The WHO Director General’s report to the 154th session of the Executive Board on progress towards the Immunization Agenda 2030 (IA2030) goals paints a “sobering picture” of uneven global recovery since COVID-19. As of 2022, 3 out of 7 main impact indicators remain “off-track”, including numbers of zero-dose children, future deaths averted through vaccination, and outbreak control targets. Current evidence indicates substantial acceleration is essential in order to shift indicators out of the “off-track” categories over the next 7 years. While some indicators showed recovery from pandemic backsliding, the report makes clear these improvements are generally insufficient to achieve targets set for 2030. While some indicators have improved from 2021, overall performance still “lags 2019 levels” (para 5). Specifically, global coverage of three childhood DTP vaccine doses rose from 81% in 2021 to 84% in 2022, but remains below the 86% rate achieved in 2019 before the pandemic (para 5). …
Movement for Immunization Agenda 2030 (IA2030): National EPI leaders from 31 countries share experience of HPV vaccination
What difference can peer-led learning and action make for national EPI planners seeking new strategies to support HPV vaccine introduction or reintroduction? The stakes are high: HPV vaccination efforts, if successful, will avert 3.4 million deaths by 2030. On Friday, EPI focal points for HPV and other national-level MOH colleagues from 31 countries convened under the banner of the Movement for Immunization Agenda 2030 (IA2030), which connects over 60,000 primarily sub-national health staff worldwide. What is the Movement for Immunization Agenda 2030 (IA2030)? This time, it was national HPV vaccination focal points and other national EPI planners who joined to share experience between countries of ‘what works’ (and how). They also discussed how the Geneva Learning Foundation’s unique peer learning-to-action pathway could help them overcome barriers they are facing to ensure that local communities understand and support the benefits of this vaccine. Such a pathway can complement existing, top-down forms …
Climate change is a threat to the health of the communities we serve: health workers speak out at COP28
The Geneva Learning Foundation’s Charlotte Mbuh spoke today at the COP28 Health Pavilion in Dubai, United Arab Emirates (UAE). Watch the speech at COP28… Good afternoon. I am Charlotte Mbuh. I have worked for the health of children and families in Cameroon for over 15 years. I am one of more than 5,500 health workers from 68 countries who have connected to share our observations of how climate is affecting the health of those we serve. “Going back home to the community where I grew up as a child, I was shocked to see that most of the rivers we used to swim and fish in have all dried up, and those that are still there have become very shallow so that you can easily walk through a river you required a boat to cross in years past.” These are the words of Samuel Chukwuemeka Obasi, a health worker from …
Investing in the health workforce is vital to tackle climate change: A new report shares insights from over 1,200 on the frontline
Geneva, Switzerland (1 December 2023) – The Geneva Learning Foundation has published a new report titled “On the frontline of climate change and health: A health worker eyewitness report.” The report shares first-hand experiences from over 1,200 health workers in 68 countries who are first responders already battling climate consequences on health. As climate change intensifies health threats, local health professionals may offer one of the most high-impact solutions. Charlotte Mbuh of The Geneva Learning Foundation, said: “Local health workers are trusted advisers to communities. They are first to observe health consequences of climate change, before the global community is able to respond. They can also be first to respond to limit damage to health.” Listen to Charlotte Mbuh’s speech at the COP28 Healthcare Pavilion on 11 December 2023. Read the full speech… “Health workers are already taking action with communities to mitigate and respond to the health effects of climate change, often with …
Ten eyewitness reports from the frontline of climate change and health
The Geneva Learning Foundation (TGLF) has created a platform enabling health workers to describe the impacts of climate change on their local communities. Here are ten of the most striking reports. Published on 30 November 2023 on the Gavi #VaccinesWork blog. Written by Ian Jones for Gavi. In July 2023, more than 1,200 health workers from 68 countries shared their experiences of changes in climate and health at a unique Geneva Learning Foundation event designed to shed light on the realities of climate impacts on the health of the communities they serve. A special TGLF report – On the frontline of climate change and health: A health worker eyewitness report – includes a compendium and analysis of these 1,200 health workers’ observations and insights. Here are ten of the most striking. Samuel Chukwuemeka Obasi, who works for the Ministry of Health in Abuja, Nigeria, has noticed big changes to the …
Before, during, and after COP28: Climate crisis and health, through the eyes of health workers from Africa, Asia, and Latin America
