Tag: immunization

  • Learning-based complex work: how to reframe learning and development

    Learning-based complex work: how to reframe learning and development

    The following is excerpted from Watkins, K.E. and Marsick, V.J., 2023. Chapter 4. Learning informally at work: Reframing learning and development. In Rethinking Workplace Learning and Development. Edward Elgar Publishing.

    This chapter’s final example illustrates the way in which organically arising IIL (informal and incidental learning) is paired with opportunities to build knowledge through a combination of structured education and informal learning by peers working in frequently complex circumstances.

    Reda Sadki, president of The Geneva Learning Foundation (TGLF), rethought learning and development (L&D) for immunization workers in many roles in low- and middle-income countries (LMICs).

    Adapting to technology available to participants from the countries that joined this effort, Sadki designed a mix of experiences that broke out of the limits of “training” as it was often designed by conventional learning and development practitioners.

    He addressed, the inability to scale up to reach large audiences; difficulty to transfer what is learned; inability to accommodate different learners’ starting places; the need to teach learners to solve complex problems; and the inability to develop sufficient expertise in a timely way. (Marsick et al., 2021, p. 15)

    This led his organization, to invite front-line staff from all levels of immunization systems in low- and middle-income countries (LMICs) to create and share new learning in response to the social and behavioral challenges they faced.

    Sadki designed learning and development for “in-depth engagement on priority topics,” insights into “the raw, unfiltered perspectives of frontline staff,” and peer dialogue that “gives a voice to front-line workers” (The Geneva Learning Foundation, 2022).

    Reda started with an e-learning course, which he supplemented by interactive, community building, and knowledge creation features offered by Scholar, a learning platform developed by Bill Cope and Mary Kalantzis (Marsick et al., 2021, pp. 185-186).

    Scholar’s learning analytics enabled him to tailor learning to learner preferences and to continually check outcomes and adjust next steps.

    See Figure 4.3, which lays out the full learning cycle, a combination of interventions that Reda assembled over time to support peer learning-based work—“work that privileges learning in order to build individual and organizational capacity to better address emergent challenges or opportunities” (Marsick et al., 2021, p.177).

    Figure 4.3 The TGLF full learning cycle

    In his initiative, over a period of 12-18 months, participants develop and implement projects related to local immunization initiatives.

    To date, participants have come from 120 countries.

    In this vignette, Reda Sadki reflects on how this new model for learning and development evolved over time, and how L&D is transformed in a connected, networked learning environment.

    My reframe of learning and development started when I wrote to Bill Cope and Mary Kalantzis, respectively professor and dean of the University of Illinois College of Education, after I was appointed Senior Officer for Learning Systems at the International Federation of Red Cross and Red Crescent Societies (IFRC). I shared my strategy for the organization of facilitation, learning, and sharing of knowledge. I thought my strategy was brilliant. (At the time, I was already thinking that this was about more than learning and development…)

    They replied that these were interesting ideas, but I was missing the point because this is not learning. What I shared focused on publishing knowledge in different ways, but not on creation of knowledge as key to the learning process.

    That was a shock to me.

    So, the first realization about the limits of current thinking about learning and development came from Bill and Mary challenging me by saying: “What are people actually getting to do? You know, that’s where the learning is likely to happen.”

    I could see they had a point, but I didn’t know what it meant.

    I reflected on recent work I had done for the IFRC, where I was responsible for a pipeline of 80 or so e-learning modules.

    These information transmission modules were extremely limited, had very little impact.

    But there is a paradox, which is that people across the Red Cross who we were trying to reach were really excited and enthusiastic about them.

    I had not designed these modules.

    It was 500 screens of information with quizzes at the end.

    It violated every principle of learning design.

    And yet people loved it and were really proud to have completed it.

    The second realization was that what made people excited using the most boring format and medium was that this was the first time in their life that they were connecting in a digital space with something that spoke to their IFRC experience.

    So, the driver was learning.

    People come to the Red Cross and Red Crescent because they want to learn first aid skills, to prepare for a disaster, or to recover from one.

    Previously, that was an entirely brick-and-mortar experience.

