epistemology
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Implementation science for planetary health
Remarks about implementation science for planetary health by Reda Sadki, Executive Director, The Geneva Learning Foundation at the Centre for Planetary Health’s research corner meeting, London School of Hygiene & Tropical Medicine (LSHTM) on December 17, 2025. Pauline Paterson (LSHTM): We are really delighted to welcome Reda Sadki. Reda is the Executive Director of the…
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The crisis in scientific publishing: from AI fraud to epistemic injustice
There is a crisis in scientific publishing. Science is haunted. In early 2024, one major publisher retracted hundreds of scientific papers. Most were not the work of hurried researchers, but of ghosts: digital phantoms generated by artificial intelligence. Featuring nonsensical diagrams and fabricated data, they had sailed through the gates of peer review. This spectre…
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HPV vaccination: New learning and leadership to bridge the gap between planning and implementation
This article is based on my presentation about HPV vaccination at the 2nd National Conference on Adult Immunization and Allied Medicine of the Indian Society for Adult Immunization (ISAI), Science City, Kolkata, on 15 February 2025. The HPV vaccination implementation challenge The global landscape of HPV vaccination and cervical cancer prevention reveals a mix of…
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Knowing-in-action: Bridging the theory-practice divide in global health
The gap between theoretical knowledge and practical implementation remains one of the most persistent challenges in global health. This divide manifests in multiple ways: research that fails to address practitioners’ urgent needs, innovations from the field that never inform formal evidence systems, and capacity building approaches that cannot meet the massive scale of learning required.…
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Critical evidence gaps in the Lancet Countdown on health and climate change
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…
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Strengthening primary health care in a changing climate
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)…
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Anecdote or lived experience: reimagining knowledge for climate-resilient health systems
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…
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Defunking Grunter
Part 1: The Journey Begins Suspended in the swirling galaxies beyond our own, the celestial stage of the Cat’s Eye Nebula shimmered. The nebula was a kaleidoscope of iridescent gases, dazzling cosmic dust, and radiant energy, an ideal sanctuary for the Astral Scholars. Their gathering place, the Obsidian Forum, was a levitating, jet-black platform, as…
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Bite-sized update: higher education in fragile contexts, discovery without analytics, and the epistemology of learning culture
As much as I wish this blog could document my reflections as I read, research, speak, and listen… it cannot. Knowledge is a process, not a product, in this VUCA world we live in. I know that I am doing too much, too fast, to be ale to process everything. Accepting this is part and…
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