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The 79th World Health Assembly launched a formal process to reform the architecture that governs global health. The design of that process \u2014 who sits in the room, what questions it is permitted to ask, whose knowledge it is built to receive \u2014 will determine whether reform produces structural change or a more sophisticated version of the status quo.

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In a health post in northern Nigeria, Mariam is waiting.

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She is not there to make a point for a Global North audience.

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She does not know what a global health architecture is.

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She knows that the insecticide-treated nets arrived six weeks late this year.

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The form she is required to fill out to report their distribution has columns for data she cannot collect.

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She has seen the poster of the national malaria strategy that promised integrated community case management at the district level by 2025.

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She knows 2025 was especially difficult.

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She knows which mothers trust her, and which will walk two hours to reach her rather than trust the facility she nominally refers to.

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She knows, with the precision of someone who has absorbed this knowledge through years of practice that no institution has ever formally credited, that the family three compounds to her left will not use the net she gave them, and she knows why.

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Last week in Geneva, more than 190 delegations gathered for the 79th World Health Assembly and passed a resolution to begin a process to reform the system that governs, funds, and occasionally obstructs the work that Mariam does.

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The resolution launched a one-year task force, appointed 25 members, and set a deadline for recommendations at WHA80 in 2027.

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It also contained, with the quiet confidence of a clause written by people insulated from its consequences, an instruction not to do the thing the exercise was ostensibly designed to do.

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The text states that the process \u201cwill propose neither revisions to organizational mandates nor specific mergers or consolidations.\u201d

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Global health architecture: one system, split into two

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In Mariam\u2019s health facility, the problem is always specific.

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A stockout arrives before the shipment does.

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A referral pathway exists on paper and dissolves on the road.

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A reporting template is designed for what is not the one currently killing people in this catchment area.

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In the language that global institutions have recently rediscovered, Mariam is a \u201ctrusted community adviser.\u201d

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She is trying to do a job with tools that were designed somewhere else, by people who seldom ask what she needs.

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In Geneva, the problem is also specific, but the specifics are different.

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They are funding gaps, mandate overlap, donor earmarking, governance and accountability deficits, fragmentation.

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WHO itself, in its own reform documents, acknowledges that the architecture has become \u201cmore complex through an expansion in the number of actors,\u201d producing \u201cfragmentation and duplication that limit country ownership, impact, and equity.\u201d

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Think Global Health, writing ahead of WHA79, put it more plainly: \u201cInstitutions compete for governmental and private funding, often using mandate creep to maintain relevance. This construct leads to overlap, duplication of efforts, and outdated mandates.\u201d

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(Think Global Health is a publication of the U.S. Council on Foreign Relations (CFR) led by Thomas J. Bollyky. CFR is pro-WHO and pro-multilateral. Some argue that it is structurally unable to push beyond the reform it is institutionally permitted to imagine.)

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These are the same dysfunction, described from different positions in the system.

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The WHA79 debate is probably right about the problem.

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However, it is designed to solve the problem at the point where the people doing the describing live, and not where the problem is actually felt.

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Global health architecture: Silos, mandates, and forms

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The parallel reporting systems that Mariam navigates are a direct product of the institutional architecture being debated at WHA79.

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The Global Fund has a mandate covering malaria, tuberculosis, and HIV.

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Gavi has a mandate covering vaccines.

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UNFPA has a mandate covering reproductive health.

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UNICEF has a mandate covering child survival.

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Each runs its own program, its own indicators, its own grant conditions, its own monitoring visit schedule, its own form.

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At the national program level, these streams are coordinated, imperfectly, by a ministry that is simultaneously managing relationships with all of them.

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At the district level, the coordination is thinner.

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At Mariam\u2019s level, it may have largely ceased to exist.

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This means that Mariam is the integration.

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She is the place where all these vertical programs land and must somehow be delivered as a coherent response to a mother who has come to her with a child who has a fever, a pregnancy that has not been attended to, and a husband with symptoms that she is not sure how to report.

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The reform process that WHA79 just authorized cannot address this directly because it has been explicitly forbidden from recommending changes to organizational mandates.

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The Global Fund will remain a three-disease fund.

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Gavi will remain a vaccine fund.

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Their reporting logics will continue to run through national systems and arrive, with the full weight of donor conditionality, at the district level and below.

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The task force can recommend better coordination, clearer financing alignment, improved coherence.

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What would happen if it could recommend that the Global Fund become something different from what it is?

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How did we get here?

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Before assessing what the failure of WHA79\u2019s architecture process means, it is worth being honest about what the system being reformed actually looks like from the outside.

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The global health architecture is not a designed system.

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It is a sediment.

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It accumulated over decades of donor enthusiasm, geopolitical competition, disease-specific advocacy, and institutional self-perpetuation into a landscape of dozens of overlapping agencies, funds, initiatives, and programs.

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Each agency has its own board, its own reporting system, its own theory of change, its own Geneva address, and its own communications team explaining why it is essential.

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Many have mandates that were relevant in the decade they were created.

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Some would struggle to make that case today.

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What happened at the 79th World Health Assembly?

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The week did have moments of clarity.

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The Belgian delegate said he expected the global health architecture reform process to be \u201cambitious and not just cosmetic,\u201d registering his skepticism in the only procedurally acceptable way available, which is to say, loudly, in public, and without effect.

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The Colombian delegation objected to the absence of substantive targets.

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A Wellcome representative, speaking for a foundation that had spent years commissioning reform research and building coalitions to make this moment real, stood up and argued that the process must consider \u201copportunities to streamline institutions through concrete recommendations regarding the merger and consolidation of global health organizations.\u201d

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The text was unchanged.

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The resolution passed.

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Civil society organizations condemned their structural exclusion from the joint task force.

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The NCD Alliance\u2019s Alison Cox was direct: \u201cBy excluding civil society and people living with NCDs from the joint task force, member states are sidelining the voices of those most affected.\u201d

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In their place, civil society was offered \u201cstakeholder constituency groups.\u201d

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Mariam, or the organizations that occasionally claim to represent people like her, was placed in the room adjacent to the room where decisions are made.

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On the margins of the formal sessions, Ghana\u2019s President Mahama launched the Accra Reset, a three-pillar initiative for restructuring the global health order around African sovereignty, with a high-level panel co-chaired by Peter Piot and ministers from Brazil and Indonesia, explicitly mandated to produce \u201cconcrete, actionable proposals to restructure the global health order.\u201d

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It is, at the moment, the most credible state-led vehicle for structural change.

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It is also not a multilateral treaty process, and it has no binding authority over any of the institutions that govern Mariam\u2019s working conditions.

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Ilona Kickbusch, Co-Chair of the World Health Summit Council, offered the clarifying sentence of the week: \u201cThe current debate about reforming the global health architecture is, at its core, a debate about power. Who holds it, who is losing it, and who intends to use this moment of rupture to consolidate it on new terms.\u201d

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Pakistan\u2019s delegate warned, in reference to the possibility of institutional consolidation, that \u201clean must not become synonymous with less.\u201d It was a serious concern, politically and practically.

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Positionality, not corruption, in the global health architecture

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The WHA79 reform debate attracted some of the sharpest minds in the field, organizations with genuine moral seriousness about what is broken, and delegations from countries that bear the largest disease burdens.

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It produced a resolution that protects the most powerful institutions in the system from the process it authorized.

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The reason is positional.

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None of this is necessarily corruption.

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It is the ordinary sociology of a system that has consolidated itself over decades and now faces a reform conversation conducted, inevitably, by the people the system has produced.

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The result is a reform language that is fluent, technically sophisticated, and operationally inert at the level where it most needs to matter.

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\u201cCountry ownership\u201d and \u201ccommunity health\u201d are phrases that can mean almost anything.

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In practice, country ownership has often meant ownership by ministries and national programs, the same capitals that produce plans so detailed and so underfunded that by the time they reach district level, they are largely aspirational documents.

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Community health, as a reform principle, tends to appear in frameworks produced in Geneva and then interpreted downward through the same hierarchies it was supposedly designed to bypass.

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Subsidiarity means a principle affirmed in Geneva that will be reinterpreted in the capital and dissipated at the district level before it reaches Mariam\u2019s health post.

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The most common argument against structural reform is that the current system, for all its flaws, keeps essential functions running, and that disrupting it risks outcomes worse than the dysfunction being addressed.

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This is true enough to be taken seriously and vague enough to justify almost any level of inaction.

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The problem is that the same argument, applied to every institution in the system, produces permanent immunity from accountability.

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If no agency can be merged because it provides something essential, and no mandate can be revised because someone depends on it, then the system becomes accountable to nobody.

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The fragmentation that reformers rightly criticize is precisely the product of institutions that have made themselves indispensable one function at a time.

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The imperative to listen and learn: what Mariam actually knows

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The architecture debate seems to assume that Mariam is primarily a delivery mechanism.

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We see her as an intelligence function.

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She knows things about the actual functioning of global health programs that no institution in the system has a reliable mechanism to receive: which protocols are unusable with available supplies, which incentive structures are distorting behavior in her community, where the national plan does not match local reality, and why.

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In the work of The Geneva Learning Foundation with more than 80,000 health workers across 137 countries, this pattern is consistent.

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Workers serving communities hold operational intelligence about what is and is not working that national programs do not have access to, and that global institutions have no formal channel to receive.

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A better reporting form would not solve this.

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The system is designed to move directives down.

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It is not designed to move learning up.

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The reform task force cannot fix this either, not because it lacks the intelligence to understand the problem, but because it has been constituted in a way that treats the problem as a coordination challenge rather than a power challenge.

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Ilona Kickbusch is right.

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A system that moved learning upward from health posts to district offices to national programs to global institutions would redistribute not just information but influence.

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It would make Mariam\u2019s knowledge consequential for the people who fund and design the programs she delivers.

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That is precisely what the current architecture is not designed to do, and what the current reform process is not designed to change.

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The funding shock and its convenient misreading

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The US withdrawal from WHO left a 600 million dollar gap.

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Official development assistance fell 23% in 2025, the largest annual decline on record.

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These are real shocks, and their human costs are not hypothetical.

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Estimates cited at WHA79 suggested that current aid cuts risk causing 22.6 million additional deaths by 2030.

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The funding crisis has been misread in one important respect.

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The institutions most loudly lamenting it are, in many cases, the institutions whose existence is most implicated in the dysfunction that made the system fragile to begin with.

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WHO has cut its budget by 20% and is restructuring.

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It is simultaneously arguing that the reform process cannot touch organizational mandates.

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The Pandemic Fund, created as recently as 2022, has already lost US contributions.

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The UNAIDS budget has been cut repeatedly over three funding cycles.

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The response from these institutions is to defend the principle of multilateralism while defending their own continuation as its necessary embodiment, as if those were the same argument.

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Chatham House was blunt: \u201cA WHO seen as a residual institution, one that the powerful use when convenient and abandon when not, cannot perform its core functions of surveillance, standard-setting and emergency coordination.\u201d

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That is correct.

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It also leaves open the question of whether the solution is to restore the funding of the current architecture or to redesign the architecture so that the resources that remain are used less wastefully.

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At a moment when resources are genuinely scarce, the design question is an obligation, not a luxury.

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Mariam is living inside the answer to that question.

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Resources that flow through clear, accountable, coherent channels reach her.

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Resources that flow through parallel, duplicative, report-heavy channels reach the forms she is required to file.

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The test

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The reform initiative will produce a report in 2027.

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It will be reviewed by the WHO Executive Board, adjusted for political palatability, and presented to WHA80.

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Will it be adopted in a form that protects the most powerful institutions in the system?

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This is a description of how international governance processes work when the institutions being reformed hold seats on the body overseeing the reform.

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Gavi, the Global Fund, CEPI, Unitaid, and the Pandemic Fund all have representatives on the joint task force.

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There is a simpler test than waiting for the report.

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Does Mariam have fewer parallel reporting channels this year than last?

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Are the plans arriving from the capital more connected to the resources that follow?

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Has any institution been merged, sunset, or meaningfully narrowed in scope?

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Does the knowledge she holds about what is not working in her catchment area have any formal channel to reach the people who fund the programs she delivers?

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If the answer to those questions is no, the reform produced a document.

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Documents have value.

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They are not health outcomes.

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The Accra Reset and the AU process, the UK\u2019s simultaneous G7 and G20 presidencies in 2027, and the coalitions of reform-minded donors and recipient governments forming outside the WHA process represent the remaining routes to structural change.

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Whether those routes lead somewhere depends on whether the people navigating them are willing to treat the redistribution of power and learning as a design requirement rather than a communications aspiration.

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Mariam is still at her post.

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The net distribution form still has the wrong columns, and the child with the fever has not gone away.

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The architecture debate will continue in Geneva, Seattle, and the capital cities in between the two.

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At some point, someone in that room will need to decide whether the purpose of the architecture is the architecture, or the child.

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The 79th World Health Assembly met in Geneva from 18 to 23 May 2026.

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The joint task force on Global Health Architecture Reform will submit interim recommendations to the WHO Executive Board in late 2026 and final recommendations to WHA80 in 2027.

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Editor\u2019s note: Mariam is a composite drawn from the stories shared by health workers who participate in The Geneva Learning Foundation\u2019s programmes to support and learn from each other. She is fictional in name. She is not fictional in experience.

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Image: The Geneva Learning Foundation Collection \u00a9 2026. This speculative rendering of the Palais des Nations in Geneva, Switzerland, reimagines the historic seat of the World Health Assembly as a casualty of ecological reclamation. The photograph, titled \u201cBroken Architecture\u201d, serves as a profound commentary on the fragility of global cooperation and the hubris of institutional permanence. By illustrating the very body tasked with protecting the world\u2019s health yielding to relentless natural forces, the artist underscores human vulnerability in the face of change.

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References

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  1. World Health Organization. Reform of the global health architecture and the UN80 Initiative [document A79/24]. Geneva: WHO; 2026 May 6 [adopted WHA79, 23 May 2026]. Available from: https://apps.who.int/gb/ebwha/pdf_files/WHA79/A79_24-en.pdf

    2. \n\n\n\n

  2. Sassmannshausen F (reporter). WHA advances global health architecture reform amidst questions about where process will really lead. Health Policy Watch. 2026 May 22. Available from: https://healthpolicy-watch.news/wha-global-health-architecture-reform/

    3. \n\n\n\n

  3. Khogali A, de Jong R, Pohl M, Walumbe R, Lal A. WHA79 must make universal health coverage the compass for global health architecture reform. Health Policy Watch. 2026 May 12. Available from: https://healthpolicy-watch.news/wha79-must-make-universal-health-coverage-the-compass-for-global-health-architecture-reform/

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  4. Kickbusch I. Global health reform cannot wait for a new world order: middle powers must act now. Chatham House. 2026 May 11. Available from: https://www.chathamhouse.org/2026/05/global-health-reform-cannot-wait-new-world-order-middle-powers-must-act-now

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  5. Think Global Health [editorial]. No one wins if multilateralism for health loses. Think Global Health. Council on Foreign Relations; 2026. Available from: https://www.thinkglobalhealth.org/article/no-one-wins-if-multilateralism-for-health-loses

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  6. World Health Organization. Global health architecture [governance page]. Geneva: WHO; updated 2026 Apr 20. Available from: https://www.who.int/about/governance/global-health-architecture

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  7. Office of the President, Republic of Ghana. President Mahama announces a high-level panel of the Accra Reset. Accra: Presidency of Ghana; 2026 Apr 5. Available from: https://presidency.gov.gh/president-mahama-announces-a-high-level-panel-of-the-accra-reset/

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  8. L\u00f3pez Acu\u00f1a D. The WHO process for supporting the reform of the global health architecture. International Health Policies. 2026 Feb 15. Available from: https://www.internationalhealthpolicies.org/featured-article/the-who-process-for-supporting-the-reform-of-the-global-health-architecture/

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  9. Nkrumah B, Quaglio G (reporter). At WHA79, redesigning global health architecture amid rupture. Diplomatic Courier. 2026 May. Available from: https://www.diplomaticourier.com/posts/wha79-redesigning-global-health-architecture-amid-rupture

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  10. Centre for Global Development. Three issues to watch at WHA79: WHO funding, prioritisation, and leadership on global health architecture. CGDev Blog. 2026 May 11. Available from: https://www.cgdev.org/blog/three-issues-watch-wha79-who-funding-prioritisation-and-leadership-global-health-architecture

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  11. UK Government. Growth and opportunity set to be at the heart of UK-hosted G20. London: HMSO; 2025 Nov 21. Available from: https://www.gov.uk/government/news/growth-and-opportunity-set-to-be-at-the-heart-of-uk-hosted-g20

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  12. Pate MA, Kaberuka D, Piot P. Transforming the Global Health Ecosystem for a Healthier World in 2026 Think Global Health. Council on Foreign Relations; 2026 Jan. Available from: https://www.thinkglobalhealth.org/article/transforming-the-global-health-ecosystem-for-a-healthier-world-in-2026

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Available from: https://www.chathamhouse.org/2026/05/global-health-reform-cannot-wait-new-world-order-middle-powers-must-act-now"},{"id":"https://www.thinkglobalhealth.org/article/no-one-wins-if-multilateralism-for-health-loses","unstructured":"Think Global Health [editorial]. No one wins if multilateralism for health loses.\u00a0Think Global Health. Council on Foreign Relations; 2026. Available from: https://www.thinkglobalhealth.org/article/no-one-wins-if-multilateralism-for-health-loses"},{"id":"https://www.who.int/about/governance/global-health-architecture","unstructured":"World Health Organization. Global health architecture [governance page]. Geneva: WHO; updated 2026 Apr 20. Available from: https://www.who.int/about/governance/global-health-architecture"},{"id":"https://presidency.gov.gh/president-mahama-announces-a-high-level-panel-of-the-accra-reset/","unstructured":"Office of the President, Republic of Ghana. President Mahama announces a high-level panel of the Accra Reset. Accra: Presidency of Ghana; 2026 Apr 5. Available from: https://presidency.gov.gh/president-mahama-announces-a-high-level-panel-of-the-accra-reset/"},{"id":"https://www.internationalhealthpolicies.org/featured-article/the-who-process-for-supporting-the-reform-of-the-global-health-architecture/","unstructured":"L\u00f3pez Acu\u00f1a D. The WHO process for supporting the reform of the global health architecture.\u00a0International Health Policies. 2026 Feb 15. Available from: https://www.internationalhealthpolicies.org/featured-article/the-who-process-for-supporting-the-reform-of-the-global-health-architecture/"},{"id":"https://www.diplomaticourier.com/posts/wha79-redesigning-global-health-architecture-amid-rupture","unstructured":"Nkrumah B, Quaglio G (reporter). At WHA79, redesigning global health architecture amid rupture.\u00a0Diplomatic Courier. 2026 May. Available from: https://www.diplomaticourier.com/posts/wha79-redesigning-global-health-architecture-amid-rupture"},{"id":"https://www.cgdev.org/blog/three-issues-watch-wha79-who-funding-prioritisation-and-leadership-global-health-architecture","unstructured":"Centre for Global Development. Three issues to watch at WHA79: WHO funding, prioritisation, and leadership on global health architecture.\u00a0CGDev Blog. 2026 May 11. Available from: https://www.cgdev.org/blog/three-issues-watch-wha79-who-funding-prioritisation-and-leadership-global-health-architecture"},{"id":"https://www.gov.uk/government/news/growth-and-opportunity-set-to-be-at-the-heart-of-uk-hosted-g20","unstructured":"UK Government. Growth and opportunity set to be at the heart of UK-hosted G20. London: HMSO; 2025 Nov 21. Available from: https://www.gov.uk/government/news/growth-and-opportunity-set-to-be-at-the-heart-of-uk-hosted-g20"},{"id":"https://www.thinkglobalhealth.org/article/transforming-the-global-health-ecosystem-for-a-healthier-world-in-2026","unstructured":"Pate MA, Kaberuka D, Piot P. Transforming the Global Health Ecosystem for a Healthier World in 2026 Think Global Health. Council on Foreign Relations; 2026 Jan. Available from: https://www.thinkglobalhealth.org/article/transforming-the-global-health-ecosystem-for-a-healthier-world-in-2026"}],"registered_at":0,"relationships":[],"rid":"3ajzv-b0s07","status":"active","summary":"\n The 79\n \n th\n \n World Health Assembly launched a formal process to reform the architecture that governs global health. The design of that process \u2014 who sits in the room, what questions it is permitted to ask, whose knowledge it is built to receive \u2014 will determine whether reform produces structural change or a more sophisticated version of the\n \n status quo\n \n .\n\nIn a health post in northern Nigeria, Mariam is waiting.","tags":["Global Health","The Geneva Learning Foundation","Africa","Civil Society Organizations","Decolonize Global Health"],"title":"Global health architecture: what are we missing?","updated_at":1779856459,"url":"https://redasadki.me/2026/05/27/global-health-architecture-what-are-we-missing/","version":"v1"}},{"document":{"abstract":null,"archive_url":null,"authors":[{"affiliation":[{"id":"https://ror.org/01hcx6992","name":"Humboldt-Universit\u00e4t zu Berlin"}],"contributor_roles":[],"family":"H\u00f6fting","given":"Jonas","url":"https://orcid.org/0009-0003-4466-1775"},{"affiliation":[{"id":"https://ror.org/01hcx6992","name":"Humboldt-Universit\u00e4t zu Berlin"}],"contributor_roles":[],"family":"Pampel","given":"Heinz","url":"https://orcid.org/0000-0003-3334-2771"}],"blog":{"archive_collection":24081,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":null,"canonical_url":null,"category":"computerAndInformationSciences","community_id":"53174590-b8d0-4c88-b121-4ca75f7de145","created_at":1717668020,"current_feed_url":null,"description":"Research Group Information Management @ Humboldt-Universit\u00e4t zu Berlin","doi":null,"doi_as_guid":false,"favicon":null,"feed_format":"application/rss+xml","feed_url":"https://infomgnt.org/index.xml","filter":null,"funding":null,"generator":"Quarto","generator_raw":"Quarto 1.4.555","home_page_url":"https://infomgnt.org","id":"17927ce5-1239-43fb-a3c9-2acb8a679d11","indexed":true,"issn":"2944-6848","language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":null,"prefix":"10.59350","registered_at":1729503399,"relative_url":null,"ror":null,"secure":true,"slug":"infomgnt","status":"active","subfield":"3309","subfield_validated":null,"title":"Research Group Information Management @ Humboldt-Universit\u00e4t zu Berlin","updated_at":1779958173.122614,"use_api":null,"use_mastodon":false,"user_id":"dbffda7d-f391-48fb-a6d2-d4a284c59c8d"},"blog_name":"Research Group Information Management @ Humboldt-Universit\u00e4t zu Berlin","blog_slug":"infomgnt","content_html":"

Institutionelle Repositorien (IRs) sind heute ein zentraler Bestandteil der Informationsinfrastruktur vieler Forschungseinrichtungen. Mit der wachsenden strategischen Bedeutung von \u00d6ffnungsprozessen in der Wissenschaft, die unter dem Begriff Open Science diskutiert werden, steigen auch die Anforderungen an den Betrieb von IRs. Dabei wirken sich wandelnde Anforderungen aus wissenschaftlichen Communities, technologische Entwicklungen und f\u00f6rderpolitische Entwicklungen auf ihren Betrieb aus.