    You have Red Cross branches pretty much everywhere in the world.

    It’s a very powerful social peer learning experience.

    The trainer teaching you is likely to be someone like you from your community.

    You meet people with like-minded values.

    And so, however inadequate, the digital parallel to that existed, and it helped people connect with their Red Cross culture, but in a digital space.

    With that insight, the learning platform became the fastest-growing digital system in the entire Red Cross Red Crescent Movement.

    The third insight was reading what George Siemens was writing in 2006.

    That was the connection of learning and development to complexity and networks.

    I read Marsick and Watkins in the ’80s and ’90s. Informal and incidental learning mattered then. Its significance would explode with the digital transformation.

    In my mind , that is what Siemens tapped into in the 2000s, through the lenses of digital network, complexity, and systems theory.

    The Internet leads to a different kind of thinking and doing.

    His theory of learning, connectivism, grew out of that difference.

    January of 2011, Ivy League universities began to publish massive open online courses (MOOCs), three years after George Siemens and his Canadian colleagues had coined the term while implementing connectivism.

    Stanford professors had 150,000 people in their artificial intelligence MOOC, alongside 400 people who took the same course on the Stanford campus.

    I began experimenting with MOOCs at that time, turning a lecture series into a networked learning experience led by peers.

    Learning at scale is an important part of problem-solving complex challenges.

    It is also important for peer learning and innovation: the greater the scale, the greater the diversity of inputs that we can use to support each other’s learning.

    Nine years later, at the Geneva Learning Foundation, we had digital scaffolding or learning infrastructure already in place.

    That helped us to rapidly support learning and action by health workers facing the consequences of the COVID-19 pandemic.

    I had been working, since 2016, with the World Health Organization, to help country-based immunization staff translate global guidelines, norms, and standards into practice.

    The COVID-19 Scholar Peer Hub became a digital network hosted by The Geneva Learning Foundation (TGLF) and developed with over 600 health worker alumni from all over the world.

    We began to understand not only learning at scale, but also design at scale.

    The Peer Hub launched in July 2020 and connected over 6,000 health professionals from 86 countries to contribute to strengthening skills and supporting implementation of country COVID-19 plans of action for vaccination, and to recover from the damage wrought by the pandemic.

    Our network, platform, and community tripled in size, in less than six months.

    Using social network analysis (SNA), Sasha Poquet explored the value of such a learning environment, one that builds a community of learning professionals, and that has ongoing activities to maintain the community both short- and long term, where you educate through various initiatives rather than create individual communities for each independent offering.

    It’s a holistic system of systems, in which everything is connected to everything, and every component is like a fractal embedded in the other components.

    This is not an abstract concept. We have found ways to actually implement this, in practical ways, with startling outcomes.

    That’s where we have moved in rethinking learning and development.

    You help people learn by connecting to each other, and by understanding the informal, incidental nature of learning.

    Figure 4.1 Marsick and Watkins' informal and incidental learning model

    A colleague commented that in today’s world, you’re better of talking about digital networks than you are about communities of practice.

    Yet these are two competing frameworks that collide, contradict, and are superimposed on top of each other.

    Both are helpful at specific times.

    In general, you can recognize the tensions and say: “Well, let’s put each one in front of the problem. Let’s see what we gain by applying each. Let’s reconcile in situ what the contradictory things are that we learn through these different lenses and then make decisions and figure out what the design elements look like.”

    What does it give to hold these notions of community and network in creative tension with one another?

    It depends on the context.

    It’s kind of like a fruit salad where you mix all these fruits together and the juice you get at the bottom of the bowl tends to be really delicious. That’s the best case.

    The flip side can be confusion.

    Some categories of learners just feel completely overwhelmed by being presented with multiple ways of doing something, having to make their own decisions in ways they’re simply not used to, being given too many choices or being put in contexts that are too ambiguous for there to be an easy resolution.

    But if you think about the skills we need in a digital age—for navigating the unknown, accepting uncertainty, making decisions, that ability to look around the corner—we try to convey the message to people who are uncomfortable that if they don’t figure out how to overcome their discomfort, they’re probably going to struggle and not be ready to function in the age in which we live.