Samuel Chukwuemeka Obasi, a health professional from Nigeria: “Going back home to the community where I grew up as a child, I was shocked to see that most of the rivers we used to swim and fish in have all dried up, and those that are still there have become very shallow so that you can easily walk through a river you required a boat to cross in years past.” In July 2023, more than 1200 health workers from 68 countries shared their experiences of changes in climate and health, at a unique event designed to shed light on the realities of climate impacts on the health of the communities they serve. Before, during and after COP28, we are sharing health workers’ observations and insights. Follow The Geneva Learning Foundation to learn how climate change is affecting health in multiple ways: On 1 December 2023, TGLF will be publishing a …
Learning-based complex work: how to reframe learning and development
The following is excerpted from Watkins, K.E. and Marsick, V.J., 2023. Chapter 4. Learning informally at work: Reframing learning and development. In Rethinking Workplace Learning and Development. Edward Elgar Publishing. This chapter’s final example illustrates the way in which organically arising IIL (informal and incidental learning) is paired with opportunities to build knowledge through a combination of structured education and informal learning by peers working in frequently complex circumstances. Reda Sadki, president of The Geneva Learning Foundation (TGLF), rethought L&D for immunization workers in many roles in low- and middle-income countries (LMICs). Adapting to technology available to participants from the countries that joined this effort, Sadki designed a mix of experiences that broke out of the limits of “training” as it was often designed. He addressed, the inability to scale up to reach large audiences; difficulty to transfer what is learned; inability to accommodate different learners’ starting places; the need …
What learning science underpins peer learning for Global Health?
Watch Reda Sadki’s presentation at the Annual Meeting of the American Society for Tropical Medicine and Hygiene (ASTMH) Symposium on 19 October 2023 Most significant learning that contributes to improved performance takes place outside of formal training. It occurs through informal and incidental forms of learning between peers. Effective use of peer learning requires realizing how much we can learn from each other (peer learning), experiencing the power of defying distance to solve problems together (remote learning), and feeling a growing sense of belonging to a community (social learning), emergent across country borders and health system levels (networked learning). At the ASTMH annual meeting Symposium organized by Julie Jacobson, two TGLF Alumnae, María Monzón from Argentina and Ruth Allotey from Ghana, will be sharing their analyses and reflections of how they turned peer learning into action, results, and impact. In his presentation, Reda Sadki, president of The Geneva Learning Foundation …
What did we learn from the Movement for Immunization Agenda 2030 (IA2030) in its first two years?
At a World Health Organization conference in Panama, The Geneva Learning Foundation is hosting an Innovations Café today. The session’s title is “Connected learning to accelerate local impact at global scale: Year 1 of the Movement for Immunization Agenda 2030 (IA2030)”. What is the Movement for Immunization Agenda 2030 (IA2030)? Immunization Agenda 2030 (IA2030) is the world’s strategy, adopted by the World Health Assembly in 2020, to achieve the global goals for immunization. In March 2022, The Geneva Learning Foundation (TGLF) launched a call to form a movement in support of IA2030. By June 2023, over 16,000 health workers were participating. More than 80% work in districts and health facilities and over half are government workers. 70% work in fragile contexts such as armed conflict, remote areas, urban poverty, and other challenges. This ground-up commitment has the potential to complement the top-down work of the IA2030 global partners, if this …
How do we reframe health performance management within complex adaptive systems?
We need a conceptual framework that situates health performance management within complex adaptive systems. This is a summary of an important paper by Tom Newton-Lewis et al. It describes such a conceptual framework that identifies the factors that determine the appropriate balance between directive and enabling approaches to performance management in a given context. Existing performance management approaches in many low- and middle-income country health systems are largely directive, aiming to control behaviour using targets, performance monitoring, incentives, and answerability to hierarchies. Health systems are complex and adaptive: performance outcomes arise from interactions between many interconnected system actors and their ability to adapt to pressures for change. In my view, this important paper mends an important broken link in theories of change that try to consider learning beyond training. The complex, dynamic, multilevel nature of health systems makes outcomes difficult to control, so directive approaches to performance management need to …