implementation science
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How can governments protect and promote mental health and well-being across sectors?
For decades, global health policy has approached mental illness primarily as a clinical challenge, a condition to be managed within the walls of hospitals and clinics by medical professionals. This biomedical focus, while essential, has often obscured the broader context in which mental health is shaped. A new publication from the World Health Organization, Guidance on…
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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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How can we reliably spread evidence-based practices at the speed and scale modern health challenges demand?
At a symposium of the American Society for Tropical Medicine and Hygiene (ASTMH) Annual Meeting, I explored how peer learning could help us tackle five critical challenges that limit effectiveness in global health. For epidemiologists working on implementation science, peer learning provides a new path for solving one of global health’s most persistent challenges: how…
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