Community-based monitoring for immunization

Integrating community-based monitoring (CBM) into a comprehensive learning-to-action model

Reda SadkiGlobal health

According to Gavi, “community-based monitoring” or “CBM” is a process where service users collect data on various aspects of health service provision to monitor program implementation, identify gaps, and collaboratively develop solutions with providers. By engaging service users, CBM aims to foster greater accountability and responsiveness to local needs. The Geneva Learning Foundation’s innovative learning-to-action model offers a compelling framework within which CBM could be applied to immunization challenges. The model’s comprehensive design creates an enabling environment for effectively integrating diverse monitoring data sources – and this could include community perspectives. Health workers as trusted community advisers… and members of the community A distinctive feature of TGLF’s model is its emphasis on health workers’ role as trusted advisors to the communities they serve. The model recognizes that local health staff are not merely service providers, but often deeply embedded community members with intimate knowledge of local realities. For example, in …

Heini Utenen OpenWHO confusion about methods and learner preferences

Why asking learners what they want is a recipe for confusion

Reda SadkiGlobal health, Theory

A survey of learners on a large, authoritative global health learning platform has me pondering once again the perils of relying too heavily on learner preferences when designing educational experiences. One survey question intended to ask learners for their preferred learning method. The list of options provided includes a range of items. (Some would make the point that the list conflates learning resources and learning methods, but let us leave that aside for now.) Respondents’ top choices (source) were videos, slides, and downloadable documents. At first glance, this seems perfectly reasonable. After all, should we not give learners what they want? As it happens, the main resources offered by this platform are videos, slides, and other downloadable documents. (If we asked learners who participate in our peer learning programmes for their preference, they would likely say that they prefer… peer learning.) Beyond this availability bias, there is a more significant …

Learn health, but beware of the behaviorist trap

Reda SadkiGlobal health, Theory

The global health community has long grappled with the challenge of providing effective, scalable training to health workers, particularly in resource-constrained settings. In recent years, digital learning platforms have emerged as a potential solution, promising to deliver accessible, engaging, and impactful training at scale. Imagine a digital platform intended to train health workers at scale. Their theory of change rests on a few key assumptions: On the surface, this seems sensible. Mobile optimization recognizes health workers’ technological realities. Multimedia content seems more engaging than pure text. Assessments appear to verify learning. Incentives promise to drive uptake. Scale feels synonymous with success. While well-intentioned, such a platform risks falling into the trap of a behaviorist learning agenda. This is an approach that, despite its prevalence, is a pedagogical dead-end with limited potential for driving meaningful, sustained improvements in health worker performance and health outcomes. It is a paradigm that views learners …

Why health leaders who are critical thinkers choose rote learning for others-small

Why health leaders who are critical thinkers choose rote learning for others

Reda SadkiGlobal health

Many health leaders are highly analytical, adaptive learners who thrive on solving complex problems in dynamic, real-world contexts. Their expertise is grounded in years of field experience, where they have honed their ability to rapidly generate insights, test ideas, and innovate solutions in collaboration with diverse stakeholders. In January 2021, as countries were beginning to introduce new COVID-19 vaccines, Kate O’Brien, who leads WHO’s immunization efforts, connected global learning to local action: “For COVID-19 vaccines […] there are just too many lessons that are being learned, especially according to different vaccine platforms, different communities of prioritization that need to be vaccinated. So [everyone]  has got to be able to scale, has got to be able to deal with complexity, has got to be able to do personal, local innovation to actually overcome the challenges.” In an Insights Live session with the Geneva Learning Foundation in 2022, she made a compelling …

Self-Regulated Learning: Beliefs, Techniques, and Illusions

8 things we know about learning across the lifespan in a complex world

Reda SadkiTheory

The work by Robert A. Bjork and his colleagues is very helpful to make sense of the limitations of learners’ perceptions. Here are 8 summary points from their paper about self-regulated learning. Source: Bjork, R.A., Dunlosky, J., Kornell, N., 2013. Self-Regulated Learning: Beliefs, Techniques, and Illusions. Annu. Rev. Psychol. 64, 417–444. https://doi.org/10.1146/annurev-psych-113011-143823