\n

Dank der F\u00f6rderung des Bundesministeriums f\u00fcr Forschung, Technologie und Raumfahrt (BMFTR) haben wir uns im Projekt Pro OAR DE intensiv mit dem Stand und der Perspektive der IRs in Deutschland besch\u00e4ftigt.

\n
\n

Empirische Grundlage

\n

Den Ausgangspunkt bildete ein Systematic Literature Review, das die in der internationalen bibliotheks- und informationswissenschaftlichen Literatur diskutierten Herausforderungen f\u00fcr den Betrieb von IRs untersuchte (Rothfritz et al. 2026). Erg\u00e4nzend dazu wurden 15 qualitative Expert:inneninterviews mit IR-Manager:innen deutscher wissenschaftlicher Bibliotheken gef\u00fchrt (Wrzesinski et al. 2026). Aufbauend auf diesen Ergebnissen organisierte das Projektteam anschlie\u00dfend sieben virtuelle Vernetzungsforen zu zentralen Themenfeldern. Diese kombinierten Impulsvortr\u00e4ge mit Diskussionen in Kleingruppen; die Ergebnisse wurden dokumentiert und als praxisorientierte Handreichungen ver\u00f6ffentlicht.

\n
\n
\n

Zehn Empfehlungen

\n

Die Ergebnisse dieser drei Projektteile wurden zusammengef\u00fchrt, um Handlungsfelder und L\u00f6sungsvorschl\u00e4ge zu extrahieren, und um weitere Aspekte erg\u00e4nzt, die im Laufe der Projektlaufzeit die Fachdiskussion pr\u00e4gten. Das Resultat sind Empfehlungen zur Professionalisierung der Open-Access-Repositorien-Infrastruktur in Deutschland, die zehn Handlungsfelder adressieren:

\n
    \n

  1. Institutionelle Governance und Verantwortung st\u00e4rken \u2013 IRs sollten verbindlich in institutionellen Strategien verankert und von der Leitungsebene ausdr\u00fccklich als strategische Infrastruktur anerkannt werden.

    2. \n

  2. Finanzielle und personelle Ressourcen nachhaltig sichern \u2013 Gefordert werden langfristige Finanzierungsmodelle sowie gezielte Professionalisierung des Personals an den Schnittstellen von Bibliothek, IT, Verwaltung und Wissenschaft.

    3. \n

  3. Monitoring etablieren und systematisch nutzen \u2013 Einrichtungen sollten strategisch entscheiden, welche Rolle IRs f\u00fcr Publikations-, Kosten- und Compliance-Monitoring spielen sollen und wie die gewonnenen Daten in Entscheidungsprozesse einflie\u00dfen.

    4. \n

  4. K\u00fcnstlicher Intelligenz strategisch begegnen \u2013 Empfohlen werden ein strategisches Bot-Management entlang der COAR-Initiative \u201eDealing with Bots\u201d (Shearer and Walk 2025) sowie die verantwortungsvolle Nutzung KI-gest\u00fctzter Werkzeuge im IR-Betrieb.

    5. \n

  5. Rechtliche Rahmenbedingungen ber\u00fccksichtigen \u2013 Empfohlen werden integrierte Beratungsangebote zu Lizenzierung und Zweitver\u00f6ffentlichung sowie standardisierte Verfahren zur Rechtepr\u00fcfung.

    6. \n

  6. Kommunikation und Vernetzung ausbauen \u2013 Notwendig sind klare Organisations- und Kommunikationsstrukturen, zielgruppenspezifische Angebote f\u00fcr Wissenschaftler:innen sowie st\u00e4rkere nationale und internationale Vernetzung.

    7. \n

  7. Interoperable und nachhaltige Systeme etablieren \u2013 Empfohlen wird die konsequente Nutzung etablierter Standards, persistenter Identifikatoren und interoperabler Open-Source-L\u00f6sungen.

    8. \n

  8. Vielfalt wissenschaftlicher Outputs anerkennen und unterst\u00fctzen \u2013 Unterschiedliche Publikationsformate sollten technisch und organisatorisch besser ber\u00fccksichtigt sowie die Vernetzung mit Forschungsdaten strategisch gestaltet werden.

    9. \n

  9. Metadatenqualit\u00e4t erh\u00f6hen \u2013 Empfohlen werden professionalisierte Kurationsworkflows mit hohem Automatisierungsgrad sowie benutzerfreundliche Eingabesysteme und Interfaces.

    10. \n

  10. Digitale Langzeitverf\u00fcgbarkeit sicherstellen \u2013 Gefordert werden institutionelle Konzepte zur Langzeitverf\u00fcgbarkeit sowie Kooperationen mit spezialisierten Einrichtungen.

    11. \n
\n
\n
\n

\n
Abbildung 1: Screenshot des Empfehlungs-Dokuments.
\n
\n
\n
\n
\n

Jetzt mitgestalten

\n

Bevor diese Empfehlungen final ver\u00f6ffentlicht werden, durchlaufen sie einen Request-for-Comments-Prozess (RfC). Ziel dieses Verfahrens ist die Qualit\u00e4tssicherung und die Entwicklung einer m\u00f6glichst breiten Konsensbasis innerhalb der Open-Access-Community. Das Projektteam versteht den RfC ausdr\u00fccklich als offene Einladung zur Mitgestaltung: R\u00fcckmeldungen k\u00f6nnen von kleineren Formulierungsvorschl\u00e4gen bis hin zu grundlegender Kritik reichen. Besonders gefragt ist, welche Themen aus Sicht der Community noch fehlen oder welche Vorschl\u00e4ge ge\u00e4ndert werden sollten. Im Anschluss an die Kommentierungsphase wird das Projektteam die eingegangenen R\u00fcckmeldungen einarbeiten und schlie\u00dflich eine finale Version der Empfehlungen ver\u00f6ffentlichen.

\n

F\u00fcr die Beteiligung stehen zwei Wege offen: Das Google-Dokument erm\u00f6glicht eine \u00f6ffentliche Kommentierung direkt im Dokument. Wer anonym kommentieren oder keinen Google-Account nutzen m\u00f6chte, kann alternativ die ODT-Version herunterladen, lokal kommentieren und per E-Mail an jonas.hoefting@hu-berlin.de einsenden.

\n

In beiden F\u00e4llen ist die Kommentierung bis zum 14.06.2026 m\u00f6glich.

\n

Das Projektteam bedankt sich herzlich bei allen Beteiligten \u2013 den Interviewpartner:innen, den Vortragenden und Teilnehmenden der Vernetzungsforen sowie allen Personen, die sich am RfC beteiligen.

\n

Das Projekt Pro OAR DE wird vom Bundesministerium f\u00fcr Forschung, Technologie und Raumfahrt (BMFTR) unter dem F\u00f6rderkennzeichen 16KOA001 gef\u00f6rdert.

\n
\n

Weitere Informationen zur Forschungsgruppe finden sich auf unserer offiziellen Website.

\n

Dieser Text \u2013 mit Ausnahme von Zitaten und anderweitig gekennzeichneten Teilen \u2013 steht unter der CC BY 4.0 DEED.

\n
\n

References

\n
\nRothfritz, Laura, Lisa Matthias, Heinz Pampel, and Marcel Wrzesinski. 2026. \u201cCurrent Challenges and Future Directions for Institutional Repositories: A Systematic Literature Review.\u201d Journal of the Association for Information Science and Technology 77 (1): 301\u201322. https://doi.org/10.1002/asi.70016.\n
\n
\nShearer, Kathleen, and Paul Walk. 2025. \u201cOpen Repositories Are Being Profoundly Impacted by AI Bots and Other Crawlers: Report from a COAR Survey.\u201d COAR. https://coar-repositories.org/news-updates/open-repositories-are-being-profoundly-impacted-by-ai-bots-and-other-crawlers-results-of-a-coar-survey/.\n
\n
\nWrzesinski, Marcel, Heinz Pampel, Laura Rothfritz, and Christopher Onzie Khamis. 2026. \u201cChallenges and Chances for Innovation for the Institutional Repository Landscape in Germany: Results from an Interview Study.\u201d Journal of Librarianship and Scholarly Communication 14 (1). https://doi.org/10.31274/jlsc.19047.\n
\n

Citation

BibTeX citation:
@online{h\u00f6fting2026,\n  author = {H\u00f6fting, Jonas and Pampel, Heinz},\n  title = {Aufruf Zur {Mitgestaltung:} {Empfehlungen} Zur\n    {Professionalisierung} Institutioneller {Open} {Access}\n    {Repositorien}},\n  date = {2026-05-27},\n  url = {https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/},\n  langid = {en}\n}\n
For attribution, please cite this work as:
\nH\u00f6fting, Jonas, and Heinz Pampel. 2026. \u201cAufruf Zur Mitgestaltung:\nEmpfehlungen Zur Professionalisierung Institutioneller Open Access\nRepositorien.\u201d May 27, 2026. https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/.\n
","doi":"https://doi.org/10.59350/1n10v-cfy19","funding_references":null,"guid":"https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/","id":"7d29b33f-fb5e-41a0-ba9d-34ae9de7446f","image":"https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/empfehlungen_rfc.png","images":[{"src":"https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/empfehlungen_rfc.png"},{"alt":"Abbildung 1: Screenshot des Empfehlungs-Dokuments.","src":"https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/empfehlungen_rfc.png"}],"indexed":true,"indexed_at":1779874050,"language":"de","parent_doi":null,"published_at":1779832800,"reference":[{"id":"https://doi.org/10.1002/asi.70016","unstructured":"\nRothfritz, Laura, Lisa Matthias, Heinz Pampel, and Marcel Wrzesinski. 2026. \u201cCurrent Challenges and Future Directions for Institutional Repositories: A Systematic Literature Review.\u201d Journal of the Association for Information Science and Technology 77 (1): 301\u201322. https://doi.org/10.1002/asi.70016.\n"},{"id":"https://coar-repositories.org/news-updates/open-repositories-are-being-profoundly-impacted-by-ai-bots-and-other-crawlers-results-of-a-coar-survey/","unstructured":"\nShearer, Kathleen, and Paul Walk. 2025. \u201cOpen Repositories Are Being Profoundly Impacted by AI Bots and Other Crawlers: Report from a COAR Survey.\u201d COAR. https://coar-repositories.org/news-updates/open-repositories-are-being-profoundly-impacted-by-ai-bots-and-other-crawlers-results-of-a-coar-survey/.\n"},{"id":"https://doi.org/10.31274/jlsc.19047","unstructured":"\nWrzesinski, Marcel, Heinz Pampel, Laura Rothfritz, and Christopher Onzie Khamis. 2026. \u201cChallenges and Chances for Innovation for the Institutional Repository Landscape in Germany: Results from an Interview Study.\u201d Journal of Librarianship and Scholarly Communication 14 (1). https://doi.org/10.31274/jlsc.19047.\n"}],"registered_at":0,"relationships":[],"rid":"ejdbp-00r65","status":"active","summary":"Institutionelle Repositorien (IRs) sind heute ein zentraler Bestandteil der Informationsinfrastruktur vieler Forschungseinrichtungen. Mit der wachsenden strategischen Bedeutung von \u00d6ffnungsprozessen in der Wissenschaft, die unter dem Begriff Open Science diskutiert werden, steigen auch die Anforderungen an den Betrieb von IRs.","tags":["Research"],"title":"Aufruf zur Mitgestaltung: Empfehlungen zur Professionalisierung institutioneller Open Access Repositorien","updated_at":1779832800,"url":"https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/","version":"v1"}},{"document":{"abstract":null,"archive_url":null,"authors":[{"contributor_roles":[],"family":"Racy","given":"Famira"}],"blog":{"archive_collection":null,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":null,"canonical_url":null,"category":"socialScience","community_id":"77c8c2e4-ebda-4e7c-9458-6c06b604344b","created_at":1752226126.418889,"current_feed_url":null,"description":null,"doi":null,"doi_as_guid":false,"favicon":"https://rogue-scholar.org/api/communities/77c8c2e4-ebda-4e7c-9458-6c06b604344b/logo","feed_format":"application/atom+xml","feed_url":"https://pkp.sfu.ca/feed/atom","filter":null,"funding":null,"generator":"WordPress","generator_raw":"WordPress","home_page_url":"https://pkp.sfu.ca/news/","id":"1fc8db8d-6943-4efd-8a78-7723c41ab59f","indexed":true,"issn":null,"language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":null,"prefix":"10.59350","registered_at":0,"relative_url":null,"ror":null,"secure":true,"slug":"pkp","status":"active","subfield":"1710","subfield_validated":null,"title":"Public Knowledge Project","updated_at":1779958244.215632,"use_api":null,"use_mastodon":false,"user_id":null},"blog_name":"Public Knowledge Project","blog_slug":"pkp","content_html":"
\"Feature
\n

Upload, edit, publish, all in one place. OJS, OMP, and OPS 3.6 cover the journey from manuscript to on the fly HTML, PDF, and JATS XML production.

\n

Thanks to extensive community input gathered through the PKP Forum, webinars, and working groups \u2014 and to funding from the Open Research Europe project \u2014 the upcoming 3.6 release will include an integrated HTML editing tool and the ability to generate HTML, PDF, and JATS XML files using HTML as the canonical source.\u00a0

\n

The direction was validated at the 2024 PKP Turin Sprint where attendees explored these capabilities in a dedicated typesetting working group, refining key design and implementation assumptions.

\n

Removing Offline Dependencies with the Integrated Text Editor

\n

The integrated text editor uses SciFlow, a tool that generates clean, stripped-down markup with only the essential structural and semantic elements needed for rendering.

\n
\"Image
\n

Note that the text editor is an option for Editors who prefer to work inside of the software but the legacy workflow involving desktop tools and third-party services remains available.\u00a0

\n

Integrated Text Editor Features

\n

The editor\u2019s interface will be familiar to users of text editors such as Word or Google Docs. The standard structural tools available include fonts, basic tables, headers, etc. Keyboard notations can be used for structures such as headers, ordered and unordered lists, fonts, and more.

\n

Mathematical formulas are handled via MathJax integration and editors have the option to directly author and edit LaTeX via the sidebar.

\n

\n
\"Mathematical
\n

Although only body text is shared to the integrated text editor, metadata such as references are listed in the sidebar and can be dragged onto text for quick linking.

\n


Citations can be edited or added on the fly by selecting the desired text and interacting with the sidebar tools.

\n

Upload, Edit, Save

\n

The new text editor is available as an in-software alternative that does not disrupt existing workflows.

\n

1. Submission Upload

\n

\"\u25b6\" The Author uploads their manuscript e.g., Word document

\n

\"\u25b6\" If the Grobid plugin is enabled, manuscript metadata such as titles and abstracts can be auto-extracted into the submission form

\n

2. Review\u00a0

\n
\n\n
\n

Integrated text editor walkthrough by Jarda Kot\u011b\u0161ovec, Front-end Software Lead at PKP

\n


\"\u25b6\" The uploaded manuscript file can be shared with the text editor at any stage (submission, review, copyediting, production) in the workflow using the \u201csend to text editor\u201d option.

\n

\"\u25b6\" Only the main content of the article is shared with the text editor. i.e., the content on the title page is not editable using this method.\u00a0

\n

3. Edit\u00a0

\n

\"\u25b6\" Edit the article content

\n


\"\u25b6\" Save your changes. This saves the body text HTML as the canonical source within the software.

\n

On the Fly File Production and Export

\n

In previous releases, files such as HTML, PDF, and JATS XML were created offline and uploaded to the galley. For an HTML version of the article to be displayed in the public-facing website required the existence of an HTML file in the gallery. Similarly, PDF and other downloadable files from the public website required these files to be manually kept up to date in the galley. This created a labour-intensive and potentially costly workflow where every update required external services to regenerate and re-upload files.

\n

With the 3.6 release, file creation functionality takes the body text HTML created by the integrated editor and, when triggered by the Editor, the system produces HTML, PDF, and JATS XML files for display and download. This will reduce an Editor\u2019s manual workload, satisfy PubMed\u2019s JATS XML export requirement, and allow journal-specific templates and styles to be applied for a consistent look and feel.\u00a0

\n

The following file production paths can be triggered by the Editor after moving submissions to the production stage.

\n

Body text HTML Conversion to HTML, PDF, and JATS XML

\n

\"\u25b6\" Body text HTML to HTML Galley
Using a template, the journal\u2019s stylesheet is applied to the body text HTML. The resulting file can appear inline or as a standalone HTML page on the journal\u2019s public-facing website.

\n

\"\u25b6\" Body text HTML to HTML to PDF Galley
Similarly, a template and stylesheet is applied to the body text HTML to produce a downloadable PDF from HTML, consistent with the journal\u2019s look and feel.

\"\u25b6\" Body text HTML to JATS XML Galley
The structured content is exported to JATS XML for indexing and archiving with services such as PubMed.

\n
\n

Check out the May 25th Development Update News webinar where PKP developers talk about file production, high-resolution file handling, and more upcoming features coming in the 3.6 release.

\n
\n

References

\n\n

The post OJS 3.6: Bringing Manuscript Editing and Production under one Roof appeared first on Public Knowledge Project.

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\"\"
\n\n\n\n

This article presents 14 practical recommendations for action on climate change and health.

\n\n\n\n

The recommendations are grounded in the experiences shared by thousands of health workers and documented in the Teach to Reach 11 report \u201cLocal action to mitigate the impact of the climate crisis on health\u201d

\n\n\n\n

The recommendations below are what we conclude when we read those accounts together and ask what should change.

\n\n\n\n

They are a working analysis from The Geneva Learning Foundation, written for three audiences: community health staff and volunteers, managers and planners, and global partners.

\n\n\n\n

They appear here, in this article, for the first time.

\n\n\n\n

A separate companion article, Eight things health workers taught us about climate change and health, presents key findings on which these recommendations are based, with the Contributor accounts that support them.

\n\n\n\n

Read that piece first if the recommendations below feel abstract.

\n\n\n\n

Read this one if you have already read the findings and want to know what to do.

\n\n\n\n

Why these recommendations and not others

\n\n\n\n

Three principles run through what follows.

