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4. Prioritizing people and rapid learning in times of crisis: A virtual learning initiative to support health workers during the COVID-19 pandemic

Author

Engelbrecht, Beth, Gilson, Lucy, Barker, Pierre, Vallabhjee, Krish, Kantor, Gareth, Budden, Mike, Parbhoo, Anita, and Lehmann, Uta

Abstract

The Western Cape province was the early epicentre of the coronavirus disease 2019 pandemic in South Africa and on the African continent. In this short article we report on an initiative set up within the provincial Department of Health early in the pandemic to facilitate collective learning and support for health workers and managers across the health system, emphasising the importance of leadership, systems resilience, nonhierarchical learning and connectedness. These strategies included regular and systematic engagement with organised labour, different ways of gauging and responding to staff morale, and daily 'huddles' for raid learning and responsive action. We propose three transformational actions that could deliver health systems that protect staff during good times and in times of system shocks. (a) Continuously invest in building the foundations of system resilience in good times, to draw on in an acute crisis situation. (b) Provide consistent leadership for an explicit commitment to supporting health workers through decisive action across the system. (c) Optimise available resources and partners, act on improvement ideas and obstacles. Build trusting relationships amongst and across actors.

Published
2021

5. Action to protect the independence and integrity of global health research

Author

Storeng, Katerini T., Abimbola, Seye, Balabanova, Dina, Mccoy, David, Ridde, Valery, Filippi, Veronique, Roalkvam, Sidsel, Akello, Grace, Parker, Melissa, Palmer, Jennifer, Abejirinde, Ibukun, Adebiyi, Babatope, Affun-Adegbulu, Clara, Ahlgren, Jhon Alvarez, Ahmad, Ayesha, Al-Awlaqi, Sameh, Aloys, Zongo, Amul, Gianna Gayle, Arthur, Joshua, Asaduzzaman, Muhammad, Asgedom, Akeza Awealom, Assarag, Bouchra, Atchessi, Nicole, Atkins, Salla, Badejo, Okikiolu, Baeroe, Kristine, Molleh, Bailah, Bazzano, Alessandra, Behague, Dominique P., Beisel, Uli, Belaid, Loubna, Bernays, Sarah, Bhuiyan, Shafi, Biermann, Olivia, Birungi, Harriet, Blanchet, Karl, Blystad, Astrid, Bodson, Oriane, Bonnet, Emmanuel, Bose, Shibaji, Bozorgmehr, Kayvan, Brear, Michelle, Burgess, Rochelle, Byskov, Jens, Carillon, Severine, Cavallaro, Francesca L., Chabeda, Sophie, Chandler, Clare, Chapman, Rachel, Chikuse, Francis F., Chinwe, Juliana Iwu, Cislaghi, Beniamino, Closser, Svea, Colvin, Christopher J., Cresswell, Jenny, da Cunha Saddi, Fabiana, Daire, Judith, Dalglish, Sarah, de Brouwere, Vincent, de Sardan, Jean-Pierre Olivier, Delvaux, Therese, Desgrees du Lou, Annabel, Diallo, Brahima A., Diarra, Aissa, Dixon, Justin, Doherty, Tanya, Dumont, Alexandre, Eboreime, Ejemai, Engelbrecht, Beth, Erikson, Susan, Faye, Adama, Fischer, Sara, Fournet, Florence, Fox, Ashley M., Francis, Joel Msafiri, Gautier, Lara, George, Asha, Gilson, Lucy, Gimbel, Sarah, Glenn, Jeff, Gopinathan, Unni, Gordeev, Vladimir S., Gradmann, Christoph, Graham, Janice E., Gram, Lu, Greco, Giulia, Grepin, Karen, Guichard, Anne, Gupta, Pragya Tiwari, Guzman, Viveka, Haaland, Marte E. S., Haggblom, Anna, Hagopian, Amy, Hammarberg, Karin, Handschumacher, Pascal, Hann, Katrina, Hasselberg, Marie, Hawkes, Sarah, Howard, Natasha, Hurtig, Anna-Karin, Hussain, Sameera, Hutchinson, Eleanor, Idoteyin, Ezirim, Infanti, Jennifer J., Irwin, Rachel, Islam, Shariful, Joarder, Taufique, John, Preethi, Johnson, Ermel, Johri, Mira, Justice, Judith, Kabore, Charles, Kadio, Kadidiatou, Kamwa, Matthieu, Kelly, Ann H., Kenworthy, Nora, Kittelsen, Sonja, Kloster, Maren Olene, Kocsis, Emily, Koon, Adam, Kumar, Pratap, Lal, Arush, Lange, Isabelle, Lanthorn, Heather, Lees, Shelley, Lexchin, Joel, Lie, Ann Louise, Limenih, Gojjam, Litwin-Davies, Isabel, Lodda, Charles Clarke, Lonnroth, Knut, Manton, John, Manzi, Anatole, Manzoor, Mehr, Marchal, Bruno, Marten, Robert, Matsui, Mitsuaki, Mbewe, Allan, Mc Sween-Cadieux, Esther, McGoey, Linsey, McNeill, Desmond, Mendenhall, Emily, Mendez, Claudio A., Mirzoev, Tolib, Mohammed, Shafiu, Moland, Karen Marie, Molyneux, Sassy, Mumtaz, Zubia, Murray, Susan Fairley, Nambiar, Devaki, Nelson, Erica, Nieto-Sanchez, Claudia, Norheim, Ole Frithjof, Nouvet, Elysee, Obare, Francis, Okungu, Vincent, Onarheim, Kristine Husoy, Ostebo, Marit Tolo, Ouattara, Fatoumata, Ozawa, Sachiko, Pai, Madhukar, Paina, Ligia, Parashar, Rakesh, Paul, Elisabeth, Peeters, Koen, Pennetier, Cedric, Penn-Kekana, Loveday, Peters, David, Pfeiffer, James, Pot, Hanneke, Prashanth, N. S., Preston, Robyn, Puyvallee, Antoine de Bengy, Rahmalia, Annisa, Reid-Henry, Simon, Rodriguez, Daniela C., Ronse, Maya, Sacks, Emma, Samb, Oumar Malle, Sanders, David, Sarkar, Nandini, Sarriot, Eric, Scheel, Inger Brummenaes, Schwarz, Thomas, Scott, Kerry, Seeley, Janet, Seward, Nadine, Shannon, Geordan, Shearer, Jessica, Shelley, Katharine, Sherr, Kenneth, Shiffman, Jeremey, Simard, Frederic, Singh, Neha S., Soors, Werner, Springer, Rusla Anne, Strong, Adrienne, Sundby, Johanne, Taylor, Stephen, Tetui, Moses, Topp, Stephanie M., Tsofa, Benjamin, Turcotte-Tremblay, Anne-Marie, Undie, Chi-Chi, Van Belle, Sara, Van Heteren, Godelieve, van Rensburg, Andre Janse, Sriram, Veena, Venkatapuram, Sridhar, Wagenaar, Bradley H., Wallace, Lauren, Walugembe, David R., Wariri, Oghenebrume, Whiteside, Alan O. B. E., Yakob, Bereket, Zakayo, Scholastica, Zitti, Tony, Zwi, Anthony, Centre population et développement (CEPED - UMR_D 196), Institut de Recherche pour le Développement (IRD)-Université Paris Descartes - Paris 5 (UPD5), and Signatories

