Stories

Tag: World Health Assembly

  • How will we turn a climate change and health resolution at the World Health Assembly into local action?

    How will we turn a climate change and health resolution at the World Health Assembly into local action?

    This video was prepared by the World Health Organization with voices of health workers speaking at the Special Event “From community to planet” hosted by The Geneva Learning Foundation.

    The Geneva Learning Foundation (TGLF) has developed a new model that could help address the urgent challenge of climate change impacts on health by empowering and connecting health workers who serve communities on the receiving end of those impacts.

    This model leverages TGLF’s track record of facilitating large-scale peer learning networks to generate locally-grounded evidence, elevate community voices, and drive policy change.

    A key strength of TGLF’s approach is its ability to rapidly connect diverse networks of health workers across geographic and health system boundaries.

    For example, in March 2020, with support from the Bill and Melinda Gates Foundation, TGLF worked with a group of 600 of its alumni – primarily government staff working in local communities of Africa, Asia, and Latin America – to develop the Ideas Engine.

    Within two weeks, the Ideas Engine had connected over 6,000 immunization staff from 90 countries to share strategies for maintaining essential services during the COVID-19 pandemic.

    Within just 10 days, participants contributed 1,235 ideas and practices.

    They then developed and implemented recovery plans, learning from and supporting each other. 

    Within three months, over a third of participants reported successfully implementing their plans, informed by these crowdsourced insights.

    This illustrates how peer learning – a tenet of TGLF’s model – can facilitate and accelerate problem-solving.

    The Ideas Engine became a core component of TGLF’s model for turning knowledge into action, results, and impact.

    TGLF has also demonstrated the model’s effectiveness in informing global health policy initiatives.

    Working with the Wellcome Trust, TGLF mobilized – in the first year – over 8,000 health professionals from 99 low- and middle-income countries to take ownership of the goals of the Immunization Agenda 2030 (IA2030) strategy.

    This participatory approach generated over 500,000 data points in just four months, providing IA2030 stakeholders with valuable, contextually-grounded evidence to inform decision-making.

    Fostering a culture of continuous learning and adaptation among health workers lays the groundwork for a more resilient, equitable, and sustainable approach to global health in the face of accelerating climate change.

    Applying this model to the climate and health nexus, TGLF supported 4,700 health workers from 68 countries in 2023 to share observations of changes in climate and health in the communities they serve.

    Over 1,200 observations highlighted the diverse and severe consequences already being experienced.

    See what we learned: Investing in the health workforce is vital to tackle climate change: A new report shares insights from over 1,200 on the frontline

    This demonstrates the feasibility of rapidly generating a new kind of evidence base on local climate-health realities.

    Furthermore, if we assume that each health worker could reduce the climate-related health burden for those they serve by a modest five percent, a million health workers connected to and learning from each other could make a significant dent in climate-attributable disease and death. 

    This illustrates the model’s potential to achieve population-level impact, beyond sharing knowledge and strengthening capacity.

    At Teach to Reach 10 on 20-21 June 2024, over 20,000 health workers will be sharing experience of their responses to the impacts of climate change on health. Learn more…

    It is important to note that TGLF’s approach differs from models that work through health professional associations in several key ways.

    First, it directly engages health workers across all levels of the health system, not just those in leadership positions.

    Second, it focuses on peer learning and locally-led action, rather than top-down dissemination of information.

    Third, it leverages digital technologies to connect health workers across geographies and hierarchies, enabling rapid exchange of insights and innovations at the point of need.

    Finally, it embeds participatory and citizen science methods to ensure solutions are grounded in community needs and that everyone can contribute to climate and health science.

    TGLF’s model offers a complementary pathway to address current global priorities of generating novel evidence on climate-health impacts in ways that are directly relevant and useful to communities facing them.

    This model can help fill critical evidence gaps, identify locally-adapted solutions, and build momentum for transformative change.

