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. …

New ways to learn and lead HPV vaccination

AI podcast explores surprising insights from health workers about HPV vaccination

Reda SadkiGlobal health

This is an AI podcast featuring two hosts discussing an article by Reda Sadki titled “New Ways to Learn and Lead HPV Vaccination: Bridging Planning and Implementation Gaps.” The conversational format involves the AI hosts taking turns explaining key points and sharing insights about Sadki’s work on HPV vaccination strategies. While the conversation is AI-generated, everything is based on the published article and insights from the experiences of thousands of health workers participating in Teach to Reach. The Geneva Learning Foundation’s approach Throughout the podcast, the hosts explore how the Geneva Learning Foundation (TGLF) has developed a five-step process to improve HPV vaccination implementation through their “Teach to Reach” program. This process involves: The hosts emphasize that this approach represents a shift from traditional top-down strategies to one that values the collective intelligence of over 16,000 global health workers who implement these programs. Surprising findings The AI hosts discuss several …

Peer learning in immunisation programmes

Peer learning in immunization programmes

Reda SadkiGlobal health

The path to strengthening immunization systems requires innovative technical assistance approaches to learning and capacity building. A recent correspondence in The Lancet proposes peer learning in immunization programmes as a crucial mechanism for achieving the goals of the Immunization Agenda 2030 (IA2030), arguing for “an intentional, well coordinated, fit-for-purpose, data-driven, and government-led immunisation peer-learning plan of action.” This proposal merits careful examination, particularly as immunization programmes face complex challenges in reaching 2030 goals. Learn more: 50 years of the Expanded Programme on Immunization (EPI) Beyond traditional knowledge exchange The Lancet commentary identifies several key rationales for peer learning in immunization. These insights point toward an important truth: traditional approaches to knowledge sharing – whether through technical guidelines, formal training, or policy exchange – remain necessary but increasingly insufficient for today’s challenges. The question becomes not just how to share what we know, but how to systematically generate new knowledge about …

Why answer Teach to Reach Questions-small

Why answer Teach to Reach Questions?

Reda SadkiGlobal health

Have you ever wished you could talk to another health worker who has faced the same challenges as you? Someone who found a way to keep helping people, even when things seemed impossible? That’s exactly the kind of active learning that Teach to Reach Questions make possible. They make peer learning easy for everyone who works for health. What are Teach to Reach Questions? Once you join Teach to Reach (what is it?), you’ll receive questions about real-world challenges that matter to health professionals. How does it work? What’s different about these questions? Unlike typical surveys that just collect data, Teach to Reach Questions are active learning that: See what we give back to the community. Get the English-language collection of Experiences shared from Teach to Reach 10. The new compendium includes over 600 health worker experiences about immunisation, climate change, malaria, NTDs, and digital health. A second collection of …

The pedagogy of Teach to Reach

What is the pedagogy of Teach to Reach?

Reda SadkiGlobal health, Learning strategy, Theory

In a rural health center in Kenya, a community health worker develops an innovative approach to reaching families who have been hesitant about vaccination. Meanwhile, in a Brazilian city, a nurse has gotten everyone involved – including families and communities – onboard to integrate information about HPV vaccination into cervical cancer screening. These valuable insights might once have remained isolated, their potential impact limited to their immediate contexts. But through Teach to Reach – a peer learning platform, network, and community hosted by The Geneva Learning Foundation – these experiences become part of a larger tapestry of knowledge that transforms how health workers learn and adapt their practices worldwide. Since January 2021, the event series has grown to connect over 21,000 health professionals from more than 70 countries, reaching its tenth edition with 21,398 participants in June 2024. Scale matters, but this level of engagement begs the question: how and why does it …

Teach to Reach 10 Experiences shared

Experiences shared at Teach to Reach 10

Reda SadkiGlobal health

Before, during, and after Teach to Reach on 20-21 June 2024, 21,398 health workers across the Global South—from veteran national managers to newly-trained community health workers—shared their unfiltered, frontline experiences of delivering care in an increasingly complex world. Ahead of Teach to Reach 11, The Geneva Learning Foundation has just released the English-language collection of “Experiences shared“. A second collection of experiences shared by French-speaking participants is also available. This remarkable collection captures over 600 experiences that health workers shared, in their own words, offering rare, ground-level perspectives on how global health challenges manifest in communities. Themes and topics explored in this collection: Through questions that probe specific moments rather than seeking generalizations, these accounts detail personal encounters with everything from climate change’s effects on malaria transmission to the challenges of integrating immunization with other health services. Health workers share candid stories of their successes, failures, and innovations: using WhatsApp …

Teach to Reach 11 Call for Partners

Why participate in Teach to Reach?

