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