\n\n\n\n
    \n
  1. Solutions are already in the field. The accounts describe pirogues, drones, mobile clinics, mutual-aid funds, community-built health centres, and WhatsApp antenatal care. The job of policy is to recognise, fund, and protect what already works.
    2. \n\n\n\n
  2. Cost of climate adaptation is currently being paid by frontline health workers and the communities they serve, in money and in injuries. Any recommendation that ignores this transfers more cost to people who already cannot afford it.
    3. \n\n\n\n
  3. Climate change is a threat multiplier on familiar diseases. Recommendations that aim at exotic new programmes will miss the ground where the problem actually lives, which is in the malaria, cholera, malnutrition, and maternal mortality that workers have been tracking for decades.
    4. \n
\n\n\n\n

Recommendations for community health staff and volunteers

\n\n\n\n

The contributors are themselves community health staff and volunteers. The recommendations here are what their accounts suggest to peers in similar settings.

\n\n\n\n
    \n
  1. Map your district before the next rainy season, not during it. Several accounts make clear that the difference between a successful response and a lost patient is whether the alternative route, the higher-ground building, the canoe operator, and the women\u2019s group are known by name before the road floods. Make the map. Keep it on paper. Update it once a year.
    2. \n\n\n\n
  2. Document the protocol changes you make under climate stress. Several contributors describe adapting reporting cadences, outreach schedules, and clinical protocols in real time during climate events. That kind of adaptation is the most useful evidence the system has, and it disappears if it is not written down. Write a short note each time you change a protocol because of weather. Share it with peers.
    3. \n\n\n\n
  3. Build relationships with women\u2019s groups, traditional birth attendants, youth groups, and faith leaders before any emergency. The communities that responded best to the floods in the report were the ones where these relationships already existed. They cannot be built in the week of an emergency.
    4. \n\n\n\n
  4. Record what you spend out of pocket. The midwife in Tarime hires motorbikes. Keku Evans De-Clerk in Ho West spends four days travelling between communities. These costs are invisible to managers and donors unless someone counts them. Counting them is the first step to having them reimbursed.
    5. \n
\n\n\n\n

Recommendations for managers and planners

\n\n\n\n

The contributors describe a system in which the formal health service runs on the unrecorded labour and unrecorded spending of frontline staff and the unrecorded financing of community groups.

\n\n\n\n

The recommendations here are about giving formal recognition and resources to what is already happening.

\n\n\n\n
    \n
  1. Rewrite district emergency plans around the hazards the district actually faces, in the order they arrive. The same district will see drought, then flood, then harmattan, then heatwave. A single integrated plan that names canoe operators, higher-ground sites, and outreach schedules adjusted for the local climate calendar reaches zero-dose children and high-risk pregnancies before access closes.
    2. \n\n\n\n
  2. Authorise improvised responses in advance, so workers do not have to seek approval during a crisis. Mobile clinics, drone deliveries, telemedicine on WhatsApp, community-built facilities, daily surveillance reporting. These are happening anyway. Pre-authorisation removes the legal and procedural risk that workers currently carry alone.
    3. \n\n\n\n
  3. Create a reimbursement line for climate-related transport, equipment, and weather-related sick days. Health worker dedication is a subsidy. Make it visible in the budget. The amounts involved are small. The signal to the workforce is large.
    4. \n\n\n\n
  4. Recognise community financial mechanisms as health system infrastructure. Women\u2019s solidarity funds, mutual-aid groups, and savings groups already pay for hospital stays and emergency transport in the accounts. District plans that ignore them duplicate effort. District plans that include them work with the grain of the community.
    5. \n\n\n\n
  5. Make community trust a measurable indicator, with a budget line and a person responsible. Habila Christiana Habu in Taraba State and several other contributors describe trust as the binding constraint on emergency response. It is measurable. It can be funded. It is currently neither in most plans.
    6. \n
\n\n\n\n

Recommendations for global partners

\n\n\n\n

The Belem Health Action Plan adopted after COP30 placed adaptation and community resilience at the centre of the global response. The 2025 Lancet Countdown opened a path to climate-resilient health systems that recognises frontline knowledge. The recommendations here are about closing the gap between those framings and what is actually funded.

\n\n\n\n
    \n
  1. Shift climate-health portfolios from generating new knowledge to amplifying knowledge that already exists. Implementation science for planetary health begins with what frontline workers have already tested. Fund the documentation, peer learning, and protocol development that turns those tests into evidence the global system can use. Funding more research from the outside, on conditions that workers in nineteen countries have already described, is the wrong instrument.
    2. \n\n\n\n
  2. Fund frontline workers directly through mechanisms that match the timeline of an extreme weather event. Reconstruction funding that arrives in months arrives after the community has already moved on. Rapid response mechanisms that can reach community-led action in weeks match the timeline that floods, droughts, and cyclones actually run on.
    3. \n\n\n\n
  3. Make worker protection a required line in every emergency response grant. Reimbursement for transport, airtime, equipment, and weather-related injuries is small money and large signal. It is also the one variable in the report that no contributor reported being addressed.
    4. \n\n\n\n
  4. Treat community trust and community-built infrastructure as fundable outcomes. The current grant cycle is shorter than the time it takes to build trust in a community that has been let down before, and shorter than the time it takes to build a health centre with local labour. Multi-year, presence-based funding is what these accounts call for.
    5. \n\n\n\n
  5. Reframe climate-health investment around familiar diseases at altered scale. The signal is in malaria caseloads in Kinshasa during the dry season, dengue in Cote d\u2019Ivoire, cholera in N\u2019Djamena, malnutrition in Tiassale, and respiratory illness from harmattan dust in Transua. Funding instruments that look for new disease categories will miss it. Funding instruments that strengthen basic public health, sanitation, water security, and surveillance for these familiar diseases will reach it.
    6. \n
\n\n\n\n

What success looks like 

\n\n\n\n

Three years from now, what does success look like, if these recommendations are implemented? Here are six examples of potential outcomes:

\n\n\n\n
    \n
  1. A district plan in DRC that lists the women\u2019s solidarity fund of Ngandajika as a partner organisation, with a contact name and a budget for joint activity.
    2. \n\n\n\n
  2. A national malaria control programme in Niger that reimburses Sidikou Issaka Maiga and his colleagues for the pirogue hire, the long detours, and the supervision time that the seasonal chemoprevention campaign now requires under climate stress.
    3. \n\n\n\n
  3. A reimbursement line in the Tanzania Ministry of Health budget for the motorbikes that the midwife in Tarime currently hires herself.
    4. \n\n\n\n
  4. A grant from a global partner that arrives in time to finish the health centre that Jean-Richard Mutombo and his neighbours have started building in Tshibuba.
    5. \n\n\n\n
  5. A WhatsApp antenatal protocol in Ghana that gives Kojo Pieterson the documentation framework, the airtime, and the legal cover to do what he has already shown can be done.
    6. \n\n\n\n
  6. A district hospital in Uttarakhand that systematises Dr Mahesh Bhatt\u2019s practice of relocating high-risk pregnancies before the monsoon road closes, with funding for the relocation costs.
    7. \n
\n\n\n\n

These are not abstractions.

\n\n\n\n

The people are named.

\n\n\n\n

The places are real.

\n\n\n\n

The actions are within reach.

\n\n\n\n

The question is whether the systems that surround them will look.

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\"\"
\n\n\n\n

In Niger, the rains in 2024 were heavier than anyone alive could remember.

\n\n\n\n

Elders told Sidikou Issaka Maiga that they had never seen rainfall destroy so much in such a short time.

\n\n\n\n

The flooding washed away tracks, drowned crops, and cut whole villages off from the nearest health facility.

\n\n\n\n

The seasonal malaria chemoprevention campaign was supposed to be running.

\n\n\n\n

Children in flooded villages were unreachable by car or motorbike.

\n\n\n\n

So the malaria control programme recruited local distributors and brought them in by pirogue (small river boats), with antimalarial drugs and campaign materials, and the campaign continued.

\n\n\n\n
\n

\u201cWe recruited local distributors and brought them in by pirogue to supply them with AQSP and campaign materials to carry out the activity. Supervision of the campaign was generally carried out by a small team, which took longer than usual, forcing us to make long detours by vehicle, sometimes three times the normal distance. This approach was also facilitated by the communities, who often came up with relevant suggestions for getting around the obstacles.\u201d

\n\n\n\n

Sidikou Issaka Maiga, National Malaria Control Programme (Research Unit), Ministry of Health, Niamey, Niger.

\n
\n\n\n\n

The Niger malaria campaign is one of 100 accounts published in Teach to Reach 11: Local action to mitigate the impact of the climate crisis on health, the twentieth Listening and Learning Report from The Geneva Learning Foundation (TGLF).

\n\n\n\n

This article walks through eight things those workers taught us.

\n\n\n\n

It is for the community health staff who are facing similar challenges, for the managers who make the plans, and for the global partners who fund and design the systems that surround them.

\n\n\n\n

How to read what follows

\n\n\n\n

Read it as the people who wrote it intended: as evidence of what works, told by the people doing the work.

\n\n\n\n

The eight findings below are taken from the synthesis of contributor accounts in the report.

\n\n\n\n

Each finding pairs a verbatim quote with what we can learn from it for three audiences: community health staff and volunteers, managers and planners, and global partners.

\n\n\n\n

A separate companion article, What we should do with what health workers know, sets out recommendations that follow from these observations.

\n\n\n\n

One contributor account does not prove what works everywhere.

\n\n\n\n

It shows what is possible and what to test.

\n\n\n\n

Where experience and routine data disagree, the question is not which to believe.

\n\n\n\n

The question is why they differ.

\n\n\n\n

What is in this evidence that is not in other evidence

\n\n\n\n

Most climate-health evidence comes from formal research institutions in high-income countries.

\n\n\n\n

The accounts in this report come from the people treating patients in the most climate-vulnerable countries in the world.

\n\n\n\n

They tell the global research and policy conversation what is happening, who is doing it, and what it costs.

\n\n\n\n

Finding #1: Track familiar diseases as they arrive earlier and reach further

\n\n\n\n
\n

\u201cAt the moment, the biggest problem in my community is management of plastic bottles. They are thrown everywhere in the city of Kinshasa, blocking all the sewage outlets, causing floods and loss of life. The piled-up bottles harbour mosquito larvae. Malaria has become very common in Kinshasa.\u201d

\n\n\n\n

Adhama Mirindi Tresor, Community health worker, Kinshasa, Democratic Republic of the Congo.

\n
\n\n\n\n

Across the contributions, the diseases that climate change is amplifying are familiar ones.

\n\n\n\n

Malaria.

\n\n\n\n

Cholera.

\n\n\n\n

Diarrhoea.

\n\n\n\n

Malnutrition.

\n\n\n\n

Respiratory illness from harmattan dust.

\n\n\n\n

Mental ill-health after a flood.

\n\n\n\n

The pattern reported is that these conditions are arriving earlier in the season, lasting longer, and reaching places where they used to be rare.

\n\n\n\n

Adhama Mirindi Tresor traces a chain that runs from urban waste to blocked drainage, to standing water, to mosquito breeding, to malaria in children.

\n\n\n\n

The threat multiplier framing in the 2025 Lancet Countdown matches what workers in nineteen countries described from their clinics.

\n\n\n\n

What can we take away from Finding #1?

\n\n\n\n\n\n\n\n

Finding #2: Build the alternative route before the road closes

\n\n\n\n
\n

\u201cIn October 2024, Mali was hit by flooding throughout the interior regions, including the capital Bamako. As a result, the problem of access to basic social services arose. To get around this difficulty, the population was obliged use makeshift boats, pinasses and pirogues to reach the health centres.\u201d

\n\n\n\n

Dr Kassoum Barry, Medical doctor, Bamako, Mali.

\n
\n\n\n\n

In Mali, the population reached health centres in pirogues.

\n\n\n\n

In Madagascar, some health districts used drones to supply health facilities during cyclones.

\n\n\n\n

In Niger, the seasonal malaria chemoprevention campaign continued because local distributors were brought in by pirogue.

\n\n\n\n

In Ghana, Ofosu-Kwabi Nasas reports that during the rains \u201cpeople who can paddle canoes come in and help.\u201d

\n\n\n\n

The first response to access collapse is always local and improvised.

\n\n\n\n

It is not a substitute for the formal system.

\n\n\n\n

It is what the formal system depends on without naming.

\n\n\n\n

What can we take away from Finding #2?

\n\n\n\n\n\n\n\n

Finding #3: Recognise community financing as health financing

\n\n\n\n

The Ngandajika women\u2019s solidarity fund, featured in the launch communication for this report, is one example of a wider pattern in the contributions.

\n\n\n\n

In Mali, Fousseyni Dembele describes a rapid multi-sector needs assessment after a flood that produced water, treatment for malnourished children, and vaccination through mobile clinics, financed through partner pooling.

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In Ethiopia, community members made local materials available to construct temporary sheds for health workers during a rotavirus outbreak.

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In Cameroon, community members in Kavumu bought a plot of land and built a health centre themselves.

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Such initiatives already exist.

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Health systems frequently do not see them.

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What can we take away from Finding #3?

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Finding #4: Treat communities as builders, not beneficiaries

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\u201cThe community played a vital role. Local cyclists provided their bikes, and the Organization donated food and clothing for most affected families. Local volunteers were trained to identify and refer critical cases. They also helped in the distribution of emergency supplies to the elderly and orphans.\u201d

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Bridget Mark Udoaka, Public Health officer, NGO, Akwa-Ibom State, Nigeria.

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Across the contributions, communities are not waiting for external help to arrive.

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In Akwa-Ibom State, local cyclists provided their bikes, volunteers were trained to identify and refer critical cases, and high-ground community centres were converted into temporary shelters and healthcare hubs.

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In Burkina Faso, village midwives were trained to assist in childbirth in communities cut off during the winter months.

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In Cote d\u2019Ivoire, Okou Gbouhouri Marius Romeo describes a community that, once aware of the danger, made available a team of volunteers to clean flooded areas and a team to learn how to disinfect wells.

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What can we take away from Finding #4?

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Finding #5: Run telemedicine on the tools workers already have

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\u201cWe had to innovate. For the first time, we piloted telemedicine services using satellite phones to connect with doctors in urban areas for complex cases.\u201d

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Antony Okungu, multi-country

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When access to a clinic collapses, contributors describe building remote-care arrangements out of whatever communication they have.

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Antony Okungu piloted satellite-phone telemedicine for the first time during a flood.

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Malick Ndome in Kolda, Senegal, distributed telephones to women in labour so midwives could give advice while they waited.

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Mambo Zadiya Merveille in Lubumbashi describes remote consultations to reach otherwise unreachable facilities.

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As far as we know, none of these were funded telemedicine programmes.

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They were ordinary clinical work running on extraordinary improvisation.

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What can we take away from Finding #5?

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Finding #6: Make community trust an explicit objective, not an assumption

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\u201cThe community\u2019s response was a mixture of cooperation and resistance. While many villagers welcomed our efforts and actively participated in creating temporary clinics, others were hesitant to engage due to fears of further flooding or distrust of external interventions. Educating them about the importance of seeking care and dispelling misconceptions required significant effort.\u201d

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Habila Christiana Habu, Community health worker, Ministry of Health, Taraba State, Nigeria.

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Habila Christiana Habu names the constraint that supplies and logistics cannot fix.

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In Taraba State, a portion of the community refused to engage with the flood response.

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The reason was not absence of services, but distrust built up over years of external interventions that did not return.

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Bridget Mark Udoaka in Akwa-Ibom State, Joseph Mbari Ngugi in Murang\u2019a County, and Bernic Ameko in the Ashanti Region of Ghana describe variations of the same pattern.

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In each account, sustained communication over time was what shifted it.

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What can we take away from Finding #6?

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Finding #7: Stop letting health workers absorb the cost of climate adaptation alone

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\u201cI have to hire a motorbike and sometimes the road is so slippery and you fall down in the mud, and the next day you even get sick. I love my profession so much such that I am still working even in such a harsh conditions.\u201d

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Anonymous midwife, Ministry of Health, Tarime District Council, Tanzania.

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The midwife in Tarime hires the motorbike out of her own pocket.

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Keku Evans De-Clerk in Ho West District, Ghana, spends four days at a time travelling between hard-to-reach communities on roads that no car can cross.

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In Sindh Province, Pakistan, Dr Khalid Hussain Memon describes finding the Medical Superintendent of a flooded rural health centre still on duty on the upper floors of houses, treating patients with whatever medicines were left.

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Across the contributions, the personal cost of keeping services running during climate disruption is absorbed by individual workers, in money, time, and physical risk, with no reimbursement structure described.

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What can we take away from Finding #7?

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Finding #8: Plan for floods, droughts, heatwaves, and cyclones together

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\u201cExtreme weather events in the Himalayan hills in Uttarakhand generally pose a challenging situation and increase people\u2019s vulnerabilities because of its difficult geography. The biggest issue is the accessibility of people to healthcare facilities due to disruption in road connectivity. It was advised that pregnant women with an expected date of pregnancy within two weeks should shift nearer to the community health centre or district hospital so that they could reach the hospital in an emergency.\u201d

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Dr Mahesh Bhatt, Doctor, NGO, Garhwal Region, Uttarakhand Himalayas, India.

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The same district often faces several climate hazards in succession.

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Flooding in the rainy season, drought before it, harmattan dust in December and January, cyclones in Madagascar, snow that cuts mountain villages in Morocco, landslides on Himalayan roads in Uttarakhand.

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Dr Djah Olivier Raphael in Cote d\u2019Ivoire describes the harmattan dry season generating a high incidence of respiratory illness in children under five and pregnant women.

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Dr Mahesh Bhatt\u2019s response, relocating high-risk pregnancies to within reach of a hospital before the road becomes impassable, treats the hazards as a single integrated emergency rather than a sequence of separate ones.

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What can we take away from Finding #8?

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Reference

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The Geneva Learning Foundation. Teach to Reach 11: Local action to mitigate the impact of the climate crisis on health. Listening and Learning report 20. The Geneva Learning Foundation, 2026. https://doi.org/10.5281/zenodo.18246203

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La Fondation Apprendre Gen\u00e8ve. Teach to Reach 11: Actions locales face \u00e0 l\u2019impact du changement climatique sur la sant\u00e9. Rapport \u00ab \u00c9couter pour Apprendre \u00bb n\u00b0 20. La Fondation Apprendre Gen\u00e8ve, 2026. https://doi.org/10.5281/zenodo.19069576

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English | Fran\u00e7ais

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GEN\u00c8VE, 4 juin 2026 (La Fondation Apprendre Gen\u00e8ve) \u2013 La saison des pluies suivait autrefois un rythme que tout le monde connaissait. \u00c0 partir de 2021, les grandes pluies de novembre, d\u00e9cembre, et f\u00e9vrier ont cess\u00e9 de se comporter comme avant. La rivi\u00e8re Lubiji a d\u00e9bord\u00e9 plus longtemps.

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Le seul moyen de traverser pour aller \u00e0 la maternit\u00e9, une pirogue, ne pouvait plus passer pendant les inondations. Les femmes en travail accouchaient \u00e0 la maison, avec les risques d’h\u00e9morragie, d’infection apr\u00e8s l’accouchement, et de d\u00e9c\u00e8s que cela entra\u00eene.

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Alors les femmes de Ngandajika se sont organis\u00e9es entre elles.

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\u00ab Avec l’approche du groupe de femmes, nous avons mis en place un syst\u00e8me de suivi rapproch\u00e9 par mise en r\u00e9seau. Cela a permis aux femmes enceintes, \u00e0 partir de 32 semaines, de prendre un chemin d\u00e9tourn\u00e9 pour arriver \u00e0 temps \u00e0 la maternit\u00e9 pour un accouchement assist\u00e9. Leurs s\u00e9jours \u00e9taient pay\u00e9s par le fonds de solidarit\u00e9 du groupe de femmes. \u00bb

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Victoire Odia, infirmi\u00e8re, territoire de Ngandajika, province du Lomami, R\u00e9publique d\u00e9mocratique du Congo.

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Voil\u00e0 un exemple fort et concret de ce \u00e0 quoi ressemble l’adaptation locale \u00e0 la crise climatique, lorsqu’elle se mesure en naissances, et non en ateliers.

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Les inondations qui arrivent plus t\u00f4t, qui durent plus longtemps, et qui frappent plus fort sont la nouvelle r\u00e9alit\u00e9 \u00e0 Ngandajika et dans d’autres communaut\u00e9s repr\u00e9sent\u00e9es dans le nouveau rapport d’analyse \u00ab Actions locales face \u00e0 l’impact du changement climatique sur la sant\u00e9 \u00bb.

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Le fonds de solidarit\u00e9 des femmes fait partie de 100 t\u00e9moignages de ce type s\u00e9lectionn\u00e9s pour \u00eatre publi\u00e9s dans Teach to Reach 11 : Actions locales face \u00e0 l’impact du changement climatique sur la sant\u00e9, Rapport \u00ab \u00c9couter pour Apprendre \u00bb n\u00b0 20, publi\u00e9 aujourd’hui par La Fondation Apprendre Gen\u00e8ve.