Reda SadkiGlobal health

In global health, where challenges are as diverse as they are complex, we need new ways for health professionals to connect, learn, and drive change. Imagine a digital space where a nurse from rural Nigeria, a policymaker from India, and a WHO expert can share experiences, learn from each other, and collectively tackle global health challenges. That’s the essence of Teach to Reach. Welcome to Teach to Reach, a peer learning initiative launched in January 2021 by a collection of over 300 health professionals from Africa, Asia, and Latin America as they were getting ready to introduce COVID-19 vaccination. Four years later, the tenth edition of Teach to Reach on 20-21 June 2024 brought together an astounding 21,389 health professionals from over 70 countries. Discussion has expanded beyond immunization to include a range of challenges that matter for the survival and resilience of local communities. What makes this gathering extraordinary …

Brevity’s burden The executive summary trap in global health

Brevity’s burden: The executive summary trap in global health

Reda SadkiGlobal health, Learning strategy

It was James Gleick who noted in his book “Faster: The Acceleration of Just About Everything” the societal shift towards valuing speed over depth: “We have become a quick-reflexed, multitasking, channel-flipping, fast-forwarding species. We don’t completely understand it, and we’re not altogether happy about it.” In global health, there’s a growing tendency to demand ever-shorter summaries of complex information. “Can you condense this into four pages?” “Is there an executive summary?” These requests, while stemming from real time constraints, reveal fundamental misunderstandings about the nature of knowledge and learning. Worse, they contribute to perpetuating existing global health inequities. Here is why – and a few ideas of what we can do about it. We lose more than time in the race to brevity The push for shortened summaries is understandable on the surface. Some clinical researchers, for example, undeniably face increasing time pressures. Many are swamped due to underlying structural issues, …

The Nigeria Immunization Collaborative what happened after just two weeks

The Nigeria Immunization Collaborative: Early learning from a novel sector-wide approach model for zero-dose challenges

Reda SadkiGlobal health

Less than three weeks after its launch, the Nigeria Immunization Collaborative – a partnership between the Geneva Learning Foundation, the National Primary Health Care Development Agency (NPHCDA), and UNICEF – has already connected over 4,000 participants from all 36 states and more than 300 Local Government Areas (LGAs). The Collaborative is part of the Movement for Immunization Agenda 2030 (IA2030). In the Collaborative’s first peer learning exercise that concluded on 6 August 2024, over 600 participants conducted root cause analyses of immunization barriers in their communities. Participants engaged in a two-week intensive process of analyzing immunization challenges, conducting root cause analyses, and developing actionable plans to address these issues. They did this without having to stop their daily work or travel, a key characteristic of The Geneva Learning Foundation’s model to support work-based learning. Watch the General Assembly of the Nigeria Immunization Collaborative on 6 August 2024 What are health workers …

Experience-sharing sessions in the Movement for Immunization Agenda 2030- A novel approach to localize global health collaboration

Experience-sharing sessions in the Movement for Immunization Agenda 2030: A novel approach to localize global health collaboration

Reda SadkiGlobal health

As immunization programs worldwide struggle to recover from pandemic disruptions, the Movement for Immunization Agenda 2030 (IA2030) offers a novel, practitioner-led approach to accelerate progress towards global vaccination goals. From March to June 2022, the Geneva Learning Foundation (TGLF) conducted the first Full Learning Cycle (FLC) of the Movement for IA2030, engaging 6,185 health professionals from low- and middle-income countries. A cornerstone of this programme was a series of 44 experience-sharing sessions held between 7 March and 13 June 2022. These sessions brought together between 20 and 400 practitioners per session to discuss and solve real-world immunization challenges. IA2030 case study 16, by Charlotte Mbuh and François Gasse, offers valuable insights from these experience-sharing session: Download the full case study: IA2030 Case study 16. Continuum from knowledge to performance. The Geneva Learning Foundation. For every challenge shared during the experience sharing sessions, there was always at least one member who …