Read this first: What is double-loop learning in global health? Learning culture is a critical concept missing from health systems research. It provides a practical and actionable framework to operationalize the notion of ‘learning health systems’ and drive transformative change. Watkins and Marsick describe learning culture as the capacity for change. They identify seven key action imperatives or “essential building blocks” that strengthen it: continuous learning opportunities, inquiry and dialogue, collaboration and team learning, systems to capture and share learning, people empowerment, connection to the environment, and strategic leadership for learning (Watkins & O’Neil, 2013). Crucially, the instrument developed by Watkins and Marsick assesses learning culture by examining perceptions of norms and practices, not just individual behaviors (Watkins & O’Neil, 2013). This aligns with Seye Abimbola’s assertion that learning in health systems should be “people-centred” and occurs at multiple interconnected levels. Furthermore, this research demonstrates that certain dimensions of learning …
What is double-loop learning in global health?
Argyris (1976) defines double-loop learning as occurring “when errors are corrected by changing the governing values and then the actions.” He contrasts this with single-loop learning, where “errors are corrected without altering the underlying governing values.” This is challenging because it can threaten one’s sense of competence and self-image. ‘Are we doing things right?’ vs. ‘Are we doing the right things?’ In global health, double-loop learning means not just asking “Are we doing things right?” but also “Are we doing the right things?” It means being willing to challenge long-held assumptions about what works, for whom, and under what conditions. Epistemological assumptions (“we already know the best way”), methodological orthodoxies (“this is not how we do things”), and apolitical stance (“I do health, not politics”) of epidemiology can predispose practitioners to be dismissive of a concept like double-loop learning. Learn more: Five examples of double-loop learning in global health Seye …
Do Civil Society Organizations (CSOs) actually help global health?
This summary analyzes two important articles examining the role of civil society organizations (CSOs) in global health: “Civil society organisations and global health initiatives: Problems of legitimacy” by Doyle and Patel (2008), and “Civil society in global health policymaking: a critical review” by Gómez (2018). While both articles challenge dominant assumptions about CSOs in global health, Doyle and Patel focus more on issues of legitimacy, representation and effects on democracy. Gómez focuses more on the lack of theoretical and empirical evidence for CSOs’ influence across all stages of the policy process. Doyle and Patel (2008) challenge the assumption that CSOs automatically enhance representation and democracy in global health governance. Gómez (2018) similarly critiques the lack of evidence for CSOs’ assumed comparative advantage in health program delivery. Doyle and Patel conclude that failure by advocates to respond to the sceptical arguments put forward here may weaken the legitimacy of CSO involvement …
Visual storytelling for health
Do you work for health? Your are invited to a visual storytelling workshop with health care workers from 44 countries. The Geneva Learning Foundation’s first Fellow of Photography, Chris de Bode, will lead this workshop. 544 health care workers from 44 countries have already confirmed their participation. 80% of participants are sub-national staff working in fragile contexts. Most work for their country’s ministry of health. Chris deBode spent decades on assignments, traveling around the globe for various NGOs, magazines, and newspapers. Now, he has partnered with the Geneva Learning Foundation (TGLF) to share his experience with health practitioners who are there every day, as they learn to tell their own visual stories about immunization, the impacts of climate change on health, and other issues that matter for the communities they serve. “Technical knowledge is not decisive in making your picture”, says Chris. “The person behind the camera makes the difference. …
Mental health and psychosocial support in Ukraine: insights from an interdisciplinary review
A new interdisciplinary review from the ARQ National Psychotrauma Centre and VU Amsterdam provides an in-depth analysis of the mental health impacts, cultural and historical factors shaping coping and help-seeking, the evolving humanitarian response, and recommendations for strengthening mental health and psychosocial support (MHPSS) in Ukraine. The report is an interdisciplinary literature review supplemented by key informant interviews. It synthesizes academic publications, gray literature, media reports and policy documents in English, Ukrainian and Russian. The review team included Ukrainian practitioners and regional experts to identify additional Ukrainian-language sources. The review found that the war has led to high levels of acute psychological distress, increased risk of the development of future mental health problems, exacerbation of chronic mental health conditions, psychosocial problems, and an increase in substance use. Exposure to war-related trauma and violence, coupled with the loss of social support systems, poses lifelong risks for a range of mental health …