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T\u00e9l\u00e9chargez ce rapport maintenant

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Ceci est le premier de deux rapports d’analyse, fond\u00e9s sur les r\u00e9ponses des personnels de sant\u00e9 aux effets du changement climatique sur la sant\u00e9, qui seront publi\u00e9s en 2026 par La Fondation Apprendre Gen\u00e8ve (Fondation).

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Le second publiera des analyses qualitatives tir\u00e9es de l’enqu\u00eate mondiale 2025 sur le changement climatique et la sant\u00e9, men\u00e9e aupr\u00e8s de plus de 6 400 professionnels de la sant\u00e9 et de l’humanitaire dans 128 pays.

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FRAN\u00c7AIS
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ENGLISH
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DISCUTER
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\ud83d\udcc5 Participez au grand \u00e9v\u00e9nement de lancement en direct avec les personnels de sant\u00e9, le 4 juin 2026

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Le 4 juin 2026, La Fondation Apprendre Gen\u00e8ve (Fondation) organise un grand \u00e9v\u00e9nement de lancement diffus\u00e9 en direct pour pr\u00e9senter le rapport.

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La s\u00e9ance est ouverte \u00e0 tous, gratuite, et tenue en fran\u00e7ais et en anglais.

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CONFIRMEZ VOTRE PARTICIPATION
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Rejoignez l’\u00e9v\u00e9nement en langue fran\u00e7aise. Vous avez manqu\u00e9 l’\u00e9v\u00e9nement en direct ? Regardez l’enregistrement en fran\u00e7ais ou en anglais.

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Suivez la premi\u00e8re formation d’apprentissage entre pairs qui vous aide \u00e0 r\u00e9pondre aux effets du changement climatique sur la sant\u00e9

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Inscrivez-vous d\u00e8s maintenant \u00e0 la formation d’apprentissage entre pairs fond\u00e9e sur le rapport : \u00ab CLIMATE-FR-004 Le changement climatique nuit \u00e0 la sant\u00e9 de votre communaut\u00e9 : ce que vous pouvez faire maintenant \u00bb.

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INSCRIVEZ-VOUS MAINTENANT \u00c0 LA FORMATION
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Cette formation est aussi disponible en anglais.

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Discutez avec le rapport

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Ayez une conversation avec le rapport. Vous tapez une question dans un langage simple, par exemple \u00ab Qu’est-ce que les personnels de sant\u00e9 de mon pays ont dit au sujet des inondations ? \u00bb ou \u00ab Quelles sont les solutions locales lorsque la route est coup\u00e9e ? \u00bb, et l’outil r\u00e9pond en utilisant uniquement le contenu de ce rapport. Vous n’avez besoin d’aucune comp\u00e9tence technique ni d’aucune exp\u00e9rience pr\u00e9alable avec l’intelligence artificielle pour parler au rapport.

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Comment apprenons-nous des exp\u00e9riences des personnels de sant\u00e9 ?

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Les personnels de sant\u00e9 de premi\u00e8re ligne ont partag\u00e9 leurs exp\u00e9riences avant, pendant, et apr\u00e8s Teach to Reach 11, le grand \u00e9v\u00e9nement digital d’apprentissage entre pairs tenu en d\u00e9cembre 2024. Qu’est-ce que Teach to Reach ?

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On leur a pos\u00e9 des questions simples.

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Que s’est-il pass\u00e9 exactement ?

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Qu’avez-vous fait ?

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Comment avez-vous su que cela avait march\u00e9 ?

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La communaut\u00e9 a-t-elle aid\u00e9, ou a-t-elle rendu les choses plus difficiles ?

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Ils ont r\u00e9pondu par \u00e9crit, dans la langue de leur choix, en fran\u00e7ais et en anglais.

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Le rapport est la synth\u00e8se de toutes ces r\u00e9ponses.

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Parmi les contributions envoy\u00e9es par les 24 610 personnels de sant\u00e9 inscrits \u00e0 l’\u00e9v\u00e9nement, venus de plus de 70 pays, 100 t\u00e9moignages d\u00e9taill\u00e9s ont \u00e9t\u00e9 choisis pour \u00eatre publi\u00e9s en entier dans l’annexe du rapport. Ces t\u00e9moignages proviennent d’au moins 19 pays, avec les groupes les plus nombreux bas\u00e9s en R\u00e9publique d\u00e9mocratique du Congo, au Niger, au Nig\u00e9ria, au Cameroun, au Kenya, au Ghana, et en C\u00f4te d’Ivoire.

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Le premier but de ce rapport est de rendre aux personnels de sant\u00e9 ce qu’ils ont bien voulu partager.

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Ils ont partag\u00e9 leurs exp\u00e9riences pour apprendre les uns des autres.

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Cette synth\u00e8se leur appartient d’abord.

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Le second but est de faire en sorte que les acteurs nationaux et internationaux apprennent \u00e0 voir la valeur et l’importance de ce que les personnels de sant\u00e9 de premi\u00e8re ligne savent, parce que ce sont eux qui sont pr\u00e9sents chaque jour.

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Les exp\u00e9riences des personnels de sant\u00e9 repr\u00e9sentent un nouveau type de preuve qui doit \u00e9clairer une action urgente.

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Que pouvons-nous apprendre de ce qui se trouve dans ce rapport ?

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Quand la temp\u00eate a d\u00e9truit le centre de sant\u00e9, la communaut\u00e9 en a construit un nouveau

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Jean-Richard Mutombo est responsable de programme \u00e0 Tshibuba, en R\u00e9publique d\u00e9mocratique du Congo.

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En 2023, des temp\u00eates accompagn\u00e9es de vents violents ont d\u00e9truit le poste de sant\u00e9 du village, les \u00e9coles, les maisons, et les plantations.

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La structure de sant\u00e9 la plus proche se trouve \u00e0 plus de 10 kilom\u00e8tres.

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La communaut\u00e9 n’a pas attendu.

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\u00ab Aujourd’hui, nous avons mobilis\u00e9 quelques ressources aupr\u00e8s de personnes de bonne volont\u00e9 vivant dans les villes pour construire un centre de sant\u00e9 dans le village de Tshibuba. Les travaux ont d\u00e9j\u00e0 commenc\u00e9 et la phase des fondations sera achev\u00e9e dans 10 jours. La population locale aide en apportant l’eau, le sable, et la main-d’\u0153uvre locale. \u00bb

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Jean-Richard Mutombo, responsable de programme, Tshibuba, R\u00e9publique d\u00e9mocratique du Congo.

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Un jumeau sauv\u00e9 sur une route inond\u00e9e, et un quartier qui a creus\u00e9 ses propres rigoles

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Geh Raphaela Agwa est sage-femme dans la communaut\u00e9 de Bomaka \u00e0 Buea, au Cameroun.

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Une femme est arriv\u00e9e \u00e0 son centre de sant\u00e9 en plein travail, apr\u00e8s avoir perdu les eaux sur une route inond\u00e9e.

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C’\u00e9tait une grossesse g\u00e9mellaire.

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Le deuxi\u00e8me jumeau avait un rythme cardiaque qui ralentissait.

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L’\u00e9quipe est intervenue \u00e0 temps.

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Le jumeau a \u00e9t\u00e9 sauv\u00e9.

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Ensuite, ils se sont organis\u00e9s.

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\u00ab Les chefs de quartier ont compris que tout devenait lent quand il pleuvait autant. Alors, chaque foyer a \u00e9t\u00e9 appel\u00e9 \u00e0 creuser les rigoles, pour que les voitures puissent circuler m\u00eame quand la pluie tombait fort. \u00bb

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Geh Raphaela Agwa, sage-femme, communaut\u00e9 de Bomaka, Buea, Cameroun.

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Surveillance quotidienne au lieu d’hebdomadaire : r\u00e9\u00e9crire le protocole dans la pratique

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Konan Kouam\u00e9 Georges est m\u00e9decin de sant\u00e9 publique dans le district sanitaire de Yopougon, \u00e0 Ouest-Songon, en C\u00f4te d’Ivoire.

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En 2023, la saison des pluies s’est comport\u00e9e d’une mani\u00e8re que les directives actuelles n’avaient pas pr\u00e9vue.

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Alors, son \u00e9quipe et lui ont r\u00e9\u00e9crit le protocole dans la pratique.

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\u00ab La saison des pluies nous a conduits \u00e0 observer une \u00e9pid\u00e9mie de dengue en 2023. La surveillance \u00e9pid\u00e9miologique a \u00e9t\u00e9 renforc\u00e9e, avec des tests rapides de dengue et de paludisme effectu\u00e9s sur les cas suspects et des donn\u00e9es transmises quotidiennement au lieu d’hebdomadairement. \u00bb

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Konan Kouam\u00e9 Georges, m\u00e9decin de sant\u00e9 publique, district sanitaire de Yopougon, Ouest-Songon, C\u00f4te d’Ivoire.

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Surveillance quotidienne au lieu d’hebdomadaire : c’est un petit changement \u00e0 lire.

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C’est un grand changement \u00e0 faire.

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C’est le type de changement que les syst\u00e8mes de surveillance classiques mettraient des ann\u00e9es \u00e0 recommander officiellement, et c’est exactement le type de signal d’alerte pr\u00e9coce que l’\u00e9pist\u00e9mologie dominante de la sant\u00e9 globale est entra\u00een\u00e9e \u00e0 \u00e9carter comme \u00e9tant simplement anecdotique.

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3 conclusions cl\u00e9s de ce rapport

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Trois conclusions reviennent \u00e0 travers les pays et les domaines de maladies.

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1. Le changement climatique nuit \u00e0 la sant\u00e9.

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La premi\u00e8re conclusion est que le changement climatique aggrave les probl\u00e8mes de sant\u00e9 qui existent d\u00e9j\u00e0, plut\u00f4t que d’en cr\u00e9er de nouveaux.

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Le paludisme, le chol\u00e9ra, la malnutrition, les maladies diarrh\u00e9iques, les troubles de la sant\u00e9 mentale, et la perte d’acc\u00e8s aux soins apparaissent tous plus souvent, plus t\u00f4t dans la saison, ou dans des endroits o\u00f9 ils \u00e9taient rares auparavant.

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Les personnels de sant\u00e9 sont les premiers \u00e0 voir ces changements, parce que ce sont eux qui soignent les patients.

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2. Les communaut\u00e9s organisent elles-m\u00eames leurs r\u00e9ponses.

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La deuxi\u00e8me conclusion est que les communaut\u00e9s ne sont pas des b\u00e9n\u00e9ficiaires passifs de l’aide.

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Elles r\u00e9pondent d\u00e9j\u00e0.

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Le rapport regroupe ce qu’elles font en deux familles, avec 17 types d’actions distincts document\u00e9s au total.

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3. Ceux qui sont les plus proches des effets du changement climatique sur la sant\u00e9 sont les moins visibles dans la conversation internationale sur la recherche et les politiques

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La troisi\u00e8me conclusion est que les personnels de sant\u00e9 et les communaut\u00e9s les plus proches de tout cela sont les moins visibles dans la conversation internationale sur la recherche et les politiques.

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Ce rapport existe pour r\u00e9duire cet \u00e9cart.

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Pourquoi cela compte pour les politiques internationales sur le changement climatique et la sant\u00e9 maintenant

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Ce rapport fournit ces preuves \u00e0 une \u00e9chelle et avec une \u00e9tendue g\u00e9ographique qui n’\u00e9taient pas disponibles auparavant. Il contribue \u00e0 la science de la mise en \u0153uvre pour la sant\u00e9 plan\u00e9taire, qui transforme la r\u00e9alit\u00e9 du terrain en action \u00e0 grande \u00e9chelle internationale.

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Les deux d\u00e9pendent du fait de savoir ce qui se passe au niveau communautaire, ce qui bloque l’action, et quelles solutions locales fonctionnent d\u00e9j\u00e0.

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\u00c0 propos de La Fondation Apprendre Gen\u00e8ve

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La Fondation Apprendre Gen\u00e8ve est une organisation suisse \u00e0 but non lucratif qui met en lien plus de 80 000 professionnels de la sant\u00e9 et de l’humanitaire dans 137 pays, \u00e0 travers des programmes d’apprentissage entre pairs con\u00e7us pour et avec la premi\u00e8re ligne. Teach to Reach, sa plateforme internationale d’apprentissage entre pairs, c\u00e9l\u00e8bre son cinqui\u00e8me anniversaire en 2026. Les rapports \u00ab \u00c9couter pour Apprendre \u00bb font partie du m\u00e9canisme d’analyse de la Fondation, qui transforme les exp\u00e9riences et les questions des participants du r\u00e9seau en donn\u00e9es qui \u00e9clairent la pratique et les politiques.

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Grand Challenges Canada a \u00e9t\u00e9 un partenaire financier de Teach to Reach 11.

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Contact presse

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Claude Cardot, Claude.cardot@learning.foundation +41 77 231 96 91

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R\u00e9f\u00e9rences

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  1. La Fondation Apprendre Gen\u00e8ve. Teach to Reach 11 : Actions locales face \u00e0 l’impact du changement climatique sur la sant\u00e9. Rapport \u00ab \u00c9couter pour Apprendre \u00bb n\u00b0 20. La Fondation Apprendre Gen\u00e8ve, 2026. https://doi.org/10.5281/zenodo.19069576
    2. \n\n\n\n
  2. The Geneva Learning Foundation. Teach to Reach 11: Local action to mitigate the impact of the climate crisis on health. Listening and Learning report 20. The Geneva Learning Foundation, 2026. https://doi.org/10.5281/zenodo.18246203
    3. \n\n\n\n
  3. Sadki R. Teach to Reach 11. redasadki.me, 30 novembre 2024. https://redasadki.me/2024/11/30/teach-to-reach-11-2/
    4. \n\n\n\n
  4. Sadki R. Anecdote ou exp\u00e9rience v\u00e9cue : repenser le savoir pour des syst\u00e8mes de sant\u00e9 r\u00e9silients au climat. redasadki.me, 11 novembre 2024. https://redasadki.me/2024/11/11/anecdote-or-lived-experience-reimagining-knowledge-for-climate-resilient-health-systems/
    5. \n\n\n\n
  5. Sadki R. Changement climatique et sant\u00e9 : ce que le Lancet Countdown dit sur la valeur et l’importance des savoirs et de l’action au niveau local. redasadki.me, 29 octobre 2025. https://redasadki.me/2025/10/29/climate-change-and-health-what-the-lancet-countdown-says-about-the-value-and-significance-of-local-knowledge-and-action/
    6. \n\n\n\n
  6. Sadki R. Comment le Lancet Countdown \u00e9claire une nouvelle voie vers des syst\u00e8mes de sant\u00e9 r\u00e9silients au climat. redasadki.me, 29 octobre 2025. https://redasadki.me/2025/10/29/how-the-lancet-countdown-illuminates-a-new-path-to-climate-resilient-health-systems/
    7. \n\n\n\n
  7. Sadki R. Le d\u00e9veloppement est adaptation : le tournant de Bill Gates porte en r\u00e9alit\u00e9 sur le lien entre changement climatique et sant\u00e9. redasadki.me, 30 octobre 2025. https://redasadki.me/2025/10/30/development-is-adaptation-bill-gatess-shift-is-actually-about-linking-climate-change-and-health/
    8. \n\n\n\n
  8. Sadki R. Changement climatique et sant\u00e9 : un nouveau programme d’apprentissage entre pairs par et pour les personnels de sant\u00e9 des pays les plus vuln\u00e9rables au climat. redasadki.me, 23 juillet 2025. https://redasadki.me/2025/07/23/climate-change-and-health-a-new-peer-learning-programme-by-and-for-health-workers-from-the-most-climate-vulnerable-countries/
    9. \n\n\n\n
  9. Sadki R. Science de la mise en \u0153uvre pour la sant\u00e9 plan\u00e9taire : de la r\u00e9alit\u00e9 du terrain \u00e0 l’action locale \u00e0 l’\u00e9chelle internationale. redasadki.me, 17 d\u00e9cembre 2025. https://redasadki.me/2025/12/17/planetary-health-from-ground-truth-to-local-action-at-global-scale/
    10. \n\n\n\n
  10. Romanello, M., Walawender, M., Hsu, S.-C., Moskeland, A., Palmeiro-Silva, Y., Scamman, D., Smallcombe, J.W., Abdullah, S., Ades, M., Al-Maruf, A., et al. (2025). The 2025 report of the Lancet Countdown on health and climate change. The Lancet, S0140673625019191. [https://doi.org/10.1016/S0140-6736(25)01919-1](https://doi.org/10.1016/S0140-6736(25)01919-1).
    11. \n
\n","doi":"https://doi.org/10.59350/fsna8-gkf49","funding_references":null,"guid":"https://redasadki.me/?p=23613","id":"43c15889-65fc-4415-948b-bf15f16c9499","image":"https://redasadki.me/wp-content/uploads/2026/05/20260127.Teach-to-Reach-11-climate-and-health-04.1600.jpg","images":[{"height":"300","sizes":"auto, (max-width: 225px) 100vw, 225px","src":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-FR-mesures-locales-visant-a-attenuer-limpact-de-la-crise-climatique-sur-la-sante.zenodo.19069576-COVER.640.png?resize=225%2C300&ssl=1","srcset":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-FR-mesures-locales-visant-a-attenuer-limpact-de-la-crise-climatique-sur-la-sante.zenodo.19069576-COVER.640.png?resize=225%2C300&ssl=1, https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-FR-mesures-locales-visant-a-attenuer-limpact-de-la-crise-climatique-sur-la-sante.zenodo.19069576-COVER.640.png?w=480&ssl=1","width":"225"},{"height":"832","sizes":"auto, (max-width: 1000px) 100vw, 1000px","src":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260525.182044.Safari.20260604.CLIMATE-Local-action-to-mitigate-the-impact-of-the-climate-crisis-on-health-NotebookLM.png?resize=1392%2C832&ssl=1","srcset":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260525.182044.Safari.20260604.CLIMATE-Local-action-to-mitigate-the-impact-of-the-climate-crisis-on-health-NotebookLM.png?w=1392&ssl=1, https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260525.182044.Safari.20260604.CLIMATE-Local-action-to-mitigate-the-impact-of-the-climate-crisis-on-health-NotebookLM.png?resize=300%2C179&ssl=1, https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260525.182044.Safari.20260604.CLIMATE-Local-action-to-mitigate-the-impact-of-the-climate-crisis-on-health-NotebookLM.png?resize=768%2C459&ssl=1","width":"1392"}],"indexed":true,"indexed_at":1779799722,"language":"fr","parent_doi":null,"published_at":1779791314,"reference":[],"registered_at":0,"relationships":[],"rid":"2avm8-h6s77","status":"active","summary":"English |\n\n Fran\u00e7ais\n\n\n GEN\u00c8VE, 4 juin 2026 (La Fondation Apprendre Gen\u00e8ve) \u2013\n\nLa saison des pluies suivait autrefois un rythme que tout le monde connaissait. \u00c0 partir de 2021, les grandes pluies de novembre, d\u00e9cembre, et f\u00e9vrier ont cess\u00e9 de se comporter comme avant. La rivi\u00e8re Lubiji a d\u00e9bord\u00e9 plus longtemps.","tags":["The Geneva Learning Foundation","Climate And Health","Climate Change And Health","Fran\u00e7ais","Peer Learning"],"title":"Nouvelles perspectives: les acteurs locaux m\u00e8nent la r\u00e9ponse face aux impacts du changement climatique sur la sant\u00e9","updated_at":1779794869,"url":"https://redasadki.me/2026/05/26/nouvelles-perspectives-health-workers-are-leading-community-responses-to-climate-change-impacts-on-health/","version":"v1"}},{"document":{"abstract":"The DataCite Registered Service Providers (RSP) Program strengthens the global research ecosystem by enabling trusted partners to deliver DataCite services locally and at scale. DataCite RSPs help institutions adopt persistent identifiers by enabling DOI registration, improving research metadata quality, and connectivity.","archive_url":null,"authors":[{"contributor_roles":[],"name":"DataCite Staff"}],"blog":{"archive_collection":23763,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":[{"name":"DataCite Staff"}],"canonical_url":null,"category":"computerAndInformationSciences","community_id":"916f4925-a9f6-4b4d-b823-c769ef054f15","created_at":1733579959,"current_feed_url":null,"description":"Connecting Research, Advancing Knowledge","doi":null,"doi_as_guid":false,"favicon":"https://rogue-scholar.org/api/communities/916f4925-a9f6-4b4d-b823-c769ef054f15/logo","feed_format":"application/atom+xml","feed_url":"https://datacite.org/blog/feed/atom/","filter":null,"funding":null,"generator":"WordPress","generator_raw":"WordPress","home_page_url":"https://datacite.org/","id":"127eb888-8cbe-4afc-a6f8-b58adffec39f","indexed":true,"issn":null,"language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":null,"prefix":null,"registered_at":0,"relative_url":null,"ror":null,"secure":true,"slug":"datacite","status":"active","subfield":"1710","subfield_validated":null,"title":"DataCite Blog - DataCite","updated_at":1779958128.679063,"use_api":true,"use_mastodon":false,"user_id":"dead81b3-8a8b-45c9-85fe-f01bb3948c77"},"blog_name":"DataCite Blog - DataCite","blog_slug":"datacite","content_html":"\n

The DataCite Registered Service Providers (RSP) Program strengthens the global research ecosystem by enabling trusted partners to deliver DataCite services locally and at scale. DataCite RSPs help institutions adopt persistent identifiers by enabling DOI registration, improving research metadata quality, and connectivity. This localized support expands access and builds capacity across regions, advancing DataCite\u2019s vision of a global community where all research outputs and resources are openly available, connected, and discoverable.