    Evolution of a new model for learning and development

    Looking back to early 2020, Reda described important insights from an early pre-course symposium offering lived experiences shared by course applicants combined with video archives drawn from prior conferences sponsored by the Bill & Melinda Gates Foundation.

    Reda packaged selected recorded talks in a daily sequence, and interspersed it with networking discussions and sharing of experiences of immunization training by field-based practitioners.

    For many, it was the first time they could go online and discover the experience of a peer, who could be from anywhere in the world.

    It was a process of discovery – realizing you can literally and figuratively connect across distance with people who are like yourself.

    We were able to create a conference-like experience, a metaphor that’s familiar to many—the combination of presentation and conversation and shared experience – by basically Scotch-taping together some older videos and editing a few stories from the real world.

    Now, it was part of an overall process over several years that got us to that point—where we had formed a community, a digital community that was mature enough, that was sophisticated enough, to overcome the barriers they were facing and participate.

    But still, it showed it could be done.

    We began to try out our new ideas and practices.

    In the first Teach to Reach Conference in January 2021, we designed with an organizing committee composed of over 500 alumni, we set up opportunities for people to pair of and talk to one another about their field experiences with vaccination.

    Peer learning mattered more than ever, because participants were immunization staff getting ready to introduce new COVID-19 vaccines in developing countries.

    There were no established norms and standards for how to do this.

    The conference offered some 56 workshops and other formal sessions, plenaries, and interviews.

    However, we discovered that the most meaningful learning was through some 14,000 networking meetings, where you pressed a button and you were randomly matched with someone else at the conference.

    That gave birth to a quarterly event dedicated entirely to such networking, which has continued to grow and thrive since.

    People now join group sessions where you listen to peers sharing their insights and experiences of vaccine hesitancy or other topics, and then you go off and network in one-to-one, private meetings and share your own experience, nourished by what happened in that group session; and also continue your learning in that very intimate way that you get through individual conversation that you don’t get in the anonymization of the Zoom rectangles.

    Dialogue is great, but we are most interested in action that leads to results.

    In every formal course, learners design a project around a real problem that they face, and use multiple learning resources to support learning in the context of that project.

    An evaluation showed that people were already implementing projects and doing things with what they had learned.

    How could we scaffold not just learning but actual project implementation?

    In order to catalyze action, we added a number of components in a sequence, a deliberate pedagogical pattern designed on the basis of evidence from learning science combined with empirical evidence from our practice.

    First, the Ideas Engine, where people share ideas and practices, and give and receive feedback on them.

    That’s followed by situation analysis really getting to the root cause of the problem they’re facing. We just ask learners to ask “why” fives times. Half of learners found a root cause different from the one they had initially diagnosed.

    And third, then, is action planning to clarify: What’s your goal? What are three corrective actions you’re going to take? How will you know that you have achieved your goal?

    These are classic, conventional action planning questions.

    The difference is the networked, peer learning model. It’s described by some learners as a “superpower”. Defying distance and many other boundaries, each person can tap into collective intelligence to accelerate their progress.

    It has taken years to bring together the right components, in the right sequence, to encourage reflective practice, develop analytical competencies, higher-order learning… but in ways that link every step of thinking to doing, and where the end game is about improved health outcomes, not just learning outcomes.

    That led us ultimately to the Impact Accelerator—that doesn’t have an end point.

    It starts with four weeks of goal setting, focused on continuous quality improvement.

    People initially declare very ambitious goals like, “By the end of the month I will have improved immunization coverage.” This is too broad to be useful, and seldom can be achieved within a month.

    We help them set specific goals. For example: “By the end of the month, I will have presented the project to my boss and secured some funding”— and even that may be quite ambitious.

    We help people figure out for themselves what they can actually do within the constraints they have.

    Unlike “Grand Challenges” or other innovation tournaments, you don’t have a competitive element, you don’t have a financial incentive, and it still works.

    The heart and soul of it is intrinsic motivation.

    After these steps there’s ongoing longitudinal reporting.

    Peer learning provides a new kind of accountability, as colleagues challenge each other to do better – and also to present credible results.