Women’s voices from the frontlines of health and humanitarian action
English version | Version française GENEVA, Switzerland, 8 March 2024 – The Geneva Learning Foundation (TGLF) is sharing a collection of stories titled “Women inspiring women”, shared by 177 women on the frontlines of health and humanitarian action. Download: The Geneva Learning Foundation. (2024). Women inspiring women: International Women’s Day 2024 (1.0). https://doi.org/10.5281/zenodo.10783218 The collection is a vibrant tapestry of women’s voices from the frontlines of health and humanitarian action, woven together to showcase the resilience, passion, and leadership of women who are making a difference in the face of war, disease, and climate change. TGLF reached out to women in its global network of more than 60,000 health workers, inviting them to share their heartfelt advice and vision for the future with young women and girls. Health workers in this network, men and women, are on the frontlines of adversity: they work in remote rural areas or with the urban poor. Many …
Voix de femmes en première ligne de la santé et de l’action humanitaire
English version | Version française GENÈVE, Suisse, le 8 mars 2024 — La Fondation Apprendre Genève (TGLF) partage une collection de récits intitulée « Des femmes pour la santé », partagées par 177 femmes en première ligne de la santé et de l’action humanitaire. Télécharger la collection: La Fondation Apprendre Genève (2024). Des femmes pour la santé : Journée internationale de la femme 2024 (1.0). https://doi.org/10.5281/zenodo.10792027 La collection réunit des voix de femmes provenant des premières lignes de la santé et de l’action humanitaire. Ensemble, elles mettent en valeur la résilience, la passion et le leadership des femmes qui font la différence face à la guerre, à la maladie et au changement climatique. La Fondation a lancé l’appel aux femmes de son réseau international de plus de 60 000 professionnels de la santé, les invitant à partager avec les jeunes femmes et les filles leurs conseils sincères et leur vision de l’avenir. Les membres de ce …
Learning about mental health and psychosocial needs in Ukraine and affected countries
The report “Two years on: mental health and psychosocial needs in Ukraine and affected countries” is from the Psychosocial Support Centre, a specialized hub of the International Federation of Red Cross and Red Crescent Societies (IFRC) with the mission to “enhance psychosocial support initiatives”. Key points from the report include: Overall, the report highlights the substantial scale and complex nature of MHPSS (mental health and psychosocial support) needs driven by the Ukraine conflict as well as the scale and scope of the Red Cross Red Crescent response mobilized so far including through delivery of PFA (Psychological First Aid) and PSS (psychosocial support). What are the challenges? The report on mental health and psychosocial needs in Ukraine highlights several key challenges, including: What can we learn about psychological first aid (PFA) for children from this report? First, we need to understand the specialized terminology used: We learn that with support from …
Why lack of continuous learning is the Achilles heel of immunization
Continuous learning is lacking in immunization. This lack may be an underestimated barrier to the “Big Catch-Up” and reaching zero-dose children This was a key finding presented at Gavi’s Zero-Dose Learning Hub (ZDLH) webinar “Equity in Action: Local Strategies for Reaching Zero-Dose Children and Communities” on 24 January 2024. The finding is based on analysis large-scale measurements conducted by the Geneva Learning Foundation in 2020 and 2022, with more than 10,000 immunization staff from all levels of the health system, job categories, and contexts, responding from over 90 countries. Year n Continuous learning Dialogue & Inquiry Team learning Embedded Systems Empowered People System Connection Strategic Leadership 2020 3830 3.61 4.68 – 4.81 4.68 5.10 4.83 2022 6185 3.76 4.71 4.86 4.93 4.72 5.23 4.93 TGLF global measurements (2020 and 2022) of learning culture in immunization, using the Dimensions of Learning Organization Questionnaire (DLOQ) What does this finding actually mean? In immunization, the …
What is the relationship between leadership and performance?
In their article “What Have We Learned That Is Critical in Understanding Leadership Perceptions and Leader-Performance Relations?”, Robert G. Lord and Jessica E. Dinh review research on leadership perceptions and performance, and provide research-based principles that can provide new directions for future leadership theory and research. What is leadership? Leadership is tricky to define. The authors state: “Leadership is an art that has significant impact on individuals, groups, organizations, and societies”. It is not just about one person telling everyone else what to do. Leadership happens in the connections between people – it is something that grows between a leader and followers, almost like a partnership. And it usually does not involve just one leader either. There can be leadership shared across a whole team or organization. The big question is: how does all this connecting and partnering actually get a team to perform well? That is what researchers are …