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Naseej for Technology (formerly known as Arabian Advanced Systems) and DataCite are pleased to announce that Naseej is now a DataCite Registered Service Provider\u2014the first provider to join the program from the Middle East.

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Naseej is a leading digital transformation provider in the Middle East & North Africa (MENA) region, specializing in knowledge, education, and research infrastructure solutions for academic institutions, government entities, and cultural organizations. One of its flagship solutions is the Medad Cloud Platform, a comprehensive suite of cloud-based applications designed to support the full lifecycle of academic and research operations.\u00a0\u00a0

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As a DataCite Registered Service Provider, Naseej\u2019s Medad software integrates with the DataCite REST API, allowing DataCite Members and Consortium Organizations to register DOIs using their DataCite credentials. In order to gain this recognition, Naseej had to meet requirements and follow best practices meant to ensure that integrations register DataCite DOIs accurately with rich metadata.\u00a0

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Integrating Nasseej Medad with DataCite Infrastructure\u00a0

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Naseej integrated DataCite DOI services within the Medad Digital Repository (DAR) to support persistent identification and standardized citation of digital assets and research outputs. The integration allows repository administrators to register, update, and manage DOIs directly from the DAR publishing workflow using the DataCite API, with automatic metadata mapping and synchronization.

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Creating a new image item in the repository interface, including DOI status options and required metadata fields.
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The integration is designed to support multiple repository content types stewarded by DataCite member organizations, including theses, publications, archival materials, datasets, and digital collections. By embedding DOI registration into the repository workflow, DAR helps institutions improve discoverability, interoperability, and long-term access to their digital content. 

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Example repository landing page displaying bibliographic details, subject terms, DOI link, QR code, and licensing information for a published article.
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Voices from the Community

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Commenting on this milestone for DataCite\u2019s Registered Service Provider program, Dr. Ahmad Alhusayni, MEDAD Platform Director, said:

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\u201cWe are proud that Medad has become DataCite\u2019s first Registered Service Provider in the Middle East. This milestone reflects our commitment to strengthening research infrastructure across the region by enabling universities, libraries, and research institutions to manage DOI registration through trusted, standards-aligned workflows. Together with DataCite, we look forward to advancing the visibility, discoverability, and long-term impact of all research outputs from the Middle East.\u201d\u00a0

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Muneer Al Battashi, Managing Director of the Oman Research and Education Network (OMREN), which recently launched a DataCite consortium in Oman, shared his experience working with Medad and integrating it with the DataCite infrastructure:

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\u201cThe integration between Medad and DataCite Fabrica was smooth and efficient. Through this collaboration, OMREN aims to streamline DataCite DOI registration workflows for the Oman National Repository (Shuaa) while ensuring reliable interoperability between our repository infrastructure and DataCite services.\u201d

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Maria Gould, Director of Strategic Programs & Partnerships at DataCite, commented:

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“We are thrilled to welcome Naseej as a new DataCite Registered Service Provider. This is an exciting and important development for research organizations across the Middle East and North Africa to be able to connect to DataCite infrastructure and services and broaden the visibility of their outputs and activities.”

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Naseej Academy is hosting a community awareness webinar on 24 June at 7:30 PM Saudi Arabia time with DataCite staff sharing insights into DataCite\u2019s global community, services, and relevant DataCite use cases. You can check once the event is open for registration here.

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DataCite welcomes Naseej as a DataCite Registered Service Provider and looks forward to seeing this implementation adopted and used by the DataCite community. If you have questions about working with a DataCite Registered Service Provider or joining the program, please contact DataCite support.

\n","doi":"https://doi.org/10.5438/cp4k-mp67","funding_references":null,"guid":"https://datacite.org/?p=15191","id":"16292eb5-c366-418e-9935-f07820f8542a","image":"https://datacite.org/wp-content/uploads/2026/05/Datacite_Social_Media_Blog_post_banner_Naseej_RSP_1.png","images":[{"alt":"Screenshot of a \u201cNew Repository Item\u201d form in an admin interface, showing required metadata sections and DOI status options.","src":"data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7"},{"alt":"Screenshot of a \u201cNew Repository Item\u201d form in an admin interface, showing required metadata sections and DOI status options.","height":"492","sizes":"(max-width: 1024px) 100vw, 1024px","src":"https://datacite.org/wp-content/uploads/2026/05/image-1-1024x492.png","srcset":"https://datacite.org/wp-content/uploads/2026/05/image-1-1024x492.png, https://datacite.org/wp-content/uploads/2026/05/image-1-300x144.png, https://datacite.org/wp-content/uploads/2026/05/image-1-768x369.png, https://datacite.org/wp-content/uploads/2026/05/image-1.png","width":"1024"},{"alt":"Repository record page showing metadata for an article by Saif Mohammad Al Badwawi, including source, publisher, date, language, subjects, DOI, QR code, and CC BY-NC license.","src":"data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7"},{"alt":"Repository record page showing metadata for an article by Saif Mohammad Al Badwawi, including source, publisher, date, language, subjects, DOI, QR code, and CC BY-NC license.","height":"509","sizes":"(max-width: 1024px) 100vw, 1024px","src":"https://datacite.org/wp-content/uploads/2026/05/image-2-1024x509.png","srcset":"https://datacite.org/wp-content/uploads/2026/05/image-2-1024x509.png, https://datacite.org/wp-content/uploads/2026/05/image-2-300x149.png, https://datacite.org/wp-content/uploads/2026/05/image-2-768x381.png, https://datacite.org/wp-content/uploads/2026/05/image-2-1536x763.png, https://datacite.org/wp-content/uploads/2026/05/image-2.png","width":"1024"},{"alt":"Portrait of a smiling man wearing a white thobe and a red-and-white checkered keffiyeh against a plain gray background.","src":"data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7"},{"alt":"Portrait of a smiling man wearing a white thobe and a red-and-white checkered keffiyeh against a plain gray background.","height":"507","sizes":"(max-width: 471px) 100vw, 471px","src":"https://datacite.org/wp-content/uploads/2026/05/image.jpeg","srcset":"https://datacite.org/wp-content/uploads/2026/05/image.jpeg, https://datacite.org/wp-content/uploads/2026/05/image-279x300.jpeg","width":"471"},{"alt":"Portrait of a man wearing a white dishdasha and a patterned Omani turban against a light gray background.","src":"data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7"},{"alt":"Portrait of a man wearing a white dishdasha and a patterned Omani turban against a light gray background.","height":"942","sizes":"(max-width: 936px) 100vw, 936px","src":"https://datacite.org/wp-content/uploads/2026/05/image-3.png","srcset":"https://datacite.org/wp-content/uploads/2026/05/image-3.png, https://datacite.org/wp-content/uploads/2026/05/image-3-298x300.png, https://datacite.org/wp-content/uploads/2026/05/image-3-150x150.png, https://datacite.org/wp-content/uploads/2026/05/image-3-768x773.png, https://datacite.org/wp-content/uploads/2026/05/image-3-70x70.png, https://datacite.org/wp-content/uploads/2026/05/image-3-80x80.png","width":"936"},{"alt":"Professional headshot of a woman with shoulder-length, wavy brown hair, smiling against a light blue background. 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English | Fran\u00e7ais

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\"Local
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GENEVA, 4 June 2026 (The Geneva Learning Foundation) \u2013 The rainy season used to follow a pattern that everyone knew. From 2021 onwards, the heavy rains in November, December, and February stopped behaving as they used to. The Lubiji river overflowed for longer.

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The only crossing to the maternity hospital, a pirogue, could not cross during the floods. Women in labour gave birth at home, with the risks of haemorrhage, post-partum infection, and death that come with that.

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So the women of Ngandajika organised themselves.

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\u201cWith the women\u2019s group approach, we have set up a system of close monitoring through networking, which has enabled pregnant women from the age of 32 weeks to take a roundabout route to arrive at the maternity hospital in time for the assisted birth. Their stays were paid for by the women\u2019s group solidarity fund.\u201d

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Victoire Odia, Nurse, Ngandajika territory, Lomami province, Democratic Republic of the Congo.

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This is a powerful, specific example of what local adaptation to the climate crisis looks like when it is measured in births, not in workshops.

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Floods that come earlier, last longer, and arrive harder are the new normal in Ngandajika and other communities represented in the new insights report \u201cLocal action to mitigate the impact of the climate crisis on health\u201d.

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The women\u2019s solidarity fund is one of 100 such accounts selected for publication in Teach to Reach 11: Local action to mitigate the impact of the climate crisis on health, Listening and Learning report 20, released today by The Geneva Learning Foundation.

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Download this report now

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The is the first of two insights reports, based on health worker responses to the impacts of climate change on health, that will be published in 2026 by The Geneva Learning Foundation (TGLF).

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The second will publish qualitative insights from the 2025 Global Climate Change and Health survey of more than 6,400 health and humanitarian workers in 128 countries.

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ENGLISH
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FRAN\u00c7AIS
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CHAT
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\ud83d\udcc5 Join the live Launch Event with health workers on 4 June 2026

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On 4 June 2026, The Geneva Learning Foundation (TGLF) is hosting a livestreamed Launch Event to introduce the report.

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The session is open to the public, free, and held in both English and French.

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CONFIRM YOUR PARTICIPATION
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Join the French-language event. Did you miss the live event? Watch the recording in English or French.

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Take the first peer learning course that helps you respond to climate change health impacts

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Enroll now in the peer learning course based on the report: \u201cCLIMATE-EN-004 Climate change is harming your community\u2019s health: what you can do now\u201d.

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ENROLLIN THE PEER LEARNING COURSE
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This course is also available in French.

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Chat with the report

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Have a conversation with the report. You type a question in plain language, for example \u201cWhat did health workers in my country say about floods?\u201d or \u201cWhat are local solutions when the road is cut off?\u201d, and the tool answers using only the content of this report. You do not need any technical skill or any prior experience with artificial intelligence to talk to the report.

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How do we learn from health worker experiences?

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Frontline health workers shared their experiences before, during, and after Teach to Reach 11, the global peer learning event held in December 2024. What is Teach to Reach?

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They were asked simple questions.

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What exactly happened?

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What did you do?

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How did you know it worked?

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Did the community help, or make things harder?

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They answered in writing, in the language they preferred, in English and in French.

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The report is the synthesis of all those answers.

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From the contributions submitted by the 24,610 health workers registered for the event from more than 70 countries, 100 detailed accounts were selected for full publication in the annex of the report, drawn from at least 19 countries, with the largest groups based in the Democratic Republic of the Congo, Niger, Nigeria, Cameroon, Kenya, Ghana, and C\u00f4te d\u2019Ivoire.

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The first purpose of this report is to give back to the health workers who shared what they know.

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They shared their experiences to learn from each other.

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This synthesis belongs to them first.

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The second purpose is to make sure that national and global actors learn to see the value and significance of what frontline health workers know, because they are the ones who are there every day.

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Health worker experiences represent a new kind of evidence that needs to inform urgent action.

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What can we learn from what\u2019s in this report?

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When the storm destroyed the health centre, the community built a new one

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Jean-Richard Mutombo is a programme officer working in Tshibuba, in the Democratic Republic of the Congo.

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In 2023, storms with violent winds destroyed the village health post, schools, homes, and plantations.

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The nearest health facility is more than 10 kilometres away.

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The community did not wait.

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\u201cToday, we have mobilised some resources from generous people living in the towns to build a health centre in the village of Tshibuba. Work has already started and the foundation stage will be completed in 10 days\u2019 time. The local population is helping by collecting water, sand, and local labour.\u201d

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Jean-Richard Mutombo, Programme officer, Tshibuba, Democratic Republic of the Congo.

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A twin saved on a flooded road, and a neighbourhood that dug its own drainage

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Geh Raphaela Agwa is a midwife at Bomaka Community in Buea, Cameroon.

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A woman came to her clinic in labour after her waters had broken on a flooded road.

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It was a twin pregnancy.

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The second twin had a slowing heart rate.

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The team operated in time.

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The twin was saved.

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Afterwards, they organised.

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\u201cThe quarter heads realized that everything was slow when it rained that much. So everyone from each household was called upon to dig the gutters so that cars could move even though it rained heavily.\u201d

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Geh Raphaela Agwa, Midwife, Bomaka Community, Buea, Cameroon.

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Daily surveillance instead of weekly: rewriting the protocol in practice

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Konan Kouam\u00e9 Georges is a public health medical doctor in the Yopougon Health District, in Ouest-Songon, C\u00f4te d\u2019Ivoire.

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In 2023, the rainy season behaved in a way current guidelines did not anticipate.

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So he and his team rewrote the protocol in practice.

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\u201cThe rainy season led us to observe a dengue epidemic in 2023. Epidemiological surveillance has been stepped up, with dengue and malaria rapid tests being carried out on suspected cases and data being transmitted on a daily basis instead of on a weekly basis.\u201d

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Konan Kouam\u00e9 Georges, Public health medical doctor, Yopougon Health District, Ouest-Songon, C\u00f4te d\u2019Ivoire.

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Daily surveillance instead of weekly is a small change to read.

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It is a large change to do.

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It is the kind of change that conventional surveillance systems would take years to formally recommend, and it is exactly the sort of early warning signal that the dominant epistemology of global health is trained to dismiss as anecdotal.

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3 key findings from this report

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Three findings run across countries and disease areas.

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1. Climate change is harming health.

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The first finding is that climate change is making existing health problems worse, rather than producing new ones.

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Malaria, cholera, malnutrition, diarrhoeal disease, mental ill-health, and lost access to care all appear more often, earlier in the season, or in places where they used to be rare.

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Health workers are the first to see these shifts because they are the ones treating the patients.

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2. Communities are self-organizing responses.

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The second finding is that communities are not passive recipients of help.

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They are already responding.

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The report groups what they do into two families, with 17 distinct kinds of action documented across both.

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3. Those closest to the impacts of climate change on health are the least visible in the global research and policy conversation

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The third finding is that the health workers and the communities closest to all of this are the least visible in the global research and policy conversation.

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This report exists to narrow that gap.

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Why this matters for global climate change and health policy now

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This report supplies that evidence at a scale and geographic breadth that has not been previously available, contributing to the implementation science for planetary health that turns ground truth into action at global scale.

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Both depend on knowing what is happening at community level, what is blocking action, and what local solutions already work.

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About The Geneva Learning Foundation

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The Geneva Learning Foundation is a Swiss nonprofit that connects more than 80,000 health and humanitarian workers across 137 countries through peer learning programmes designed for and with the frontline. Teach to Reach, its global peer learning platform, is celebrating its fifth anniversary in 2026. The Listening and Learning Reports are part of TGLF\u2019s Insights mechanism, which turns the experiences and questions of network participants into evidence that informs practice and policy.

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Grand Challenges Canada was a funding partner for Teach to Reach 11.

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Media contact

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Claude Cardot, Claude.cardot@learning.foundation +41 77 231 96 91

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References

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  1. The Geneva Learning Foundation. Teach to Reach 11: Local action to mitigate the impact of the climate crisis on health. Listening and Learning report 20. The Geneva Learning Foundation, 2026. https://doi.org/10.5281/zenodo.18246203
    2. \n\n\n\n
  2. La Fondation Apprendre Gen\u00e8ve. Teach to Reach 11: Actions locales face \u00e0 l\u2019impact du changement climatique sur la sant\u00e9. Rapport \u00ab \u00c9couter pour Apprendre \u00bb n\u00b0 20. La Fondation Apprendre Gen\u00e8ve, 2026. https://doi.org/10.5281/zenodo.19069576
    3. \n\n\n\n
  3. Sadki R. Teach to Reach 11. redasadki.me, 30 November 2024. https://redasadki.me/2024/11/30/teach-to-reach-11-2/
    4. \n\n\n\n
  4. Sadki R. Anecdote or lived experience: reimagining knowledge for climate-resilient health systems. redasadki.me, 11 November 2024. https://redasadki.me/2024/11/11/anecdote-or-lived-experience-reimagining-knowledge-for-climate-resilient-health-systems/
    5. \n\n\n\n
  5. Sadki R. Climate change and health: what the Lancet Countdown says about the value and significance of local knowledge and action. redasadki.me, 29 October 2025. https://redasadki.me/2025/10/29/climate-change-and-health-what-the-lancet-countdown-says-about-the-value-and-significance-of-local-knowledge-and-action/
    6. \n\n\n\n
  6. Sadki R. How the Lancet Countdown illuminates a new path to climate-resilient health systems. redasadki.me, 29 October 2025. https://redasadki.me/2025/10/29/how-the-lancet-countdown-illuminates-a-new-path-to-climate-resilient-health-systems/
    7. \n\n\n\n
  7. Sadki R. Development is adaptation: Bill Gates\u2019s shift is actually about linking climate change and health. redasadki.me, 30 October 2025. https://redasadki.me/2025/10/30/development-is-adaptation-bill-gatess-shift-is-actually-about-linking-climate-change-and-health/
    8. \n\n\n\n
  8. Sadki R. Climate change and health: a new peer learning programme by and for health workers from the most climate-vulnerable countries. redasadki.me, 23 July 2025. https://redasadki.me/2025/07/23/climate-change-and-health-a-new-peer-learning-programme-by-and-for-health-workers-from-the-most-climate-vulnerable-countries/
    9. \n\n\n\n
  9. Sadki R. Implementation science for planetary health: from ground truth to local action at global scale. redasadki.me, 17 December 2025. https://redasadki.me/2025/12/17/planetary-health-from-ground-truth-to-local-action-at-global-scale/
    10. \n\n\n\n
  10. Romanello, M., Walawender, M., Hsu, S.-C., Moskeland, A., Palmeiro-Silva, Y., Scamman, D., Smallcombe, J.W., Abdullah, S., Ades, M., Al-Maruf, A., et al. (2025). The 2025 report of the Lancet Countdown on health and climate change. The Lancet, S0140673625019191. https://doi.org/10.1016/S0140-6736(25)01919-1.
    11. \n
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On May 1, 2026, the U.S. Food and Drug Administration (FDA) approved vepdegestrant, marketed as VEPPANU\u2122, for adults with estrogen receptor-positive, human epidermal growth factor receptor 2-negative, ESR1-mutated advanced or metastatic breast cancer, as detected by an FDA-authorized test, after disease progression following at least one line of endocrine therapy [1]. The FDA also approved Guardant360 CDx as a companion diagnostic device to identify patients with breast cancer harboring ESR1 mutations for treatment with vepdegestrant [1]. Arvinas describes VEPPANU\u2122 as the first FDA-approved proteolysis-targeting chimera (PROTAC) therapy [12]. The approval is scientifically important, but it should be interpreted with clinical restraint. The clinical benefit was most evident in the ESR1-mutated population, while the overall trial population did not achieve statistical significance. The lesson is not that catalytic degradation has fixed endocrine resistance. It is that a new pharmacologic approach has reached patients, with a mechanistically coherent and clinically meaningful benefit in a biomarker-defined population, while the magnitude of benefit remains modest.

Endocrine Resistance and the Role of ESR1 Mutations

ESR1 mutations occur in approximately 20\u201340% of estrogen receptor-positive (ER+) metastatic breast cancers after progression on endocrine therapy, particularly after aromatase inhibitor-based treatment, and are also common in contemporary cohorts previously treated with cyclin-dependent kinase 4/6 (CDK4/6) inhibitors [2], [3]. The most common alterations, Y537S and D538G, in the ligand-binding domain stabilize an active receptor conformation and decrease sensitivity to fulvestrant and some oral selective estrogen receptor degraders (SERDs). Clinically, these mutations are linked to shorter progression-free survival and limited subsequent endocrine options. In this context, later-line endocrine monotherapy often produces short progression-free survival, although outcomes vary by prior endocrine sensitivity, ESR1 mutation status, and trial population. This has driven interest in agents that can achieve deeper and more durable estrogen receptor pathway suppression [4].

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Mechanism of Action: From Occupancy to Catalytic Degradation

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Figure 1. Mechanistic contrast between traditional SERD pharmacology and vepdegestrant-mediated PROTAC degradation.

