health systems
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Lessons in resilience: what health workers in Africa, Asia, and Latin America know and do in response to worsening climate change impacts on their communities
Between July 2023 and June 2026, a nascent global community of health and humanitarian workers connected to learn from and support each other. Working with The Geneva Learning Foundation (TGLF), they built something that does not yet have a settled name in global health: a way to treat the observations of community-based health workers as…
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Global health architecture: what are we missing?
The 79th World Health Assembly launched a formal process to reform the architecture that governs global health. The design of that process — who sits in the room, what questions it is permitted to ask, whose knowledge it is built to receive — will determine whether reform produces structural change or a more sophisticated version…
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Why guidelines fail: on consequences of the false dichotomy between global and local knowledge in health systems
Global health continues to grapple with a persistent tension between standardized, evidence-based interventions developed by international experts and the contextual, experiential local knowledge held by local health workers. This dichotomy – between global expertise and local knowledge – has become increasingly problematic as health systems face unprecedented complexity in addressing challenges from climate change to…
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