The funding crisis solution hiding in plain sight

The funding crisis solution hiding in plain sight

Reda SadkiGlobal health

“I did not realize how much I could do with what we already have.” A Nigerian health worker’s revelation captures what may be the most significant breakthrough in global health implementation during the current funding crisis. While organizations worldwide slash programs and lay off staff, a small Swiss non-profit, The Geneva Learning Foundation (TGLF), is demonstrating how to achieve seven times greater likelihood of improved health outcomes while cutting costs by 90 percent. The secret lies not in new technology or additional resources, but in something deceptively simple: health workers learning from and supporting each other. Nigeria: Two weeks to connect thousands, four weeks to change, and six weeks to outcomes On June 26, 2025, representatives from 153 global health and humanitarian organizations gathered for a closed-door briefing seeking proven solutions to implementation challenges they knew all too well. TGLF presented evidence from the Nigeria Immunization Agenda 2030 Collaborative that sounds almost …

When funding shrinks, impact must grow the economic case for peer learning networks-small

When funding shrinks, impact must grow: the economic case for peer learning networks

Reda SadkiGlobal health, The Geneva Learning Foundation

Humanitarian, global health, and development organizations confront an unprecedented crisis. Donor funding is in a downward spiral, while needs intensify across every sector. Organizations face stark choices: reduce programs, cut staff, or fundamentally transform how they deliver results. Traditional capacity building models have become economically unsustainable. Technical assistance, expert-led workshops, international travel, and venue-based training are examples of high-cost, low-volume activities that organizations may no longer be able to afford. Yet the need for learning, coordination, and adaptive capacity has never been greater. The opportunity cost of inaction Organizations that fail to adapt face systematic disadvantage. Traditional approaches cannot survive current funding constraints while maintaining effectiveness. Meanwhile, global challenges intensify: climate change drives new disease patterns; conflict disrupts health systems; demographic transitions strain capacity. These complex, interconnected challenges require adaptive systems that respond at the speed and scale of emerging threats. Organizations continuing expensive, ineffective approaches will face programmatic obsolescence. …

More with less

Global health: learning to do more with less

Reda SadkiGlobal health

In a climate of funding uncertainty, what if the most cost-effective investments in global health weren’t about supplies or infrastructure, but human networks that turn learning into action? In this short review article, we explore how peer learning networks that connect human beings to learn from and support each other can transform health outcomes with minimal resources. The common thread uniting the different themes below reveals a powerful principle for our resource-constrained era: structured peer learning networks consistently deliver outsized impact relative to their cost. Whether connecting health workers battling vaccine hesitancy in rural communities, maintaining essential immunization services during a global pandemic, supporting practitioners helping traumatized Ukrainian children, integrating AI tools ethically, or amplifying women’s voices from the frontlines – each case demonstrates how connecting practitioners across geographical and hierarchical boundaries transforms individual knowledge into collective action. When health systems face funding shortfalls, these examples suggest that investing in …

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 …

What is complex learning

What is complex learning?

Reda SadkiGlobal health

Complex learning happens when people solve real problems instead of just memorizing facts. Think about the difference between reading about how to ride a bicycle and actually learning to ride one. You cannot learn to ride a bicycle just by reading about it – you need to practice, fall, adjust, and try again until your body understands how to balance. Health challenges work the same way. Reading about how to respond to a disease outbreak is very different from actually managing one. Complex learning recognizes this difference. 5 key features of complex learning: Why it matters for health work: Most health challenges are complex problems. Disease outbreaks, vaccination campaigns, and health system improvements all require more than just technical knowledge. They require the ability to: Complex learning builds these abilities by engaging people with real challenges, supporting them as they try solutions, and helping them reflect on what they learn. …

What is networked learning

What is networked learning?

Reda SadkiGlobal health

Networked learning happens when people learn through connections with others facing similar challenges. Think about how market traders learn their business – not through formal classes, but by connecting with other traders, sharing tips, and learning from each other’s experiences. This natural way of learning through relationships is what networked learning tries to support. 5 key features of networked learning: Why networked learning matters for health work: Health systems are full of isolated practitioners who could benefit from each other’s knowledge: Networked learning connects these isolated pockets of knowledge, allowing good ideas to spread and adapt across different contexts. Unlike traditional training that pulls people away from their work for workshops, networked learning happens through ongoing connections that support everyday problem-solving. When health workers participate in networked learning, they gain access to a community of practice that continues to provide support long after formal training ends. Networked learning doesn’t replace …

Artificial intelligence, accountability, and authenticity knowledge production and power in global health crisis

Artificial intelligence, accountability, and authenticity: knowledge production and power in global health crisis

Reda SadkiGlobal health

I know and appreciate Joseph, a Kenyan health leader from Murang’a County, for years of diligent leadership and contributions as a Scholar of The Geneva Learning Foundation (TGLF). Recently, he began submitting AI-generated responses to Teach to Reach Questions that were meant to elicit narratives grounded in his personal experience. Seemingly unrelated to this, OpenAI just announced plans for specialized AI agents—autonomous systems designed to perform complex cognitive tasks—with pricing ranging from $2,000 monthly for a “high-income knowledge worker” equivalent to $20,000 monthly for “PhD-level” research capabilities. This is happening at a time when traditional funding structures in global health, development, and humanitarian response face unprecedented volatility. These developments intersect around fundamental questions of knowledge economics, authenticity, and power in global health contexts. I want to explore three questions: Artificial intelligence within punitive accountability structures of global health For years, Joseph had shared thoughtful, context-rich contributions based on his direct experiences. …

Peer learning through Psychological First Aid: New ways to strengthen support for Ukrainian children

Peer learning for Psychological First Aid: New ways to strengthen support for Ukrainian children

Reda SadkiWriting

This article is based on Reda Sadki’s presentation at the ChildHub “Webinar on Psychological First Aid for Children; Supporting the Most Vulnerable” on 6 March 2025. Learn more about the Certificate peer learning programme on Psychological First Aid (PFA) in support of children affected by the humanitarian crisis in Ukraine. Get insights from professionals who support Ukrainian children. “I understood that if we want to cry, we can cry,” reflected a practitioner in the Certificate peer learning programme on Psychological First Aid (PFA) in support of children affected by the humanitarian crisis in Ukraine – illustrating the kind of personal transformation that complements technical training. During the ChildHub “Webinar on Psychological First Aid for Children; Supporting the Most Vulnerable”, the Geneva Learning Foundation’s Reda Sadki explained how peer learning provides value that traditional training alone cannot deliver. The EU-funded program on Psychological First Aid (PFA) for children demonstrates that practitioners …