Traditional SERDs operate through occupancy-driven pharmacology. They bind the ligand-binding domain of the estrogen receptor (ER), induce a conformational change that promotes partial proteasomal degradation, and sterically hinder coactivator recruitment. Degradation may remain incomplete, and mutant receptors can retain transcriptional activity. Vepdegestrant operates through an event-driven, catalytic mechanism. It is a heterobifunctional molecule that simultaneously engages the estrogen receptor and the E3 ubiquitin ligase cereblon (CRBN). The resulting ternary complex recruits the CRL4CRBN E3 ubiquitin ligase complex, leading to receptor polyubiquitination and proteasomal degradation. In principle, this event-driven mechanism can allow target degradation without requiring sustained stoichiometric target occupancy, distinguishing PROTAC pharmacology from conventional occupancy-driven inhibition. Preclinical studies reported robust estrogen receptor degradation and antitumor activity in ER-positive breast cancer models, including models with clinically relevant ESR1 mutations, with activity observed as monotherapy and in combination with CDK4/6 or PI3K/mTOR pathway inhibitors [5], [6]. This deeper receptor depletion, rather than receptor occupancy alone, provides a mechanistic rationale for activity in ESR1 mutation-driven resistance.

Analytical Perspectives: Why Degradation Demands More Than Exposure

For an analytical scientist, vepdegestrant demonstrates why targeted degradation cannot be assessed solely from exposure data. For a traditional small-molecule inhibitor, the main question is whether enough drug exposure is achieved at the target for a sufficient period. A PROTAC raises additional questions: whether the compound forms the intended ternary complex, recruits the relevant E3 ligase machinery, induces measurable target degradation, and produces a pharmacodynamic response that correlates with clinical benefit. Exposure, engagement, degradation, and patient selection therefore become interconnected parts of the evidence chain.

Published liquid chromatography\u2013tandem mass spectrometry (LC-MS/MS) methods enabled sensitive measurement of vepdegestrant in rodent plasma. Niessen et al. reported a lower limit of quantification (LLOQ) of 0.5 ng/mL in rat plasma, while Choi et al. reported a validated range of 1 to 1000 ng/mL in mouse and rat plasma [10], [11]. These studies supported preclinical pharmacokinetic and stability assessment, including rodent exposure and matrix-dependent stability behavior. Separately, mechanistic studies supported ER-vepdegestrant-CRBN ternary complex formation and downstream estrogen receptor degradation [5], [6]. Together, these findings illustrate why degrader development requires an evidence chain that links exposure, target engagement, degradation, pharmacodynamic response, and patient selection.

In VERITAC-2, the clinical translation of that evidence chain depended on biomarker selection. ESR1 mutation status was determined using blood-based circulating tumor DNA (ctDNA) through central or local testing, enabling prespecified analysis of the ESR1-mutated population and supporting the companion diagnostic strategy with Guardant360 CDx. That is the broader lesson: for targeted degradation to mature clinically, the field will need rigorous analytics not only for the molecule but also for the target, the degradation event, and the patient population most likely to benefit.

Clinical Validation: The VERITAC-2 Phase 3 Trial

Approval was based on VERITAC-2 (NCT05654623), a global, randomized, open-label Phase 3 trial that enrolled 624 patients with ER+/HER2\u2212 advanced or metastatic breast cancer whose disease progressed after one or two lines of endocrine therapy, including at least one CDK4/6 inhibitor-containing regimen [1], [7], [8]. Patients were randomized 1:1 to vepdegestrant 200 mg orally once daily with food or to fulvestrant administered according to standard labeling. Randomization was stratified by ESR1 mutation status, determined by circulating tumor DNA, and by the presence of visceral metastases. Patients had not received prior fulvestrant or chemotherapy for advanced or metastatic disease [1], [7].

In the prespecified ESR1-mutated population (n = 270), blinded independent central review\u2013assessed progression-free survival was significantly longer with vepdegestrant: median 5.0 months (95% confidence interval [CI], 3.7\u20137.4) versus 2.1 months (95% CI, 1.9\u20133.5) with fulvestrant (hazard ratio 0.57; 95% CI, 0.42\u20130.77; P = 0.0001) [1], [7]. Objective response rates were 19% (95% CI, 12\u201327%) versus 4% (95% CI, 1.6\u201310%). In the overall population, the difference in progression-free survival did not reach statistical significance (median 3.7 versus 3.6 months; hazard ratio 0.83; 95% CI, 0.68\u20131.02; P = 0.07). Overall survival data remain immature. The statistically significant progression-free survival (PFS) benefit was observed in the ESR1-mutated subgroup, whereas the overall population did not achieve statistical significance.

The safety profile was manageable but not trivial. The FDA approval summary notes warnings and precautions for QTc interval prolongation and embryo-fetal toxicity [1]. The prescribing information also includes adverse reactions, laboratory abnormalities, dose modification guidance, and clinically relevant interaction considerations involving QT-prolonging drugs, CYP3A inhibitors or inducers, and certain P-gp or UGT1A9 substrates [15]. For a targeted degrader intended for oral chronic use, tolerability, QTc monitoring, and concomitant medication management are not secondary details. They are part of the therapeutic profile.

Therapeutic Landscape and Unresolved Questions

In the EMERALD trial subgroup analysis, elacestrant provided a relevant oral SERD comparison for ESR1-mutated ER-positive, HER2-negative advanced breast cancer [4]. Direct cross-trial comparisons are limited by differences in control arms and eligibility criteria. These differences do not prove that one treatment is superior to the other, but vepdegestrant\u2019s fulvestrant-controlled data and degrader mechanism make it a distinct endocrine option. Since VERITAC-2 excluded prior fulvestrant exposure, it does not answer how vepdegestrant performs after fulvestrant or how fulvestrant performs after vepdegestrant. Companion diagnostic testing with Guardant360 CDx supports biomarker-guided patient selection [1]. As noted in expert commentary, the emergence of mechanistically distinct degraders raises important questions about the best sequencing strategies [9].

Several unresolved questions still exist. Resistance mechanisms to PROTACs, possibly involving CRBN downregulation or alterations in ubiquitin-proteasome components, are not fully understood. The optimal sequencing with respect to elacestrant and emerging agents, such as AKT-pathway inhibitors and antibody-drug conjugates, remains uncertain. Real-world adherence, QTc monitoring, concomitant medication management, and long-term safety will require careful post-approval attention. Global disparities in access to circulating tumor DNA testing and the medication itself will influence equitable access to benefits. The median PFS of 5.0 months, representing an absolute difference of 2.9 months compared to fulvestrant, suggests that monotherapy is unlikely to provide long-term disease control for most patients.

Broader Implications

The approval of vepdegestrant marks a significant milestone: the first time a PROTAC has achieved FDA approval and demonstrated meaningful benefit for patients. The event-driven pharmacology of targeted degradation expands what is possible when the therapeutic objective is not merely to inhibit a protein, but to remove it from the cellular system. In breast cancer, future questions will include how ER degraders should be combined with endocrine and targeted therapies, and whether earlier use can provide benefits beyond current biomarker-based strategies. Vepdegestrant provides clinical evidence that CRBN recruitment can be therapeutically effective for an ER degrader in solid-tumor oncology. A broader question for targeted protein degradation is whether clinically useful degrader platforms can expand beyond the heavily used cereblon and von Hippel-Lindau E3 ligase systems.

Recent FDA approvals in breast cancer, including expanded indications for trastuzumab deruxtecan in HER2-positive early-stage disease and datopotamab deruxtecan in unresectable or metastatic triple-negative breast cancer, reinforce a broader shift toward mechanism-defined, biomarker-guided, and modality-diverse treatment. Vepdegestrant belongs in that landscape, but its significance is distinct: it is not another antibody-drug conjugate, but the first approved PROTAC estrogen receptor degrader [13], [14].

Conclusion

Vepdegestrant should be viewed clearly, without hype. It is the first FDA-approved PROTAC, marking a major milestone in targeted protein degradation. It also shows a statistically significant and clinically relevant progression-free survival benefit in ESR1-mutated ER-positive, HER2-negative advanced breast cancer. Nonetheless, median PFS remains measured in months, overall survival data are immature, and the statistically significant progression-free survival benefit was demonstrated in the ESR1-mutated population, not in the overall trial population. That is the clinically important balance: regulatory proof of a new modality, but with a benefit that remains biomarker-dependent and limited in duration. It demonstrates that catalytic degradation can become an approved therapeutic strategy, while reminding the field that mechanism is only the beginning. The future will depend on sequencing, combinations, resistance biology, patient selection, and whether deeper degradation can translate into longer disease control.

References

[1] U.S. Food and Drug Administration, \u201cFDA approves vepdegestrant for ER-positive, HER2-negative, ESR1-mutated advanced or metastatic breast cancer,\u201d May 1, 2026. [Online]. Available: https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-vepdegestrant-er-positive-her2-negative-esr1-mutated-advanced-or-metastatic-breast

[2] N. Chaudhary et al., \u201cCDK4/6i-treated HR+/HER2- breast cancer tumors show higher ESR1 mutation prevalence and more altered genomic landscape,\u201d npj Breast Cancer, vol. 10, Art. no. 15, 2024. doi:10.1038/s41523-024-00617-7

[3] L. Boscolo Bielo et al., \u201cGenomic and clinical landscape of metastatic hormone receptors-positive breast cancers carrying ESR1 alterations,\u201d ESMO Open, vol. 9, no. 10, Art. no. 103731, 2024. doi:10.1016/j.esmoop.2024.103731

[4] A. Bardia et al., \u201cElacestrant in ER+, HER2- metastatic breast cancer with ESR1-mutated tumors: Subgroup analyses from the phase III EMERALD trial by prior duration of endocrine therapy plus CDK4/6 inhibitor and in clinical subgroups,\u201d Clin. Cancer Res., vol. 30, no. 19, pp. 4299\u20134309, 2024. doi:10.1158/1078-0432.CCR-24-1073

[5] S. M. Gough et al., \u201cOral Estrogen Receptor PROTAC Vepdegestrant (ARV-471) Is Highly Efficacious as Monotherapy and in Combination with CDK4/6 or PI3K/mTOR Pathway Inhibitors in Preclinical ER+ Breast Cancer Models,\u201d Clin. Cancer Res., vol. 30, no. 16, pp. 3549\u20133563, 2024. doi:10.1158/1078-0432.CCR-23-3465

[6] C. Tang et al., \u201cInsights Into Vepdegestrant (ARV-471): The First-in-Class Estrogen Receptor Proteolysis-Targeting Chimera Approaching Food and Drug Administration Approval for Breast Cancer,\u201d ChemMedChem, vol. 21, no. 6, e202501111, 2026. doi:10.1002/cmdc.202501111

[7] M. Campone et al., \u201cVepdegestrant, a PROTAC Estrogen Receptor Degrader, in Advanced Breast Cancer,\u201d N. Engl. J. Med., vol. 393, no. 6, pp. 556\u2013568, 2025. doi:10.1056/NEJMoa2505725

[8] E. P. Hamilton et al., \u201cVepdegestrant, a PROTAC estrogen receptor (ER) degrader, vs fulvestrant in ER-positive/human epidermal growth factor receptor 2 (HER2)\u2013negative advanced breast cancer: Results of the global, randomized, phase 3 VERITAC-2 study,\u201d J. Clin. Oncol., vol. 43, suppl. 17, abstr. LBA1000, 2025. doi:10.1200/JCO.2025.43.17_suppl.LBA1000

[9] P. Neven and S. N. Han, \u201cPROTAC SERD vepdegestrant outperforms fulvestrant for advanced-stage ER+HER2\u2212 breast cancer harbouring acquired ESR1 mutations,\u201d Nat. Rev. Clin. Oncol., vol. 22, no. 10, pp. 709\u2013710, 2025. doi:10.1038/s41571-025-01062-6

[10] J. Niessen et al., \u201cDevelopment and validation of LC-MS/MS methods for the pharmacokinetic assessment of the PROTACs bavdeglutamide (ARV-110) and vepdegestrant (ARV-471),\u201d J. Pharm. Biomed. Anal., vol. 249, Art. no. 116348, 2024. doi:10.1016/j.jpba.2024.116348

[11] H.-I. Choi et al., \u201cStability Evaluation and Pharmacokinetic Profiling of Vepdegestrant in Rodents Using Liquid Chromatography\u2013Tandem Mass Spectrometry,\u201d Molecules, vol. 29, no. 17, Art. no. 4048, 2024. doi:10.3390/molecules29174048

[12] Arvinas, Inc., \u201cArvinas Announces FDA Approval of VEPPANU (vepdegestrant) for the Treatment of ESR1m, ER+/HER2- Advanced Breast Cancer,\u201d May 1, 2026. [Online]. Available: https://ir.arvinas.com/news-releases/news-release-details/arvinas-announces-fda-approval-veppanu-vepdegestrant-treatment

[13] U.S. Food and Drug Administration, \u201cFDA approves two separate indications for fam-trastuzumab deruxtecan-nxki in HER2-positive early-stage breast cancer,\u201d May 15, 2026. [Online]. Available: https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-two-separate-indications-fam-trastuzumab-deruxtecan-nxki-her2-positive-early-stage

[14] U.S. Food and Drug Administration, \u201cFDA approves datopotamab deruxtecan-dlnk for unresectable or metastatic triple-negative breast cancer,\u201d May 22, 2026. [Online]. Available: https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-datopotamab-deruxtecan-dlnk-unresectable-or-metastatic-triple-negative-breast-cancer

[15] U.S. National Library of Medicine, \u201cVEPPANU (vepdegestrant) tablets, prescribing information,\u201d DailyMed, revised May 2026. [Online]. Available: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=751e18d5-1d41-4b67-b1f3-10272ca5312d

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This is a great opportunity to share a dedicated dataset and discuss why these are important for science. The reference metadata is a lifeline of discoverability.","archive_url":null,"authors":[{"contributor_roles":[],"family":"Korzec","given":"Kornelia","url":"https://orcid.org/0000-0002-4632-5228"},{"affiliation":[{"id":"https://ror.org/02twcfp32","name":"Crossref"}],"contributor_roles":[],"family":"Tkaczyk","given":"Dominika","url":"https://orcid.org/0000-0001-5055-7876"},{"contributor_roles":[],"family":"Portenoy","given":"Jason","url":"https://orcid.org/0000-0002-3340-2597"}],"blog":{"archive_collection":null,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":[{"name":"Crossref Staff"}],"canonical_url":null,"category":"computerAndInformationSciences","community_id":"093ada45-3a02-4007-b8b6-be28f221e01d","created_at":1731023545,"current_feed_url":null,"description":"Recent content in Blog on Crossref","doi":null,"doi_as_guid":false,"favicon":"https://rogue-scholar.org/api/communities/093ada45-3a02-4007-b8b6-be28f221e01d/logo","feed_format":"application/atom+xml","feed_url":"https://www.crossref.org/blog/feed.xml","filter":null,"funding":null,"generator":"Hugo","generator_raw":"Hugo 0.125.4","home_page_url":"https://www.crossref.org/blog/","id":"57deff0b-2720-438e-8e0a-c87e7a29ce43","indexed":true,"issn":null,"language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":null,"prefix":"10.64000","registered_at":0,"relative_url":null,"ror":null,"secure":true,"slug":"crossref","status":"active","subfield":"1710","subfield_validated":null,"title":"Crossref Blog","updated_at":1779958118.374585,"use_api":null,"use_mastodon":false,"user_id":"25eda43e-7ce7-42f0-9cb3-54bf1fa5f2a7"},"blog_name":"Crossref Blog","blog_slug":"crossref","content_html":"

We\u2019ve recently reached an important milestone for the research nexus: the works in our metadata corpus are now connected with over 2 billion citation links! This is a great opportunity to share a dedicated dataset and discuss why these are important for science.

\n

The reference metadata is a lifeline of discoverability. Scholars use citations to critique and build on existing research. They acknowledge the contributions of others through references. Our members can then deposit those references as part of metadata with Crossref, and we use those to link the cited and citing objects. This results in complex thematic networks that can be explored by interested researchers. Many tools for research discovery use the linked reference metadata in Crossref to support searches of related content.

\n

The citation links are derived from bibliographic references in the metadata of one work that include DOIs of materials it cites (scholarly works, data, code, etc.). It\u2019s always best if the members can deposit these relationships in full. In a recent post, we shared that nearly half of these links are asserted by our members through metadata deposits, and the other half are created thanks to our automated matching. This form of metadata enrichment happens when members include some information about the references but without the DOI of the cited work, and it\u2019s enough to automatically find and add that DOI. The enrichment supports making data more useful for the community.

\n

The most important impact of citation links is the increased discoverability of connected works. Reference metadata is an important tool for improving visibility and readership of our members\u2019 content. These links are also the foundation of our Cited-by service, which enables implementing members to display citation counts of the work they published on their landing pages.

\n

The chart below shows the cumulative count of citations over time, by the created date of the citing DOI\u2019s record. These include records linked by DOI either through member-submitted metadata or matched by Crossref, as well as records that are unmatched. Unmatched records can include records that we were unable to match with the information we have, but also records that truly have no DOI to link to. You can explore the full citation dataset of all 2 billion citation links between Crossref DOIs available now as a (somewhat hefty) download.

\n
\"cumulative
\n

Cumulative count of references deposited to Crossref by created date of citing DOI

\n
\n
\n

The push for open citation data is something that has unfolded over the last few decades, making more and more of these relationships public. Notably, the growth in citation links reflects not just the output of new scholarship, but also a sustained effort to extend coverage of the historical scholarly record. We can see evidence of this playing out over time by looking at our historical data\u2014periodic snapshots of Crossref\u2019s metadata going back to 2019. When comparing successive snapshots and examining the publication dates of citing and cited works, we can classify each newly appearing citation as either a new paper citation, or a retrospective one. A new citation is where the citing work was published since the previous snapshot, representing real growth in the scholarly record. A retrospective citation is where both papers already existed but the link between them had not yet been captured by Crossref, and these represent indexing catchup rather than new publishing activity.

\n

The chart below shows the cumulative count of citations added in each category since 2019. In the early years of our data, retrospective backfill was the dominant source: the blue line climbs steeply from 2019 to 2021 as a large volume of previously uncaptured historical citation relationships entered the corpus. Over time, however, that rate of backfilling has levelled off. New paper citations, meanwhile, have grown steadily throughout the period, and by 2025 they surpassed the cumulative retrospective total. The open citation ecosystem continues recovering historical links, but the citation network\u2019s growth is now increasingly driven by the natural momentum of scholarly publishing itself.

\n
\"retrospective
\n

Cumulative citations added to Crossref by type, 2019\u20132026. Retrospective citations (blue) represent links to and from works that existed before the previous snapshot; new paper citations (green) come from works published since the last snapshot.

\n
\n
\n

Combined with other metadata for more context, reference metadata supports bibliographic and meta-research on different aspects of the scholarly process, and can support judgements about research integrity and conflicts of interest.

\n

Stereotypically, when talking about references, we consider links to published works (whether preprints, journal articles, or books). However all types of records in Crossref can be cited. Thanks to the changes in our latest schema, members can now signal the types of content that is being referenced. And with our new Data citations endpoint, the community can explore specifically links from Crossref-registered records to research data, including citation links to works within Crossref, as well as DataCite\u2019s corpus.

\n

Close to half of all records registered with Crossref still have none or not enough reference information to make such connections. We invite members to regular Metadata health-check webinars to support them in improving completeness of their records for increased transparency and visibility.