Subjects
Project commissioning, media_common.quotation_subject, environmental health, Commission, Public administration, 03 medical and health sciences, Politics, 0302 clinical medicine, Political science, Agency (sociology), Global health, 030212 general & internal medicine, media_common, 030503 health policy & services, Health Policy, Public Health, Environmental and Occupational Health, Censorship, 16. Peace & justice, 3. Good health, Negotiation, Editorial, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Human medicine, 0305 other medical science, International development
Abstract

In a recent Viewpoint in the Lancet , some of us shared our experience of censorship in donor-funded evaluation research and warned about a potential trend in which donors and their implementing partners use ethical and methodological arguments to undermine research.1 Reactions to the Viewpoint—and lively debate at the 2018 Global Symposium on Health Systems Research —suggest that similar experiences are common in implementation and policy research commissioned by international donors to study and evaluate large-scale, donor-funded health interventions and programmes, which are primarily implemented in low resource settings. ‘We all have the same stories’, was one of the first comments on the Viewpoint, followed by many private messages divulging instances of personal and institutional pressure, intimidation and censorship following attempts to disseminate unwanted findings. Such pressure comes from major donors and from international non-governmental organisations (NGOs) obliged to have an external assessment but who then maintain a high degree of confidentiality and control. That such experiences are widespread reflects the deeply political nature of the field of ‘global health’ and the interconnections between priority setting, policy making and project implementation, which sit within a broader set of deeply entrenched power structures.2 3 Researchers in this field routinely find themselves working within—and studying—complex power relations and so experience challenges in negotiating their own position between interests of commissioning agencies and funders, implementers and country governments, as well as those of their own research institutions and their partnerships with other researchers spanning high-income, middle-income and low-income countries.4–7 They often receive research funding from major donor agencies like the UK Department of International Development (DFID), the US Agency for International Development (USAID), the Agence Francaise de Developpement (AFD), UNITAID and the Bill and Melinda Gates Foundation,8 who commission evaluations for their own funded projects, even though they have …

Published
2018

7. Prioritizing people and rapid learning in times of crisis: A virtual learning initiative to support health workers during the COVID-19 pandemic.

Author

Engelbrecht B, Gilson L, Barker P, Vallabhjee K, Kantor G, Budden M, Parbhoo A, and Lehmann U

Subjects
Delivery of Health Care organization & administration, Humans, Leadership, Pandemics, SARS-CoV-2, South Africa, COVID-19, Health Personnel education, Teaching, User-Computer Interface
Abstract

The Western Cape province was the early epicentre of the coronavirus disease 2019 pandemic in South Africa and on the African continent. In this short article we report on an initiative set up within the provincial Department of Health early in the pandemic to facilitate collective learning and support for health workers and managers across the health system, emphasising the importance of leadership, systems resilience, nonhierarchical learning and connectedness. These strategies included regular and systematic engagement with organised labour, different ways of gauging and responding to staff morale, and daily 'huddles' for raid learning and responsive action. We propose three transformational actions that could deliver health systems that protect staff during good times and in times of system shocks. (a) Continuously invest in building the foundations of system resilience in good times, to draw on in an acute crisis situation. (b) Provide consistent leadership for an explicit commitment to supporting health workers through decisive action across the system. (c) Optimise available resources and partners, act on improvement ideas and obstacles. Build trusting relationships amongst and across actors., (© 2021 John Wiley & Sons Ltd.)

Published
2021
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