization and other primary health care (PHC) staff as health educators becomes increasingly pertinent in a changing climate. By leveraging their experience in working with communities to understand and accept health interventions, …

Analog gates or digital bridges.png

Digital bridges cannot cross analog gates

Reda SadkiGlobal health, Thinking aloud

I’ve been doing a lot of thinking recently about an interesting question, as I’ve observed myself and colleagues starting to travel again: “Why are we again funding high-cost, low-volume face-to-face conferences that yield, at best, uncertain outcomes?” I am surprised to have to ask this question. I was hoping for a different outcome, in which the experience of the COVID-19 pandemic led to a lasting change in how we bridge physical and digital spaces for a better future. We were brutally forced to work differently due to the COVID-19 pandemic’s restrictions on freedom of movement. Nevertheless, we discovered that it is possible to connect, meet, collaborate, and learn without sinking budgets into air travel and accommodation. At least some of work-related travel was due to habit and convention, not necessity. Yes, there were limitations, especially due to the emergency nature of the pivot to online. But the debate is open …

Le Lac Tchad

Why an open-source manifesto for global health?

Reda SadkiGlobal health, Global health, The Geneva Learning Foundation

Lire la version française: Pourquoi un manifeste open-source pour la santé globale? The global immunization community is now focused on “the big catch-up”, dealing with recovery of immunization services from the consequences of the COVID-19 pandemic, as countries – and immunization staff on the frontlines – work toward the goals of Immunization Agenda 2030 (IA2030). At the Seventy-Fourth World Health Assembly, the Director General of the World Health Organization had called for “a broad social movement for immunization that will ensure that immunization remains high on global and regional health agendas and help to generate a groundswell of support or social movement for immunization”. A Movement is larger than any one individual or organization. The Geneva Learning Foundation is one of many working to support this Movement. In March 2022, we launched a call for immunization staff at all levels of the health system to connect across boundaries of geography …

Le Lac Tchad

Pourquoi un manifeste open-source pour la santé globale?

Reda SadkiGlobal health, The Geneva Learning Foundation

Read this in English: Why an open-source manifesto for global health? La communauté mondiale de la vaccination se concentre désormais sur le « grand rattrapage », en priorisant le rétablissement des services de vaccination suite aux conséquences de la pandémie de COVID-19, alors que les pays—et le personnel de la vaccination en première ligne—s’efforcent d’atteindre les objectifs du Programme pour la vaccination à l’horizon 2030 (IA2030). Lors de la soixante-quatorzième Assemblée mondiale de la santé, le directeur général de l’Organisation mondiale de la santé avait lancé un appel en faveur d’un « vaste mouvement social pour la vaccination qui veillera à ce que la vaccination reste une priorité dans les programmes de santé internationaux et régionaux et contribuera à susciter une vague de soutien ou un mouvement social en faveur de la vaccination ». Un mouvement est plus grand qu’un seul pays ou une seule organisation. La Fondation Apprendre Genève est l’une des nombreuses …

Jazz ensemble or classical orchestra

Metaphors of global health: jazz improvisation ensemble or classical orchestra?

Reda SadkiCulture, Global health, Thinking aloud

In the realm of classical music, the orchestra stands as a formidable emblem of aesthetic grandeur and refinement. However, beneath the veneer of sophistication lies a deeply entrenched system that stymies the potential for creative exploration and spontaneity. As in a straitjacket, the rigidity of this system threatens to reduce the rich tapestry of human experience into a sterile hierarchy, devoid of the serendipity that breathes life into artistic expression. The classical orchestra is governed by a hierarchy that places the conductor at the apex, wielding an almost tyrannical authority over the musicians. It is a system that perpetuates a culture of conformity, where musicians are coerced into subsuming their individuality in the service of an imposed order. This stifling environment leaves little room for the musicians to contribute their own interpretations or creative impulses, and instead demands that they adhere strictly to the conductor’s vision, which is often based …

Overcoming barriers to vaccine acceptance in the community: Key learning from the experiences of 734 frontline health workers

What works in practice to build vaccine confidence?