","doi":"https://doi.org/10.64000/8cekz-69m52","funding_references":null,"guid":"https://doi.org/10.64000/8cekz-69m52","id":"f6158eff-8f3a-4254-ba32-ddd853c3e5c9","image":"https://www.crossref.org/images/blog/2026/cumulative-references-by-year-and-type.png","images":[{"alt":"cumulative count of references by created date of citing DOI, split by three categories: references with DOIs submitted by members; references with DOIs matched by Crossref; and references with no matched DOIs","src":"https://www.crossref.org/images/blog/2026/cumulative-references-by-year-and-type.png","width":"75%"},{"alt":"retrospective cumulative by year added by crossref","src":"https://www.crossref.org/images/blog/2026/retrospective-cumulative-by-year.png","width":"75%"},{"alt":"Cumulative count of references deposited to Crossref by created date of citing DOI","src":"https://www.crossref.org/images/blog/2026/cumulative-references-by-year-and-type.png"},{"alt":"Cumulative citations added to Crossref by type, 2019\u20132026. Retrospective citations (blue) represent links to and from works that existed before the previous snapshot; new paper citations (green) come from works published since the last snapshot.","src":"https://www.crossref.org/images/blog/2026/retrospective-cumulative-by-year.png"}],"indexed":true,"indexed_at":1779817350,"language":"en","parent_doi":null,"published_at":1779753600,"reference":[],"registered_at":0,"relationships":[],"rid":"1hgw9-30659","status":"active","summary":"We\u2019ve recently reached an important milestone for the research nexus: the works in our metadata corpus are now connected with over 2 billion citation links! This is a great opportunity to share a dedicated dataset and discuss why these are important for science. The reference metadata is a lifeline of discoverability. Scholars use citations to critique and build on existing research.","tags":["Citation","Crossref","Metadata","Research Nexus","Schema"],"title":"Two billion citation links in Crossref help research travel further","updated_at":1779753600,"url":"https://www.crossref.org/blog/two-billion-citation-links-in-crossref-help-research-travel-further/","version":"v1"}}],"items":[{"abstract":null,"archive_url":null,"authors":[{"affiliation":[{"id":"https://ror.org/04h13ss13","name":"The Geneva Learning Foundation"}],"contributor_roles":[],"family":"Sadki","given":"Reda","url":"https://orcid.org/0000-0003-4051-0606"}],"blog":{"archive_collection":null,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":null,"canonical_url":null,"category":"educationalSciences","community_id":"7e26491f-41c6-4665-9088-5aa6643a1ba8","created_at":1731211871,"current_feed_url":null,"description":"Learning to make a difference","doi":null,"doi_as_guid":false,"favicon":null,"feed_format":"application/atom+xml","feed_url":"https://redasadki.me/feed/atom/","filter":null,"funding":null,"generator":"WordPress","generator_raw":"WordPress 6.7.1","home_page_url":"https://redasadki.me","id":"88b8caba-b485-4654-96ce-a21547abaab3","indexed":true,"issn":null,"language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":"https://techhub.social/@redasadki","prefix":"10.59350","registered_at":0,"relative_url":null,"ror":null,"secure":true,"slug":"redasadki","status":"active","subfield":"3304","subfield_validated":null,"title":"Reda Sadki","updated_at":1779958256.270569,"use_api":true,"use_mastodon":false,"user_id":"0d34dfde-a007-4ec9-9bc6-7b0318fa2c5e"},"blog_name":"Reda Sadki","blog_slug":"redasadki","content_html":"\n

The 79th World Health Assembly launched a formal process to reform the architecture that governs global health. The design of that process \u2014 who sits in the room, what questions it is permitted to ask, whose knowledge it is built to receive \u2014 will determine whether reform produces structural change or a more sophisticated version of the status quo.

\n\n\n\n

In a health post in northern Nigeria, Mariam is waiting.

\n\n\n\n

She is not there to make a point for a Global North audience.

\n\n\n\n

She does not know what a global health architecture is.

\n\n\n\n

She knows that the insecticide-treated nets arrived six weeks late this year.

\n\n\n\n

The form she is required to fill out to report their distribution has columns for data she cannot collect.

\n\n\n\n

She has seen the poster of the national malaria strategy that promised integrated community case management at the district level by 2025.

\n\n\n\n

She knows 2025 was especially difficult.

\n\n\n\n

She knows which mothers trust her, and which will walk two hours to reach her rather than trust the facility she nominally refers to.

\n\n\n\n

She knows, with the precision of someone who has absorbed this knowledge through years of practice that no institution has ever formally credited, that the family three compounds to her left will not use the net she gave them, and she knows why.

\n\n\n\n

Last week in Geneva, more than 190 delegations gathered for the 79th World Health Assembly and passed a resolution to begin a process to reform the system that governs, funds, and occasionally obstructs the work that Mariam does.

\n\n\n\n

The resolution launched a one-year task force, appointed 25 members, and set a deadline for recommendations at WHA80 in 2027.

\n\n\n\n

It also contained, with the quiet confidence of a clause written by people insulated from its consequences, an instruction not to do the thing the exercise was ostensibly designed to do.

\n\n\n\n

The text states that the process \u201cwill propose neither revisions to organizational mandates nor specific mergers or consolidations.\u201d

\n\n\n\n

Global health architecture: one system, split into two

\n\n\n\n

In Mariam\u2019s health facility, the problem is always specific.

\n\n\n\n

A stockout arrives before the shipment does.

\n\n\n\n

A referral pathway exists on paper and dissolves on the road.

\n\n\n\n

A reporting template is designed for what is not the one currently killing people in this catchment area.

\n\n\n\n

In the language that global institutions have recently rediscovered, Mariam is a \u201ctrusted community adviser.\u201d

\n\n\n\n

She is trying to do a job with tools that were designed somewhere else, by people who seldom ask what she needs.

\n\n\n\n

In Geneva, the problem is also specific, but the specifics are different.

\n\n\n\n

They are funding gaps, mandate overlap, donor earmarking, governance and accountability deficits, fragmentation.

\n\n\n\n

WHO itself, in its own reform documents, acknowledges that the architecture has become \u201cmore complex through an expansion in the number of actors,\u201d producing \u201cfragmentation and duplication that limit country ownership, impact, and equity.\u201d

\n\n\n\n

Think Global Health, writing ahead of WHA79, put it more plainly: \u201cInstitutions compete for governmental and private funding, often using mandate creep to maintain relevance. This construct leads to overlap, duplication of efforts, and outdated mandates.\u201d

\n\n\n\n

(Think Global Health is a publication of the U.S. Council on Foreign Relations (CFR) led by Thomas J. Bollyky. CFR is pro-WHO and pro-multilateral. Some argue that it is structurally unable to push beyond the reform it is institutionally permitted to imagine.)

\n\n\n\n

These are the same dysfunction, described from different positions in the system.

\n\n\n\n

The WHA79 debate is probably right about the problem.

\n\n\n\n

However, it is designed to solve the problem at the point where the people doing the describing live, and not where the problem is actually felt.

\n\n\n\n

Global health architecture: Silos, mandates, and forms

\n\n\n\n

The parallel reporting systems that Mariam navigates are a direct product of the institutional architecture being debated at WHA79.

\n\n\n\n

The Global Fund has a mandate covering malaria, tuberculosis, and HIV.

\n\n\n\n

Gavi has a mandate covering vaccines.

\n\n\n\n

UNFPA has a mandate covering reproductive health.

\n\n\n\n

UNICEF has a mandate covering child survival.

\n\n\n\n

Each runs its own program, its own indicators, its own grant conditions, its own monitoring visit schedule, its own form.

\n\n\n\n

At the national program level, these streams are coordinated, imperfectly, by a ministry that is simultaneously managing relationships with all of them.

\n\n\n\n

At the district level, the coordination is thinner.

\n\n\n\n

At Mariam\u2019s level, it may have largely ceased to exist.

\n\n\n\n

This means that Mariam is the integration.

\n\n\n\n

She is the place where all these vertical programs land and must somehow be delivered as a coherent response to a mother who has come to her with a child who has a fever, a pregnancy that has not been attended to, and a husband with symptoms that she is not sure how to report.

\n\n\n\n

The reform process that WHA79 just authorized cannot address this directly because it has been explicitly forbidden from recommending changes to organizational mandates.

\n\n\n\n

The Global Fund will remain a three-disease fund.

\n\n\n\n

Gavi will remain a vaccine fund.

\n\n\n\n

Their reporting logics will continue to run through national systems and arrive, with the full weight of donor conditionality, at the district level and below.

\n\n\n\n

The task force can recommend better coordination, clearer financing alignment, improved coherence.

\n\n\n\n

What would happen if it could recommend that the Global Fund become something different from what it is?

\n\n\n\n

How did we get here?

\n\n\n\n

Before assessing what the failure of WHA79\u2019s architecture process means, it is worth being honest about what the system being reformed actually looks like from the outside.

\n\n\n\n

The global health architecture is not a designed system.

\n\n\n\n

It is a sediment.

\n\n\n\n

It accumulated over decades of donor enthusiasm, geopolitical competition, disease-specific advocacy, and institutional self-perpetuation into a landscape of dozens of overlapping agencies, funds, initiatives, and programs.

\n\n\n\n

Each agency has its own board, its own reporting system, its own theory of change, its own Geneva address, and its own communications team explaining why it is essential.

\n\n\n\n

Many have mandates that were relevant in the decade they were created.

\n\n\n\n

Some would struggle to make that case today.

\n\n\n\n

What happened at the 79th World Health Assembly?

\n\n\n\n

The week did have moments of clarity.

\n\n\n\n

The Belgian delegate said he expected the global health architecture reform process to be \u201cambitious and not just cosmetic,\u201d registering his skepticism in the only procedurally acceptable way available, which is to say, loudly, in public, and without effect.

\n\n\n\n

The Colombian delegation objected to the absence of substantive targets.

\n\n\n\n

A Wellcome representative, speaking for a foundation that had spent years commissioning reform research and building coalitions to make this moment real, stood up and argued that the process must consider \u201copportunities to streamline institutions through concrete recommendations regarding the merger and consolidation of global health organizations.\u201d

\n\n\n\n

The text was unchanged.

\n\n\n\n

The resolution passed.

\n\n\n\n

Civil society organizations condemned their structural exclusion from the joint task force.

\n\n\n\n

The NCD Alliance\u2019s Alison Cox was direct: \u201cBy excluding civil society and people living with NCDs from the joint task force, member states are sidelining the voices of those most affected.\u201d

\n\n\n\n

In their place, civil society was offered \u201cstakeholder constituency groups.\u201d

\n\n\n\n

Mariam, or the organizations that occasionally claim to represent people like her, was placed in the room adjacent to the room where decisions are made.

\n\n\n\n

On the margins of the formal sessions, Ghana\u2019s President Mahama launched the Accra Reset, a three-pillar initiative for restructuring the global health order around African sovereignty, with a high-level panel co-chaired by Peter Piot and ministers from Brazil and Indonesia, explicitly mandated to produce \u201cconcrete, actionable proposals to restructure the global health order.\u201d

\n\n\n\n

It is, at the moment, the most credible state-led vehicle for structural change.

\n\n\n\n

It is also not a multilateral treaty process, and it has no binding authority over any of the institutions that govern Mariam\u2019s working conditions.

\n\n\n\n

Ilona Kickbusch, Co-Chair of the World Health Summit Council, offered the clarifying sentence of the week: \u201cThe current debate about reforming the global health architecture is, at its core, a debate about power. Who holds it, who is losing it, and who intends to use this moment of rupture to consolidate it on new terms.\u201d

\n\n\n\n

Pakistan\u2019s delegate warned, in reference to the possibility of institutional consolidation, that \u201clean must not become synonymous with less.\u201d It was a serious concern, politically and practically.

\n\n\n\n

Positionality, not corruption, in the global health architecture

\n\n\n\n

The WHA79 reform debate attracted some of the sharpest minds in the field, organizations with genuine moral seriousness about what is broken, and delegations from countries that bear the largest disease burdens.

\n\n\n\n

It produced a resolution that protects the most powerful institutions in the system from the process it authorized.

\n\n\n\n

The reason is positional.

\n\n\n\n\n\n\n\n

None of this is necessarily corruption.

\n\n\n\n

It is the ordinary sociology of a system that has consolidated itself over decades and now faces a reform conversation conducted, inevitably, by the people the system has produced.

\n\n\n\n

The result is a reform language that is fluent, technically sophisticated, and operationally inert at the level where it most needs to matter.

\n\n\n\n

\u201cCountry ownership\u201d and \u201ccommunity health\u201d are phrases that can mean almost anything.

\n\n\n\n

In practice, country ownership has often meant ownership by ministries and national programs, the same capitals that produce plans so detailed and so underfunded that by the time they reach district level, they are largely aspirational documents.

\n\n\n\n

Community health, as a reform principle, tends to appear in frameworks produced in Geneva and then interpreted downward through the same hierarchies it was supposedly designed to bypass.

\n\n\n\n

Subsidiarity means a principle affirmed in Geneva that will be reinterpreted in the capital and dissipated at the district level before it reaches Mariam\u2019s health post.

\n\n\n\n

The most common argument against structural reform is that the current system, for all its flaws, keeps essential functions running, and that disrupting it risks outcomes worse than the dysfunction being addressed.

\n\n\n\n

This is true enough to be taken seriously and vague enough to justify almost any level of inaction.

\n\n\n\n

The problem is that the same argument, applied to every institution in the system, produces permanent immunity from accountability.

\n\n\n\n

If no agency can be merged because it provides something essential, and no mandate can be revised because someone depends on it, then the system becomes accountable to nobody.

\n\n\n\n

The fragmentation that reformers rightly criticize is precisely the product of institutions that have made themselves indispensable one function at a time.

\n\n\n\n

The imperative to listen and learn: what Mariam actually knows

\n\n\n\n

The architecture debate seems to assume that Mariam is primarily a delivery mechanism.

\n\n\n\n

We see her as an intelligence function.

\n\n\n\n

She knows things about the actual functioning of global health programs that no institution in the system has a reliable mechanism to receive: which protocols are unusable with available supplies, which incentive structures are distorting behavior in her community, where the national plan does not match local reality, and why.

\n\n\n\n

In the work of The Geneva Learning Foundation with more than 80,000 health workers across 137 countries, this pattern is consistent.

\n\n\n\n

Workers serving communities hold operational intelligence about what is and is not working that national programs do not have access to, and that global institutions have no formal channel to receive.

\n\n\n\n

A better reporting form would not solve this.

\n\n\n\n

The system is designed to move directives down.

\n\n\n\n

It is not designed to move learning up.

\n\n\n\n

The reform task force cannot fix this either, not because it lacks the intelligence to understand the problem, but because it has been constituted in a way that treats the problem as a coordination challenge rather than a power challenge.

\n\n\n\n

Ilona Kickbusch is right.

\n\n\n\n

A system that moved learning upward from health posts to district offices to national programs to global institutions would redistribute not just information but influence.

\n\n\n\n

It would make Mariam\u2019s knowledge consequential for the people who fund and design the programs she delivers.

\n\n\n\n

That is precisely what the current architecture is not designed to do, and what the current reform process is not designed to change.

\n\n\n\n

The funding shock and its convenient misreading

\n\n\n\n

The US withdrawal from WHO left a 600 million dollar gap.

\n\n\n\n

Official development assistance fell 23% in 2025, the largest annual decline on record.

\n\n\n\n

These are real shocks, and their human costs are not hypothetical.

\n\n\n\n

Estimates cited at WHA79 suggested that current aid cuts risk causing 22.6 million additional deaths by 2030.

\n\n\n\n

The funding crisis has been misread in one important respect.

\n\n\n\n

The institutions most loudly lamenting it are, in many cases, the institutions whose existence is most implicated in the dysfunction that made the system fragile to begin with.

\n\n\n\n

WHO has cut its budget by 20% and is restructuring.

\n\n\n\n

It is simultaneously arguing that the reform process cannot touch organizational mandates.

\n\n\n\n

The Pandemic Fund, created as recently as 2022, has already lost US contributions.

\n\n\n\n

The UNAIDS budget has been cut repeatedly over three funding cycles.

\n\n\n\n

The response from these institutions is to defend the principle of multilateralism while defending their own continuation as its necessary embodiment, as if those were the same argument.

\n\n\n\n

Chatham House was blunt: \u201cA WHO seen as a residual institution, one that the powerful use when convenient and abandon when not, cannot perform its core functions of surveillance, standard-setting and emergency coordination.\u201d

\n\n\n\n

That is correct.

\n\n\n\n

It also leaves open the question of whether the solution is to restore the funding of the current architecture or to redesign the architecture so that the resources that remain are used less wastefully.

\n\n\n\n

At a moment when resources are genuinely scarce, the design question is an obligation, not a luxury.

\n\n\n\n

Mariam is living inside the answer to that question.

\n\n\n\n

Resources that flow through clear, accountable, coherent channels reach her.

\n\n\n\n

Resources that flow through parallel, duplicative, report-heavy channels reach the forms she is required to file.

\n\n\n\n

The test

\n\n\n\n

The reform initiative will produce a report in 2027.

\n\n\n\n

It will be reviewed by the WHO Executive Board, adjusted for political palatability, and presented to WHA80.

\n\n\n\n

Will it be adopted in a form that protects the most powerful institutions in the system?

\n\n\n\n

This is a description of how international governance processes work when the institutions being reformed hold seats on the body overseeing the reform.

\n\n\n\n

Gavi, the Global Fund, CEPI, Unitaid, and the Pandemic Fund all have representatives on the joint task force.

\n\n\n\n

There is a simpler test than waiting for the report.

\n\n\n\n

Does Mariam have fewer parallel reporting channels this year than last?

\n\n\n\n

Are the plans arriving from the capital more connected to the resources that follow?

\n\n\n\n

Has any institution been merged, sunset, or meaningfully narrowed in scope?

\n\n\n\n

Does the knowledge she holds about what is not working in her catchment area have any formal channel to reach the people who fund the programs she delivers?

\n\n\n\n

If the answer to those questions is no, the reform produced a document.

\n\n\n\n

Documents have value.

\n\n\n\n

They are not health outcomes.

\n\n\n\n

The Accra Reset and the AU process, the UK\u2019s simultaneous G7 and G20 presidencies in 2027, and the coalitions of reform-minded donors and recipient governments forming outside the WHA process represent the remaining routes to structural change.

\n\n\n\n

Whether those routes lead somewhere depends on whether the people navigating them are willing to treat the redistribution of power and learning as a design requirement rather than a communications aspiration.

\n\n\n\n

Mariam is still at her post.

\n\n\n\n

The net distribution form still has the wrong columns, and the child with the fever has not gone away.

\n\n\n\n

The architecture debate will continue in Geneva, Seattle, and the capital cities in between the two.

\n\n\n\n

At some point, someone in that room will need to decide whether the purpose of the architecture is the architecture, or the child.

\n\n\n\n

The 79th World Health Assembly met in Geneva from 18 to 23 May 2026.

\n\n\n\n

The joint task force on Global Health Architecture Reform will submit interim recommendations to the WHO Executive Board in late 2026 and final recommendations to WHA80 in 2027.

\n\n\n\n

Editor\u2019s note: Mariam is a composite drawn from the stories shared by health workers who participate in The Geneva Learning Foundation\u2019s programmes to support and learn from each other. She is fictional in name. She is not fictional in experience.

\n\n\n\n

Image: The Geneva Learning Foundation Collection \u00a9 2026. This speculative rendering of the Palais des Nations in Geneva, Switzerland, reimagines the historic seat of the World Health Assembly as a casualty of ecological reclamation. The photograph, titled \u201cBroken Architecture\u201d, serves as a profound commentary on the fragility of global cooperation and the hubris of institutional permanence. By illustrating the very body tasked with protecting the world\u2019s health yielding to relentless natural forces, the artist underscores human vulnerability in the face of change.