    TGLF’s track record in mobilizing collective intelligence to drive impact in global health crises suggest transferability to the climate and health agenda.

    As the world grapples with the accelerating health threats posed by climate change, investing in health workers as agents of resilience has never been more urgent or important.

  • 4 rules for the digital transformation of partnerships

    4 rules for the digital transformation of partnerships

    This is a recorded version of my presentation, followed by Catherine Russ‘s report on a session that I presented and facilitated at the Remote partnering workshop held on 23-26 January 2017 in Caernarfon, Wales.

    Here is what Catherine Russ wrote in the workshop’s Report on Technology and Learning.

    In this session we delved into the reality that partnerships often become remote because those involved can no longer afford to meet together physically. Increasingly, collaboration, dialogue, and feedback are simply assumed to take place from a distance. What do we lose – and is there anything to gain – when the rules have changed:

    1. Sharing physical space is no longer a necessary condition to partnering.
    2. Sharing physical space is increasingly a medium in which we can no longer afford to develop partnerships.
    3. The value of shared physical space is primarily cultural, a rapid way to accrue social capital that underpins social relations.
    4. What we are enabled to do from a distance using technology is changing rapidly – more rapidly than what we can do in a shared physical space – leaving us confused, and perhaps even fearful, of what this change means for the quality or even the future of our partnerships.

    In addressing the use of technology at the Remote Partnering Project Design Lab, the irony did not escape us that sixteen or so of us were sitting face-to-face. The plan had been to bring some participants in from other continents on a remote basis to input as and when possible, but several factors prevented this from happening. Experience and advice has suggested in the past that combining remote and face-to-face can often cause more problems than opting for one or the other and this experience seemed to confirm that advice.

    Reda Sadki, who leads a partnership that is tackling such questions to improve digital learning, was invited to facilitate a session to explore the current challenges being experienced by those working remotely and uncover some of the emerging solutions. The idea that working remotely is a ‘second cousin’ to and ‘second best’ option to face-to-face had already been challenged and (somewhat) deflated in previous sessions and therefore this session focussed on how to leverage the new economy of effort that technology allows for working remotely as outlined in the following affordances (literally and figuratively what we can ‘afford’ to do).

    So, rather than addressing technology from the perspective of trying to replicate what partners produce when face-to-face and addressing the shortfalls of these, Reda proposed that participants think through how their partnering work is already being transformed by digital technologies. Could partners – who mostly seem to experience remote working as a constraint – leverage this transformation to resolve dilemmas inherent in such common partnership challenges as:

    • Moving from strategy to implementation
    • Putting reporting practice to use
    • Documenting experience (e.g. case studies) o Fostering collaboration across silos
    • Bringing static knowledge to life (e.g. making global guidelines relevant and useful to communities)

    In fact, Reda provided practical examples of an emerging approach (known as the “Scholar Approach”) that aims to connect partners, from centre to periphery, to strengthen networks through peer-to-peer collaboration:

    • The Norwegian Red Cross mobilized a global community of action, convening over 800 pre- hospital emergency workers from 70 countries to co-develop over 70 case studies of violence and risk in four weeks.
    • The World Health Organization connected public health officers from 30 countries to develop country-specific action plans based on new global guidelines for routine immunization.
    • The Geneva Learning Foundation mobilized over 900 participants from over 100 countries to jointly develop 94 new digital learning initiatives – effectively showing how this approach could be replicated and democratized.

    In Reda’s words: “This collaborative, flexible, motivating, participatory and supportive approach is not simply a nicer, kinder and gentler form of learning: Its pedagogical patterns closely emulate the core competencies of 21st century humanitarian workers, who are expected to be able to manage complex, overlapping knowledge flows, to work in networked configurations (rather than command- and-control structures) and to use participatory methodologies to partner with affected populations.”

    You can learn more about the Remote Partnering Project on its web site.

    Image: Dawn in Trigonos, Snowdonia National Park, Caernarfon, Wales (personal collection).