    Basically, we’ll call you back and ask, what happened to that project you were doing? Did you finish it? Did you get stuck? if so, why? What evidence do you have that it’s made a difference? You share that with us and if you have good news to share, we’ll probably invite you to an inspirational event for the next cycle.

    Challenges in inventing a new learning model

    If you look at this from the point of view of the learner, the first point of contact is social.

    It’s somebody they know who’s going to share with them on WhatsApp the invitation to join the program.

    Second are steps that test motivation and commitment because they could be seen as barriers to entry, for example, a long questionnaire for the current full learning cycle.

    To join the cycle, 6,185 people in the first two weeks took the time to answer 95 questions, generating over half a million data points and insights.

    About 40% of people who start the questionnaire finish it, and then start receiving instructions in a flow of emails, to prepare for the next steps.

    We could have reduced the number of questions, lowering the barrier to entry.

    But then entry would be far less meaningful.

    Learning needs to mean something.

    Universities substitute meaning through assessment, credentialing, and accreditation.

    We start with didactic steps, combined with some inspirational messages, e.g., asking them to reflect on why they are committed to the program, or how they are going to organize their time.

    We don’t know what the program design will look like until we’ve collected the applications and analyzed what people share about their biggest challenges because it’s all challenge-based.

    For example, we may think there is a problem due to vaccine hesitancy. We may be right: vaccine hesitancy is frequently given as a significant challenge. But there may be some things that surprise us.

    And so, we adapt every part of the design, and we keep doing that every day throughout the program, so there’s no disconnect between the design and the implementation.

    The design is the content.

    The first thing may be an inspirational event to connect with their intrinsic motivation, which we then tap into throughout the cycle.

    In June 2022, for example, we had an event for the network that completed the first part of the full learning cycle.

    We challenged people to share photos, showing them in the field, doing their daily work during World Immunization Week.

    We received over 1,000 photos in about two weeks.

    We organized a community event. It was a slide show: showing photos with music, reading the names of those who had contributed, inviting them to comment each other’s photos.

    A big chunk of what we do addresses the affective domain of learning that is critical to complex problem-solving and usually incredibly hard to get to.

    And what we saw were people in the room having those moments of coming to consciousness, realizing their problems are shared, and feeling stronger because of it.

    It was online, but you could feel the emotion. Something very powerful that we do not quite know how to describe, measure, or evaluate.

    People love peer learning in principle but still are wary.

    They might wonder how they can trust what their peer says: What’s the proof I can rely on them? What happens if they let me down? How do I feel if I don’t own up to the expectations? What if I’m peer-reviewing the work of somebody who’s far more experienced than I am, or conversely, if I read somebody’s work and judge they didn’t have the time or make the effort to do something good?

    We use didactic constraints to scaffold spaces of possibility: If your project is due by Friday, we announce that there will be no extension. By contrast, the choice of project is yours.

    We’re not going to tell you what your challenge is in your remote village, so you define it. We will challenge you to put yourself to the test, to demonstrate that this is actually your toughest challenge.

    Or to demonstrate that what you think is the cause is the actual root cause.

    And then we’ll have a support system that has about 20 different ways in which people can not only receive support, but also give it to others.

    For the technical support sessions, for example, we’ll say there are two reasons for joining. Either you have a technical issue you want to solve; or you’re doing so well, you have a little bit of time to give to help your colleagues. 

    This is just one example of how we encourage connections between peers.

    It took us years to find the right way to formulate the dialectic between those who are doing well, and those who are not. Are they really peers?

    Over time, we gained confidence in peer learning after we adopted it.

    We had a particularly challenging course that led to a breakthrough.

    We had prior experiences with learners who wanted an expert to tell them if their assignment was good or not.

    Getting people to trust peer learning forced us to think through how we articulate the value of peer learning.

    How do we help people understand that the limitations are there, but that they do not limit the learning?

    An assumption in global health is that, in order to teach, you need technical expertise.

    So if you are a technical expert, it is assumed that you can teach what you know.

    We consider subject matter expertise, but if you are an expert and come to our event, you’re actually asked to listen, as a guide on the side rather than a sage on the stage.