Reda SadkiGlobal health

This is the content of a poster about vaccine confidence presented today by The Geneva Learning Foundation (LinkedIn | YouTube | Podcast | X/Twitter) at the International Social and Behavior Change Communication Summit 2022 (#SBCCSummit) held 5-9 December 2022 in Marrakech, Morocco. What is the Geneva Learning Foundation? Get the full report… Read the preface by Heidi Larson… Vaccine confidence: from responding to the initial shock of the pandemic to preparing COVID-19 vaccine introduction Over 6,000 health professionals joined the COVID-19 Peer Hub in July 2022, part of the Geneva Learning Foundation’s (TGLF) global immunization learning-to-action platform. We asked a simple question in relation to vaccine confidence: Can you think of a time when you helped an individual or group overcome their initial reluctance, hesitancy, or fear about vaccination? Who participated? Local practitioners from 86 countries joined this peer learning exercise about vaccine confidence: Health system levels: So what? What was the significance of the experience for participants? …

Heidi Larson: “So much remains determined by the capacity of people on the frontlines to explain, advocate, and respond in ways that are almost entirely dictated by context”

Reda SadkiGlobal health

This is the preface by Heidi Larson for the report “Overcoming barriers to vaccine acceptance in the community: Key learning from the experiences of 734 frontline health workers”. This report is presented today by The Geneva Learning Foundation (LinkedIn | YouTube | Podcast | Twitter) at the International Social and Behavior Change Communication Summit 2022 (#SBCCSummit) held 5-9 December 2022 in Marrakech, Morocco. What is the Geneva Learning Foundation? Get the full report… Read the preface by Heidi Larson… My own consciousness of the fragile equilibrium sustaining vaccine confidence came from working with immunization programmes and local health workers to defuse rumors that threatened to derail vaccination initiatives. Twenty years ago, this meant traveling to countries to meet, build relationships with, and work side-by-side with frontliners. Since that time, the corpus of research on the topic has grown tremendously. Elaborate behavioral science frameworks, supported by robust monitoring and evaluation, are now available to guide policy makers, donors, …

Digital challenge-based learning in the COVID-19 Peer Hub

Reda SadkiGlobal health, Learning, Writing

A digital human knowledge and action network of health workers: Challenging established notions of learning in global health When Prof Rupert Wegerif introduced DEFI in his blog post, he argued that recent technologies will transform the notions and practice of education. The Geneva Learning Foundation (TGLF) is demonstrating this concept in the field of global health, specifically immunization, through the ongoing engagement of thousands of health workers in digital peer learning. As images of ambulance queues across Europe filled TV screens in 2020, another discussion was starting: how would COVID-19 affect countries with weaker health systems but more experience in facing epidemic outbreaks? In the global immunization community, there were early signs that ongoing efforts to protect children from vaccine preventable diseases – measles, polio, diphtheria – would suffer. On the ground, there were early reports of health workers being afraid to work, being excluded by communities, or having key supplies disrupted. The …

What is the Movement for Immunization Agenda 2030 IA2030

What is the Movement for Immunization Agenda 2030 (IA2030)?

Reda SadkiGlobal health

The Immunization Agenda 2030 (IA2030) and the Movement for Immunization Agenda 2030 represent two interconnected but distinct aspects of a global effort to enhance immunization coverage and impact. What is Immunization Agenda 2030? Immunization Agenda 2030 or “IA2030” is a global strategy endorsed by the World Health Assembly, aiming to maximize the lifesaving impact of vaccines over the decade from 2021 to 2030. Watch the Immunization Agenda 2030 (IA2030) inaugural lecture by Anne Lindstrand (WHO) and Robin Nandy (UNICEF) What is the Movement for Immunization Agenda 2030? The Movement for Immunization Agenda 2030, on the other hand, is a collaborative, community-driven effort to operationalize the goals of IA2030 at the local and national – and to foster double-loop learning for international partners. It emerged in response to the Director-General’s call for a “groundswell of support” for immunization and combines a network, platform, and community of action. The Movement focuses on turning …