Knowledge translation for zero-dose immunization research in Gavi’s Zero-Dose Learning Hub cover art

Knowledge translation for zero-dose immunization research in Gavi’s Zero-Dose Learning Hub

Knowledge translation for zero-dose immunization research in Gavi’s Zero-Dose Learning Hub

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 This video is excerpted from the Gavi Zero-Dose Learning Hub webinar: https://www.youtube.com/watch?v=C5rLXk7l898 Learn more about knowledge translation for zero-dose immunization research: https://zdlh.gavi.org/resources/knowledge-translation-zero-dose-immunization-research Gavi Zero-Dose Learning Hub’s innovative model for inter-country peer learning and knowledge translation https://redasadki.me/2024/08/08/gavi-zero-dose-learning-hubs-innovative-model-for-inter-country-peer-learning-and-knowledge-translation/ Recommendations to support knowledge translation of evidence to identify and reach zero-dose children https://redasadki.me/2024/08/08/recommendations-to-support-knowledge-translation-of-evidence-to-identify-and-reach-zero-dose-children/ Gavi’s Zero-Dose Learning Hub (ZDLH) explored an innovative approach to support knowledge translation of evidence grounded in the experiences and insights of local immunization and other health staff. Central to TGLF’s approach is the recognition of continuous learning as a critical factor in immunization program performance. Research involving over 10,000 immunization professionals identified ‘continuous learning’ as the weakest area in immunization’s learning culture: limited learning opportunities, low risk tolerance, and a focus on task completion rather than capacity building. These findings informed the development of a new model for knowledge sharing and application. The ZDLH-X (Zero-Dose Learning Hub Exchange) events form the core of this approach. In six months, these peer learning exchanges connected over 3,000 zero-dose practitioners across 100 countries. The model engages frontline staff at all levels of the health system, with 37% of participants working at the subnational level and 85% directly involved in zero-dose initiatives. TGLF’s approach emphasizes learning culture as a link between learning and performance in global health. By fostering continuous learning and adaptation among health workers, the model aims to build resilience and sustainability in addressing global health challenges, including zero-dose child identification. The ZDLH-X model incorporates elements of double-loop learning, encouraging practitioners to question not only their actions but also the underlying assumptions guiding those actions. This approach aims to help health workers adapt more effectively to complex, evolving challenges in immunization. Data from TGLF’s research indicates a relationship between strengthening immunization learning culture and enhancing both knowledge and mission performance. Post-event feedback from ZDLH-X participants included examples of new zero-dose strategies being implemented and adapted based on peer-shared ideas. The ZDLH-X model addresses complex problem-solving through several key components: 1. Diverse perspective sharing: Connecting practitioners from various contexts enables cross-pollination of ideas. 2. Mental model development: Presentations on local adaptations help participants develop new approaches to potential solutions. 3. Metacognition promotion: Q&A sessions encourage critical thinking about current methods and attitudes. 4. Affective factor management: Peer testimonials provide motivation through relatable experiences of overcoming barriers. 5. Collaboration support: Group discussions facilitate collective examination of challenges specific to different communities. This approach aims to complement evidence-based practices by providing a framework for knowledge translation that addresses gaps in traditional capacity-building methods. The model focuses on continuous learning and peer exchange to tackle complex global health challenges. TGLF’s model offers practical recommendations for implementation, such as emphasizing participant experience, providing guidance for knowledge translation, and acknowledging connectivity challenges in frontline settings. These considerations reflect the realities faced by health workers in diverse field contexts. While further research is needed to directly link these learning interventions to immunization coverage outcomes, initial findings suggest potential in generating insights, fostering continuous learning cultures, and promoting adoption of new strategies for reaching zero-dose children. The ZDLH-X model presents a data-driven, scalable approach to addressing persistent challenges in global health. By leveraging collective knowledge and experience of frontline workers, this peer learning approach aims to complement existing technical assistance methods. Its emphasis on learning culture, double-loop learning, and the connection between learning and performance offers a perspective on tackling complex global health challenges that warrants further exploration and evaluation.
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