    You do not get to make a presentation, at least not until learners have experienced the power of peer leraning.

    You listen to what people are sharing about their experiences.

    Then, you have a really important role, that is to respond to what you’ve heard and demonstrate that your expertise is relevant and helpful to people who are facing these challenges.

    That has sometimes led to opposition when experts realize to what extent we flipped the prevailing model around.

    Some people really embrace it.

    Others get really scared.

    One of the most recent shifts we have made is that we stopped talking about courses.

    Courses are a very useful metaphor, but we are now talking about a movement for immunization.

    In the past, we observed that people who dropped out felt shame and stopped participating.

    Even if you are not actively participating, you’re still a member of the immunization movement.

    People have participated as health professionals, as government workers, as members of civil society, in various kinds of movements since decolonization.

    So the “movement” metaphor has a different resonance than that of “courses”.

    We used to call the Monday weekly meeting a discussion group.

    We’re now calling it a weekly assembly.

    It is a term that speaks to the religiosity of many learners, as well as to those with social commitments in their local communities.

    About ten years ago, I began to think of my goal for these discussion groups like the musician, the artist that you most appreciate, who really moves your soul, moves you, your every fiber and your body and your soul and your mind.

    I remember in 1989 I went to a Pink Floyd concert.

    When we left the concert, we were drenched in sweat.

    I was exhausted and just had an exhilarating experience.

    That’s what I would like people who participate in our events to feel.

    I believe that’s key to fostering the dynamics that will lead to effective teaching and learning and change as an outcome.

    We’re still light years away from that.

    A global health researcher told me that when she joins our events, she feels like she is in church in her home country of Nigeria.

    So, light years away, but making some progress.

    Reference

    Watkins, K.E. and Marsick, V.J., 2023. Chapter 4. Learning informally at work: Reframing learning and development. In Rethinking Workplace Learning and Development. Edward Elgar Publishing. https://www.e-elgar.com/shop/gbp/rethinking-workplace-learning-and-development-9781802203769.html

  • What does immunization have to do with climate change?

    What does immunization have to do with climate change?

    With climate-driven shifts in disease patterns and emerging health threats, the need for a robust immunization infrastructure is more obvious than ever. As the demand for both existing and novel vaccines rises in response to an expanding disease burden and new health threats, immunization staff will inevitably play a key role.

    Immunization staff, trusted health advisors to communities, already stand as sometimes-overburdened but always critical actors in resilient health systems.

    These professionals, entrusted with administering vaccines, contribute to preventing disease outbreaks and maintaining population health. Furthermore, their direct engagement with local communities, their intimate understanding of community health concerns, and their role as trusted advisors position them to recognize and respond to emerging health needs.

    The role of immunization and other primary health care (PHC) staff as health educators becomes increasingly pertinent in a changing climate. By leveraging their experience in working with communities to understand and accept health interventions, immunization staff can help those they serve to make sense of the complex relationships between climate and health – and develop appropriate responses.

    Through digital networks, we see health professionals connected to each other, learning from each other’s successes, lessons learned, and challenges. We imagine that these networks, if properly nurtured and sustained, will become increasingly important as health workers face the interconnected consequences of climate change on health within the local communities where they work for health. This also require new ways of thinking and new leadership, in addition to a new kind of digital health infrastructure to support turning learning into action.

    As we step into a world facing escalating health threats from a changing climate, the crucial role of immunization staff in protecting communities will become more pronounced.

    Existing approaches – even the ones that so impressively moved the needle of vaccination coverage and health in the past – may now need to be reconsidered and adapted to face new challenges and new threats that we know are coming.

    By supporting the will and commitment of immunization staff who are concerned about the consequences of climate on health, and then expanding to include other health professionals, we may find that immunization can serve as a pathfinder to strengthen health systems and promote health equity. We may even find practical, meaningful ways for frontline health professionals and communities to forge together a new leadership for global health.

    Learn more about the Geneva Learning Foundation’s special event: From community to planet: Health professionals on the frontlines of climate change.

  • What is the Movement for Immunization Agenda 2030 (IA2030)?