Credible knowers

Credible knowers

Reda SadkiGlobal health, The Geneva Learning Foundation, Thinking aloud

“Some individuals are acknowledged as credible knowers within global health, while the knowledge held by others may be given less credibility.” – (Himani Bhakuni and Seye Abimbola in The Lancet, 2021) “Immunization Agenda 2030” or “IA2030” is a strategy that was unanimously adopted at the World Health Assembly in 2020. The global community that funds and supports vaccination globally is now exploring what it needs to do differently to transform the Agenda’s goal of saving 50 million lives by the end of the decade into reality. Last year, over 10,000 national and sub-national health staff from 99 countries pledged to achieve this goal when they joined the Geneva Learning Foundation’s first IA2030 learning and action research programme. Discover what we learned in Year 1… Learn more about the Foundation’s platform and network… What is the Movement for Immunization Agenda 2030 (IA2030)? In global health, personal experience is assumed to be anecdotal, the …

Learning for knowledge creation WHO Scholar programme

Learning for Knowledge Creation: The WHO Scholar Program

Reda SadkiGlobal health, Learning strategy, Scholar Approach

Excerpted from: Victoria J. Marsick, Rachel Fichter, Karen E. Watkins, 2022. From Work-based Learning to Learning-based Work: Exploring the Changing Relationship between Learning and Work, in: The SAGE Handbook of Learning and Work. SAGE Publications. Reda Sadki of The Geneva Learning Foundation (TGLF), working with Jhilmil Bahl from the World Health Organization (WHO) and funding from the Bill and Melinda Gates Foundation, developed an extraordinary approach to blending work and learning. The program started as a series of digitally offered courses for immunization personnel working in various countries, connecting in-country central planners, frontline workers, and global actors. The program was designed to address five common problems in training (Sadki, 2018): the inability to scale up to reach large audiences; the difficulty in transferring what is learned; the inability to accommodate different learners’ starting places; the need to teach learners to solve complex problems; and the inability to develop sufficient expertise …

Read the news (Georgie Pauwels/flickr.com)

Publishing as learning

Reda SadkiLearning strategy

We are both consumers and producers of publications, whether in print or online. Publications are static containers for knowledge from the pre-Internet era. Even if they are now mostly digital, the ways in which we think about them remains tied to the past. Nevertheless, at their best, they provide a useful reference point, baseline, or benchmark to establish a high-quality standard that is easy, cheap and effective to disseminate. In the worst, they take so much time to prepare that they are out of date even before they are ready for circulation, reflect consensus that is so watered-down as to be unusable, and are expensive – especially when printed copies are needed – to produce, disseminate, stock and revise. With respect to the knowledge we consume, some of us may heretically scorn formal guidelines and other publications. Reading as an activity “remains a challenge”. Others manage to set aside time to …

Empty (schnaars/flickr.com)

Why we secretly hate webinars

Reda SadkiLearning strategy

Webinars reproduce the structure and format of the formal training workshop in an online space. The sole positive distinction for participants is that they may now participate from anywhere. However, to ask questions or otherwise contribute requires one to be present at a specific time (synchronously). Recordings of webinars are usually made available, so in theory we may catch up after the event but lose the ability to connect to others… and seldom actually do. If there wasn’t time (or justification) when it happened, that is unlikely to change later. Like the face-to-face workshops they emulate, webinars require us to stop work in order to learn, which we can seldom afford or justify. They are mostly transmissive, as the available tools (Webex, for example) do not facilitate conversation. By default, most facilitators will mute everyone in a conference to avoid an unintelligible cacophony of multiple squawking voices. Despite the existence …

Doc Porter Museum of Telephone History, Houston Texas, USA (Texas.713/flickr.com)

Why supposedly boring conference calls are actually amazing

Reda SadkiLearning strategy

Where phone and Skype remain the gold standard for one-to-one communication (and learning), many of us find value in conference calls, irrespective of the technology (phone, Skype, Webex, Hangouts…) used. Conference calls may seem as unimpressive or mundane as that other piece of paradigm-changing learning technology, the whiteboard – but that’s the point. They are learning technology that is already embedded into the fabric of work, and directly contribute to informal and incidental learning across time and geography. The pedagogical affordances of conference calls include structure, transparency, dialogue, and accountability. Photo: Doc Porter Museum of Telephone History,  Houston Texas, USA (Texas.713/flickr.com)