Equity matters: A practical approach to identify and eliminate biases

Patterns of prejudice: Connecting the dots helps health workers combat bias worldwide

Reda SadkiGlobal health

English | Français “I noticed that every time he went to appointments or emergency services, he was often met with suspicion or treated as if he was exaggerating his symptoms,” shared a community support worker from Canada, describing how an Indigenous teenager waited three months for mental health services while non-Indigenous youth were seen within weeks. This testimony was just one of hundreds shared during an unusual global gathering where frontline health workers confronted an uncomfortable truth: healthcare systems worldwide are riddled with biases that determine who lives and who dies. “Equity Matters: A Practical Approach to Identify and Eliminate Biases,” a special event hosted by the Geneva Learning Foundation (TGLF) on 10-11 April 2025, drew nearly 5,000 health professionals from 72 countries. What made the event distinctive wasn’t just its scope, but its approach: creating a forum where community health workers from rural Nigeria could share insights alongside WHO …

L’équité, ça compte: Une approche pratique pour identifier et éliminer les biais

L’équité compte: quand les soignants du monde entier témoignent des inégalités en santé

Reda SadkiGlobal health

English | Français GENÈVE, le 11 avril 2025 – Une initiative internationale inédite a rassemblé près de 5000 professionnels de santé pour partager leurs expériences face aux discriminations dans l’accès aux soins « Un enfant est mort parce que sa famille ne pouvait pas déposer 500 000 nairas [environ 300 francs suisses] avant le début des soins. Le père avait pourtant supplié qu’on s’occupe de l’enfant, proposant 100 000 nairas et promettant de vendre son bétail pour payer le reste. » Ce récit glaçant d’un professionnel de santé nigérian illustre la dure réalité des inégalités d’accès aux soins dont de nombreux témoignages ont été partagés lors d’un événement international consacré à l’équité en santé. Le 11 avril dernier, la Fondation Apprendre Genève a créé un espace de dialogue sans précédent, rassemblant près de 5 000 professionnels de la santé de 72 pays, dont 1 830 francophones. Intitulé « L’équité compte: …

Chilling effect

Chilling effect

Reda SadkiGlobal health

We reached out to senior decision makers working in global health about the new Certificate peer learning programme for equity in research and practice. Crickets. One CEO wrote: “We aren’t currently in a position to enter into new strategic partnerships on the topic.” The chilling effect is real. Many organizations are retreating from publicly championing equity work—even those with deep commitments to fairness and inclusion. But here’s the opportunity: While public discourse faces headwinds, meaningful work continues through trusted networks and communities of practice. This is precisely when innovation in equity approaches accelerates—away from the spotlight but with profound impact. The evidence is clear: health systems that neglect equity waste resources and deliver poorer outcomes. When research excludes key populations or policies overlook certain communities, we all lose—through inefficiency, increased costs, and diminished impact. This moment calls for courage from those who understand that equity is fundamental to effective health …

WHO Director-General says Immunization Agenda 2030 off-track

Widening inequities: Immunization Agenda 2030 remains “off-track”

Reda SadkiGlobal health

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). …