    What is the Movement for Immunization Agenda 2030 (IA2030)?

    The Immunization Agenda 2030 (IA2030) and the Movement for Immunization Agenda 2030 represent two interconnected but distinct aspects of a global effort to enhance immunization coverage and impact.

    What is Immunization Agenda 2030?

    Immunization Agenda 2030 or “IA2030” is a global strategy endorsed by the World Health Assembly, aiming to maximize the lifesaving impact of vaccines over the decade from 2021 to 2030.

    • It sets an ambitious vision for a world where everyone, everywhere, at every age, fully benefits from vaccines for good health and well-being.
    • The strategy was designed before the COVID-19 pandemic, with the goal of saving 50 million lives through increased vaccine coverage and addresses several strategic priorities, including making immunization services accessible as part of primary care, ensuring everyone is protected by immunization regardless of location or socioeconomic status, and preparing for disease outbreaks.
    • IA2030 emphasizes country ownership, broad partnerships, and data-driven approaches. It seeks to integrate immunization with other essential health services, ensuring a reliable supply of vaccines and promoting innovation in immunization programs.

    Watch the Immunization Agenda 2030 (IA2030) inaugural lecture by Anne Lindstrand (WHO) and Robin Nandy (UNICEF)

    What is the Movement for Immunization Agenda 2030?

    The Movement for Immunization Agenda 2030, on the other hand, is a collaborative, community-driven effort to operationalize the goals of IA2030 at the local and national – and to foster double-loop learning for international partners.

    It emerged in response to the Director-General’s call for a “groundswell of support” for immunization and combines a network, platform, and community of action.

    The Movement focuses on turning the commitment to IA2030 into locally-led, context-specific actions, encouraging peer exchange, and sharing progress and results to foster a sense of ownership among immunization practitioners and the communities they serve. It has:

    • has demonstrated a scalable model for facilitating peer exchange among thousands of motivated immunization practitioners.
    • emphasizes locally-developed solutions, connecting local innovation to global knowledge, and is instrumental in resuscitating progress towards more equitable immunization coverage.
    • operates as a platform for learning, sharing, and collaboration, aiming to ground action in local realities to reach the unreached and accelerate progress towards the IA2030 goals.

    In April 2021, over 5,000 immunization professionals came together during World Immunization Week to listen and learn from challenges faced by immunization colleagues from all over the world. Watch the Special Event to hear practitioners from all over the world share the challenges they face. Learn more

    What is the difference between the Agenda for IA2030 and the Movement for IA2030?

    • Scope and Nature: IA2030 is a strategic framework with a global vision for immunization over the decade, while the Movement for IA2030 is a dynamic, community-driven effort to implement that vision through local action and global collaboration.
    • Operational Focus: IA2030 outlines the strategic priorities and goals for immunization efforts by global funders and agencies, whereas the Movement focuses on mobilizing support, facilitating peer learning, and sharing innovative practices to achieve those goals.
    • Engagement and Collaboration: While IA2030 is a product of global consensus and sets the agenda for immunization, the Movement actively engages immunization professionals, stakeholders, and communities in a bottom-up approach to foster ownership and tailor strategies to local contexts.

    What is the role of The Geneva Learning Foundation (TGLF)?

    The Geneva Learning Foundation (TGLF) plays a pivotal role in facilitating the Movement for Immunization Agenda 2030 (IA2030). A Swiss non-profit organization with the mission to research and develop new ways to learn and lead, TGLF is instrumental in implementing large-scale, collaborative efforts to support the goals of IA2030. Here are the key roles TGLF fulfills within the Movement:

    1. Facilitation and leadership: TGLF leads the facilitation of the Movement for IA2030, providing a platform for immunization professionals to collaborate, share knowledge, and drive action towards the IA2030 goals.
    2. Learning-to-action approach: TGLF contributes to transforming technical assistance (TA) to strengthen immunization programs. This involves challenging traditional power dynamics and empowering immunization professionals to apply local knowledge to solve problems, support peers in doing the same, and contribute to global knowledge.
    3. Peer learning scaffolding and facilitation: TGLF has demonstrated the feasibility of establishing a global peer learning platform for immunization practitioners. This platform enables health professionals to contribute knowledge, share experiences, and learn from each other, thereby fostering a community of practice that spans across borders.
    4. Advocacy and mobilization: TGLF calls on immunization professionals to join the Movement for IA2030, aiming to mobilize a global community to share experiences and work collaboratively towards the IA2030 objectives. This includes engaging over 60,000 immunization professionals from 99 countries.
    5. Governance, code of conduct, and ethical standards: Participants in TGLF’s programs are required to adhere to a strict Code of Conduct that emphasizes integrity, honesty, and the highest ethical, scientific, and intellectual standards. This includes accurate attribution of sources and appropriate collection and use of data. Movement Members are also expected respect and abide by any restrictions, requirements, and regulations of their employer and government.
    6. Research and evaluation: TGLF may facilitate the connections between peers, for example to help them give and receive feedback on their local projects and other knowledge produced by learners. Insights and evidence from local action may also contribute in communication, advocacy, and training efforts. TGLF also invites learners to participate in research and evaluation to further the understanding of effective learning and performance management approaches for frontline health workers.
  • Learning for Knowledge Creation: The WHO Scholar Program

    Learning for Knowledge Creation: The WHO Scholar Program

    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 in a timely way to ensure learning is greater than the rate of change (Revans, 1984).

    The approach grew out of work with Scholar, an innovative learning platform, developed at the University of Illinois by Bill Cope and Mary Kalantzis. As the technology implementation of their ‘new learning’ theory, Scholar emphasized seven affordances of learning in a digital age that look at how new technologies change the way knowledge is created and how people connect and socialize (Cope & Kalantzis, 2016). The elements of the Scholar approach include: community-building functions and resources, such as dialogue area surveys and social media; and knowledge creation functions, including a collaborative publishing and critiquing space and tools such as language checkers, annotation functions, and a number of analytics including grade-level writing scores (see Figure 11.3).

    Figure 11.3. Scholar pedagogy framework
    Source: Cope, Bill and Mary Kalantzis, “Assessment and Pedagogy in the Era of Machine-Mediated Learning,” pp. 350–74 in Education as Social Construction: Contributions to Theory, Research, and Practice, edited by Thalia Dragonas, Kenneth J. Gergen, Sheila McNamee and Eleftheria Tseliou, Chagrin Falls OH: Worldshare Books, 2015.

    Learning in this digital milieu is very different, not because it is new (given decades of experience with the internet), but because of the rapid rate of change compared to traditional courses that rely on a fixed understanding of how we learn when we share physical space. Published work is often generated by the learners themselves either from their existing libraries or what they produce within the course – which may also become available to other courses; from internet searches, source documents within their work, etc. Project-based learning is not new either, but the scale, the speed, and the meaning of such connections (i.e., how they are experienced) are. Learning contributions of this kind reduce the need for subject matter experts and are both convincing and situated in real-life contexts. Complex cases demonstrate the problems at the center of the course. Group dialogue and the development of proposals to solve real problems build a shared knowledge base. Participants develop action plans of how they will address the problems that are in their workplace. Finally, peer critiquing and support enable everyone to improve their plans from whatever starting place.

    Deliberate efforts are made to create a learning community using tools that are already embedded in daily practice (keeping in mind that these tools are constantly changing) and structured activities like randomized coffee trials (Soto, 2016) through which learners meet outside of class to get to know one another socially (i.e., ‘to be human together’). Learning is scaffolded by a human knowledge network (Watkins & Kim, 2018) with peer review, staff support, expert resources, and a unique Scholar alumni cadre of former students who volunteer as ‘accompanists’ to support new learners in navigating the technology and whatever else creates a barrier for novices. Peer review is based on an expert rubric and facilitated by the Scholar team. This approach is scalable, with more than 800 learners in each cohort and 400 alumni volunteering to serve as accompanists. A small project team manages multiple cohorts at a time, with a duration of six to 17 weeks, depending on the course.

    Recently, the Scholar team developed the Impact Accelerator, an extension to the courses that supports the implementation of course projects and encourages participants to develop new initiatives through collaboration. The Accelerator combines weekly webinars and assemblies, regular check-ins on implementation status, and support for developing in-country teams. Participants share best practices and challenging problems, for which peers provide help, responding as a culture without requiring prompting or intervention to do so. Initial findings from an evaluation of the Accelerator indicated faster implementation of action plans and improved collaboration among participants.

    Over 20 country groups formed. In a short time, alumni documented that, as a result of what they learned and implemented, immunization coverage in their region improved. Learning involves a unique blend of a traditional format – an e-learning delivery platform – and consistent and deliberate use of actual work challenges and plans to generate improved workplace performance through a combination of peer support, healthy peer competition, and mentoring and coaching.

    Sadki’s approach has been called ‘magic’. He disagrees. He says: ‘Learners are transmuted into teachers, leaders, and facilitators. In some countries, learners are self-organizing to take on issues that matter to them, evolving course projects into a potentially transformative agenda.’ He says success comes ‘from modestly intersecting the science of learning with real, lived learning culture and from reframing education as philosophy for change in the Digital Age. That, and a lot of elbow grease’ (Sadki, 2019). Sadki believes that impact is possible – even tangible – when educators connect the dots among the course, the individuals, and their context. His approach combines informal and incidental learning with conscious restructuring of context. The goal of his courses is knowledge creation focused on creating change in the workplace. The approach has gained sufficient momentum that ‘Scholar’ is more a movement than a learning approach. Sadki, a lifelong social entrepreneur and activist, has invented a new approach to learning and changing individuals and organizations. Table 11.2 summarizes features of the initiative map against the framework of learning in terms of separation, coterminous, seamlessly integrated or learning based work.

    Cope, B., Kalantzis, M., 2016. Conceptualizing e-Learning. Common Ground Publishing, Chicago.

    Revans, R. (1984). The origins and growth of action learning. London, England: Chartwell- Bratt.

    Sadki, R. (2018). Peer learning support capacity building with Scholar. Poster presented at the Teach to Reach Conference, Bill and Melinda Gates Foundation, Dar es Salaam, Tanzania.

    Sadki, R. (2019). Magic. Retrieved from: https://stories.learning.foundation/2019/03/25/magic/

    Siemens, G. (2007). Connectivism: Creating a learning ecology in distributed environments. In Hug, T. (Ed.). Didactics of micro- learning. Concepts, discourses and examples (pp. 53–68). Munster, Germany: Waxmann verlag GmbH.

    Soto, M. (2016). A simple tool to help M&A integration: Randomized coffee trials. Retrieved from: https://blogs.harvard.edu/ msoto/2016/01/26/a-simple-tool-to-help-ma-integration-randomised-coffee-trials/

    Watkins, K. & Kim, K. (2018). Current status and promising directions for research on the learning organization. Human Resource Development Quarterly29(1), 15–29. doi:10.1002/hrdq.21293

  • General Assembly of the Movement for Immunization Agenda 2030 on 14 March 2022

    Summary of highlights from the Full Learning Cycle, Monday 14 March

    1. # of participants: By Monday, 6,319 immunization professionals accepted to the Full Learning Cycle, including 3,592 Anglophones and 2,727 Francophones.
    2. Participation: Scholars are participating with high motivation and bringing an incredible energy to build the IA2030 Movement. You can read their first-person perspectives on why they are participating in the Full Learning Cycle on slides 81-99. These slides show only a selected few quotes from more than 2,000 Scholars’ feedback to our “barometer”, a tool for them to share how they are doing in the Full Learning Cycle, which helps us to get the “pulse” of the whole group and adapt support.
    3. By Monday, 313 ideas and practices submitted over the course of one week in the Ideas Engine. This number has now gone up to 559. You can see a breakdown of these ideas by country and by SP on slides 32-80.
    4. Scholars are sharing with peers their immunization experiences in short 30-minute sessions with François Gasse and Charlotte. You can see slides 102-105 for a summary of experiences shared last week.

    Resources

    Anglophones: link to slidedecklink to recording

    Francophones: link to slidedecklink to recording