\n\n\n\n

References

\n\n\n\n
    \n

  1. World Health Organization. Reform of the global health architecture and the UN80 Initiative [document A79/24]. Geneva: WHO; 2026 May 6 [adopted WHA79, 23 May 2026]. Available from: https://apps.who.int/gb/ebwha/pdf_files/WHA79/A79_24-en.pdf

    2. \n\n\n\n

  2. Sassmannshausen F (reporter). WHA advances global health architecture reform amidst questions about where process will really lead. Health Policy Watch. 2026 May 22. Available from: https://healthpolicy-watch.news/wha-global-health-architecture-reform/

    3. \n\n\n\n

  3. Khogali A, de Jong R, Pohl M, Walumbe R, Lal A. WHA79 must make universal health coverage the compass for global health architecture reform. Health Policy Watch. 2026 May 12. Available from: https://healthpolicy-watch.news/wha79-must-make-universal-health-coverage-the-compass-for-global-health-architecture-reform/

    4. \n\n\n\n

  4. Kickbusch I. Global health reform cannot wait for a new world order: middle powers must act now. Chatham House. 2026 May 11. Available from: https://www.chathamhouse.org/2026/05/global-health-reform-cannot-wait-new-world-order-middle-powers-must-act-now

    5. \n\n\n\n

  5. Think Global Health [editorial]. No one wins if multilateralism for health loses. Think Global Health. Council on Foreign Relations; 2026. Available from: https://www.thinkglobalhealth.org/article/no-one-wins-if-multilateralism-for-health-loses

    6. \n\n\n\n

  6. World Health Organization. Global health architecture [governance page]. Geneva: WHO; updated 2026 Apr 20. Available from: https://www.who.int/about/governance/global-health-architecture

    7. \n\n\n\n

  7. Office of the President, Republic of Ghana. President Mahama announces a high-level panel of the Accra Reset. Accra: Presidency of Ghana; 2026 Apr 5. Available from: https://presidency.gov.gh/president-mahama-announces-a-high-level-panel-of-the-accra-reset/

    8. \n\n\n\n

  8. L\u00f3pez Acu\u00f1a D. The WHO process for supporting the reform of the global health architecture. International Health Policies. 2026 Feb 15. Available from: https://www.internationalhealthpolicies.org/featured-article/the-who-process-for-supporting-the-reform-of-the-global-health-architecture/

    9. \n\n\n\n

  9. Nkrumah B, Quaglio G (reporter). At WHA79, redesigning global health architecture amid rupture. Diplomatic Courier. 2026 May. Available from: https://www.diplomaticourier.com/posts/wha79-redesigning-global-health-architecture-amid-rupture

    10. \n\n\n\n

  10. Centre for Global Development. Three issues to watch at WHA79: WHO funding, prioritisation, and leadership on global health architecture. CGDev Blog. 2026 May 11. Available from: https://www.cgdev.org/blog/three-issues-watch-wha79-who-funding-prioritisation-and-leadership-global-health-architecture

    11. \n\n\n\n

  11. UK Government. Growth and opportunity set to be at the heart of UK-hosted G20. London: HMSO; 2025 Nov 21. Available from: https://www.gov.uk/government/news/growth-and-opportunity-set-to-be-at-the-heart-of-uk-hosted-g20

    12. \n\n\n\n

  12. Pate MA, Kaberuka D, Piot P. Transforming the Global Health Ecosystem for a Healthier World in 2026 Think Global Health. Council on Foreign Relations; 2026 Jan. Available from: https://www.thinkglobalhealth.org/article/transforming-the-global-health-ecosystem-for-a-healthier-world-in-2026

    13. \n
\n","doi":"https://doi.org/10.59350/3vjz5-cpm18","funding_references":null,"guid":"https://redasadki.me/?p=23635","id":"443c8230-fe02-4d4c-9bc9-d165acb5b2e7","image":"https://redasadki.me/wp-content/uploads/2026/05/20260527-world-health-assembly-after-the-apocalypse-1.jpg","images":[],"indexed":true,"indexed_at":1779980156,"language":"en","parent_doi":null,"published_at":1779855125,"reference":[{"id":"https://apps.who.int/gb/ebwha/pdf_files/WHA79/A79_24-en.pdf","unstructured":"World Health Organization.\u00a0Reform of the global health architecture and the UN80 Initiative\u00a0[document A79/24]. Geneva: WHO; 2026 May 6 [adopted WHA79, 23 May 2026]. Available from: https://apps.who.int/gb/ebwha/pdf_files/WHA79/A79_24-en.pdf"},{"id":"https://healthpolicy-watch.news/wha-global-health-architecture-reform/","unstructured":"Sassmannshausen F (reporter). WHA advances global health architecture reform amidst questions about where process will really lead.\u00a0Health Policy Watch. 2026 May 22. Available from: https://healthpolicy-watch.news/wha-global-health-architecture-reform/"},{"id":"https://healthpolicy-watch.news/wha79-must-make-universal-health-coverage-the-compass-for-global-health-architecture-reform/","unstructured":"Khogali A, de Jong R, Pohl M, Walumbe R, Lal A. WHA79 must make universal health coverage the compass for global health architecture reform.\u00a0Health Policy Watch. 2026 May 12. Available from: https://healthpolicy-watch.news/wha79-must-make-universal-health-coverage-the-compass-for-global-health-architecture-reform/"},{"id":"https://www.chathamhouse.org/2026/05/global-health-reform-cannot-wait-new-world-order-middle-powers-must-act-now","unstructured":"Kickbusch I. Global health reform cannot wait for a new world order: middle powers must act now. Chatham House. 2026 May 11. Available from: https://www.chathamhouse.org/2026/05/global-health-reform-cannot-wait-new-world-order-middle-powers-must-act-now"},{"id":"https://www.thinkglobalhealth.org/article/no-one-wins-if-multilateralism-for-health-loses","unstructured":"Think Global Health [editorial]. No one wins if multilateralism for health loses.\u00a0Think Global Health. Council on Foreign Relations; 2026. Available from: https://www.thinkglobalhealth.org/article/no-one-wins-if-multilateralism-for-health-loses"},{"id":"https://www.who.int/about/governance/global-health-architecture","unstructured":"World Health Organization. Global health architecture [governance page]. Geneva: WHO; updated 2026 Apr 20. Available from: https://www.who.int/about/governance/global-health-architecture"},{"id":"https://presidency.gov.gh/president-mahama-announces-a-high-level-panel-of-the-accra-reset/","unstructured":"Office of the President, Republic of Ghana. President Mahama announces a high-level panel of the Accra Reset. Accra: Presidency of Ghana; 2026 Apr 5. Available from: https://presidency.gov.gh/president-mahama-announces-a-high-level-panel-of-the-accra-reset/"},{"id":"https://www.internationalhealthpolicies.org/featured-article/the-who-process-for-supporting-the-reform-of-the-global-health-architecture/","unstructured":"L\u00f3pez Acu\u00f1a D. The WHO process for supporting the reform of the global health architecture.\u00a0International Health Policies. 2026 Feb 15. Available from: https://www.internationalhealthpolicies.org/featured-article/the-who-process-for-supporting-the-reform-of-the-global-health-architecture/"},{"id":"https://www.diplomaticourier.com/posts/wha79-redesigning-global-health-architecture-amid-rupture","unstructured":"Nkrumah B, Quaglio G (reporter). At WHA79, redesigning global health architecture amid rupture.\u00a0Diplomatic Courier. 2026 May. Available from: https://www.diplomaticourier.com/posts/wha79-redesigning-global-health-architecture-amid-rupture"},{"id":"https://www.cgdev.org/blog/three-issues-watch-wha79-who-funding-prioritisation-and-leadership-global-health-architecture","unstructured":"Centre for Global Development. Three issues to watch at WHA79: WHO funding, prioritisation, and leadership on global health architecture.\u00a0CGDev Blog. 2026 May 11. Available from: https://www.cgdev.org/blog/three-issues-watch-wha79-who-funding-prioritisation-and-leadership-global-health-architecture"},{"id":"https://www.gov.uk/government/news/growth-and-opportunity-set-to-be-at-the-heart-of-uk-hosted-g20","unstructured":"UK Government. Growth and opportunity set to be at the heart of UK-hosted G20. London: HMSO; 2025 Nov 21. Available from: https://www.gov.uk/government/news/growth-and-opportunity-set-to-be-at-the-heart-of-uk-hosted-g20"},{"id":"https://www.thinkglobalhealth.org/article/transforming-the-global-health-ecosystem-for-a-healthier-world-in-2026","unstructured":"Pate MA, Kaberuka D, Piot P. Transforming the Global Health Ecosystem for a Healthier World in 2026 Think Global Health. Council on Foreign Relations; 2026 Jan. Available from: https://www.thinkglobalhealth.org/article/transforming-the-global-health-ecosystem-for-a-healthier-world-in-2026"}],"registered_at":0,"relationships":[],"rid":"3ajzv-b0s07","status":"active","summary":"\n The 79\n \n th\n \n World Health Assembly launched a formal process to reform the architecture that governs global health. The design of that process \u2014 who sits in the room, what questions it is permitted to ask, whose knowledge it is built to receive \u2014 will determine whether reform produces structural change or a more sophisticated version of the\n \n status quo\n \n .\n\nIn a health post in northern Nigeria, Mariam is waiting.","tags":["Global Health","The Geneva Learning Foundation","Africa","Civil Society Organizations","Decolonize Global Health"],"title":"Global health architecture: what are we missing?","updated_at":1779856459,"url":"https://redasadki.me/2026/05/27/global-health-architecture-what-are-we-missing/","version":"v1"},{"abstract":null,"archive_url":null,"authors":[{"affiliation":[{"id":"https://ror.org/01hcx6992","name":"Humboldt-Universit\u00e4t zu Berlin"}],"contributor_roles":[],"family":"H\u00f6fting","given":"Jonas","url":"https://orcid.org/0009-0003-4466-1775"},{"affiliation":[{"id":"https://ror.org/01hcx6992","name":"Humboldt-Universit\u00e4t zu Berlin"}],"contributor_roles":[],"family":"Pampel","given":"Heinz","url":"https://orcid.org/0000-0003-3334-2771"}],"blog":{"archive_collection":24081,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":null,"canonical_url":null,"category":"computerAndInformationSciences","community_id":"53174590-b8d0-4c88-b121-4ca75f7de145","created_at":1717668020,"current_feed_url":null,"description":"Research Group Information Management @ Humboldt-Universit\u00e4t zu Berlin","doi":null,"doi_as_guid":false,"favicon":null,"feed_format":"application/rss+xml","feed_url":"https://infomgnt.org/index.xml","filter":null,"funding":null,"generator":"Quarto","generator_raw":"Quarto 1.4.555","home_page_url":"https://infomgnt.org","id":"17927ce5-1239-43fb-a3c9-2acb8a679d11","indexed":true,"issn":"2944-6848","language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":null,"prefix":"10.59350","registered_at":1729503399,"relative_url":null,"ror":null,"secure":true,"slug":"infomgnt","status":"active","subfield":"3309","subfield_validated":null,"title":"Research Group Information Management @ Humboldt-Universit\u00e4t zu Berlin","updated_at":1779958173.122614,"use_api":null,"use_mastodon":false,"user_id":"dbffda7d-f391-48fb-a6d2-d4a284c59c8d"},"blog_name":"Research Group Information Management @ Humboldt-Universit\u00e4t zu Berlin","blog_slug":"infomgnt","content_html":"

Institutionelle Repositorien (IRs) sind heute ein zentraler Bestandteil der Informationsinfrastruktur vieler Forschungseinrichtungen. Mit der wachsenden strategischen Bedeutung von \u00d6ffnungsprozessen in der Wissenschaft, die unter dem Begriff Open Science diskutiert werden, steigen auch die Anforderungen an den Betrieb von IRs. Dabei wirken sich wandelnde Anforderungen aus wissenschaftlichen Communities, technologische Entwicklungen und f\u00f6rderpolitische Entwicklungen auf ihren Betrieb aus.

\n

Dank der F\u00f6rderung des Bundesministeriums f\u00fcr Forschung, Technologie und Raumfahrt (BMFTR) haben wir uns im Projekt Pro OAR DE intensiv mit dem Stand und der Perspektive der IRs in Deutschland besch\u00e4ftigt.

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Empirische Grundlage

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Den Ausgangspunkt bildete ein Systematic Literature Review, das die in der internationalen bibliotheks- und informationswissenschaftlichen Literatur diskutierten Herausforderungen f\u00fcr den Betrieb von IRs untersuchte (Rothfritz et al. 2026). Erg\u00e4nzend dazu wurden 15 qualitative Expert:inneninterviews mit IR-Manager:innen deutscher wissenschaftlicher Bibliotheken gef\u00fchrt (Wrzesinski et al. 2026). Aufbauend auf diesen Ergebnissen organisierte das Projektteam anschlie\u00dfend sieben virtuelle Vernetzungsforen zu zentralen Themenfeldern. Diese kombinierten Impulsvortr\u00e4ge mit Diskussionen in Kleingruppen; die Ergebnisse wurden dokumentiert und als praxisorientierte Handreichungen ver\u00f6ffentlicht.

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Zehn Empfehlungen

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Die Ergebnisse dieser drei Projektteile wurden zusammengef\u00fchrt, um Handlungsfelder und L\u00f6sungsvorschl\u00e4ge zu extrahieren, und um weitere Aspekte erg\u00e4nzt, die im Laufe der Projektlaufzeit die Fachdiskussion pr\u00e4gten. Das Resultat sind Empfehlungen zur Professionalisierung der Open-Access-Repositorien-Infrastruktur in Deutschland, die zehn Handlungsfelder adressieren:

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    \n

  1. Institutionelle Governance und Verantwortung st\u00e4rken \u2013 IRs sollten verbindlich in institutionellen Strategien verankert und von der Leitungsebene ausdr\u00fccklich als strategische Infrastruktur anerkannt werden.

    2. \n

  2. Finanzielle und personelle Ressourcen nachhaltig sichern \u2013 Gefordert werden langfristige Finanzierungsmodelle sowie gezielte Professionalisierung des Personals an den Schnittstellen von Bibliothek, IT, Verwaltung und Wissenschaft.

    3. \n

  3. Monitoring etablieren und systematisch nutzen \u2013 Einrichtungen sollten strategisch entscheiden, welche Rolle IRs f\u00fcr Publikations-, Kosten- und Compliance-Monitoring spielen sollen und wie die gewonnenen Daten in Entscheidungsprozesse einflie\u00dfen.

    4. \n

  4. K\u00fcnstlicher Intelligenz strategisch begegnen \u2013 Empfohlen werden ein strategisches Bot-Management entlang der COAR-Initiative \u201eDealing with Bots\u201d (Shearer and Walk 2025) sowie die verantwortungsvolle Nutzung KI-gest\u00fctzter Werkzeuge im IR-Betrieb.

    5. \n

  5. Rechtliche Rahmenbedingungen ber\u00fccksichtigen \u2013 Empfohlen werden integrierte Beratungsangebote zu Lizenzierung und Zweitver\u00f6ffentlichung sowie standardisierte Verfahren zur Rechtepr\u00fcfung.

    6. \n

  6. Kommunikation und Vernetzung ausbauen \u2013 Notwendig sind klare Organisations- und Kommunikationsstrukturen, zielgruppenspezifische Angebote f\u00fcr Wissenschaftler:innen sowie st\u00e4rkere nationale und internationale Vernetzung.

    7. \n

  7. Interoperable und nachhaltige Systeme etablieren \u2013 Empfohlen wird die konsequente Nutzung etablierter Standards, persistenter Identifikatoren und interoperabler Open-Source-L\u00f6sungen.

    8. \n

  8. Vielfalt wissenschaftlicher Outputs anerkennen und unterst\u00fctzen \u2013 Unterschiedliche Publikationsformate sollten technisch und organisatorisch besser ber\u00fccksichtigt sowie die Vernetzung mit Forschungsdaten strategisch gestaltet werden.

    9. \n

  9. Metadatenqualit\u00e4t erh\u00f6hen \u2013 Empfohlen werden professionalisierte Kurationsworkflows mit hohem Automatisierungsgrad sowie benutzerfreundliche Eingabesysteme und Interfaces.

    10. \n

  10. Digitale Langzeitverf\u00fcgbarkeit sicherstellen \u2013 Gefordert werden institutionelle Konzepte zur Langzeitverf\u00fcgbarkeit sowie Kooperationen mit spezialisierten Einrichtungen.

    11. \n
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Abbildung 1: Screenshot des Empfehlungs-Dokuments.
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Jetzt mitgestalten

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Bevor diese Empfehlungen final ver\u00f6ffentlicht werden, durchlaufen sie einen Request-for-Comments-Prozess (RfC). Ziel dieses Verfahrens ist die Qualit\u00e4tssicherung und die Entwicklung einer m\u00f6glichst breiten Konsensbasis innerhalb der Open-Access-Community. Das Projektteam versteht den RfC ausdr\u00fccklich als offene Einladung zur Mitgestaltung: R\u00fcckmeldungen k\u00f6nnen von kleineren Formulierungsvorschl\u00e4gen bis hin zu grundlegender Kritik reichen. Besonders gefragt ist, welche Themen aus Sicht der Community noch fehlen oder welche Vorschl\u00e4ge ge\u00e4ndert werden sollten. Im Anschluss an die Kommentierungsphase wird das Projektteam die eingegangenen R\u00fcckmeldungen einarbeiten und schlie\u00dflich eine finale Version der Empfehlungen ver\u00f6ffentlichen.

\n

F\u00fcr die Beteiligung stehen zwei Wege offen: Das Google-Dokument erm\u00f6glicht eine \u00f6ffentliche Kommentierung direkt im Dokument. Wer anonym kommentieren oder keinen Google-Account nutzen m\u00f6chte, kann alternativ die ODT-Version herunterladen, lokal kommentieren und per E-Mail an jonas.hoefting@hu-berlin.de einsenden.

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In beiden F\u00e4llen ist die Kommentierung bis zum 14.06.2026 m\u00f6glich.

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Das Projektteam bedankt sich herzlich bei allen Beteiligten \u2013 den Interviewpartner:innen, den Vortragenden und Teilnehmenden der Vernetzungsforen sowie allen Personen, die sich am RfC beteiligen.

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Das Projekt Pro OAR DE wird vom Bundesministerium f\u00fcr Forschung, Technologie und Raumfahrt (BMFTR) unter dem F\u00f6rderkennzeichen 16KOA001 gef\u00f6rdert.

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Weitere Informationen zur Forschungsgruppe finden sich auf unserer offiziellen Website.

\n

Dieser Text \u2013 mit Ausnahme von Zitaten und anderweitig gekennzeichneten Teilen \u2013 steht unter der CC BY 4.0 DEED.

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References

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\nRothfritz, Laura, Lisa Matthias, Heinz Pampel, and Marcel Wrzesinski. 2026. \u201cCurrent Challenges and Future Directions for Institutional Repositories: A Systematic Literature Review.\u201d Journal of the Association for Information Science and Technology 77 (1): 301\u201322. https://doi.org/10.1002/asi.70016.\n
\n
\nShearer, Kathleen, and Paul Walk. 2025. \u201cOpen Repositories Are Being Profoundly Impacted by AI Bots and Other Crawlers: Report from a COAR Survey.\u201d COAR. https://coar-repositories.org/news-updates/open-repositories-are-being-profoundly-impacted-by-ai-bots-and-other-crawlers-results-of-a-coar-survey/.\n
\n
\nWrzesinski, Marcel, Heinz Pampel, Laura Rothfritz, and Christopher Onzie Khamis. 2026. \u201cChallenges and Chances for Innovation for the Institutional Repository Landscape in Germany: Results from an Interview Study.\u201d Journal of Librarianship and Scholarly Communication 14 (1). https://doi.org/10.31274/jlsc.19047.\n
\n

Citation

BibTeX citation:
@online{h\u00f6fting2026,\n  author = {H\u00f6fting, Jonas and Pampel, Heinz},\n  title = {Aufruf Zur {Mitgestaltung:} {Empfehlungen} Zur\n    {Professionalisierung} Institutioneller {Open} {Access}\n    {Repositorien}},\n  date = {2026-05-27},\n  url = {https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/},\n  langid = {en}\n}\n
For attribution, please cite this work as:
\nH\u00f6fting, Jonas, and Heinz Pampel. 2026. \u201cAufruf Zur Mitgestaltung:\nEmpfehlungen Zur Professionalisierung Institutioneller Open Access\nRepositorien.\u201d May 27, 2026. https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/.\n
","doi":"https://doi.org/10.59350/1n10v-cfy19","funding_references":null,"guid":"https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/","id":"7d29b33f-fb5e-41a0-ba9d-34ae9de7446f","image":"https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/empfehlungen_rfc.png","images":[{"src":"https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/empfehlungen_rfc.png"},{"alt":"Abbildung 1: Screenshot des Empfehlungs-Dokuments.","src":"https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/empfehlungen_rfc.png"}],"indexed":true,"indexed_at":1779874050,"language":"de","parent_doi":null,"published_at":1779832800,"reference":[{"id":"https://doi.org/10.1002/asi.70016","unstructured":"\nRothfritz, Laura, Lisa Matthias, Heinz Pampel, and Marcel Wrzesinski. 2026. \u201cCurrent Challenges and Future Directions for Institutional Repositories: A Systematic Literature Review.\u201d Journal of the Association for Information Science and Technology 77 (1): 301\u201322. https://doi.org/10.1002/asi.70016.\n"},{"id":"https://coar-repositories.org/news-updates/open-repositories-are-being-profoundly-impacted-by-ai-bots-and-other-crawlers-results-of-a-coar-survey/","unstructured":"\nShearer, Kathleen, and Paul Walk. 2025. \u201cOpen Repositories Are Being Profoundly Impacted by AI Bots and Other Crawlers: Report from a COAR Survey.\u201d COAR. https://coar-repositories.org/news-updates/open-repositories-are-being-profoundly-impacted-by-ai-bots-and-other-crawlers-results-of-a-coar-survey/.\n"},{"id":"https://doi.org/10.31274/jlsc.19047","unstructured":"\nWrzesinski, Marcel, Heinz Pampel, Laura Rothfritz, and Christopher Onzie Khamis. 2026. \u201cChallenges and Chances for Innovation for the Institutional Repository Landscape in Germany: Results from an Interview Study.\u201d Journal of Librarianship and Scholarly Communication 14 (1). https://doi.org/10.31274/jlsc.19047.\n"}],"registered_at":0,"relationships":[],"rid":"ejdbp-00r65","status":"active","summary":"Institutionelle Repositorien (IRs) sind heute ein zentraler Bestandteil der Informationsinfrastruktur vieler Forschungseinrichtungen. Mit der wachsenden strategischen Bedeutung von \u00d6ffnungsprozessen in der Wissenschaft, die unter dem Begriff Open Science diskutiert werden, steigen auch die Anforderungen an den Betrieb von IRs.","tags":["Research"],"title":"Aufruf zur Mitgestaltung: Empfehlungen zur Professionalisierung institutioneller Open Access Repositorien","updated_at":1779832800,"url":"https://infomgnt.org/posts/2026-05-27-aufruf-zur-mitgestaltung-empfehlungen-zur-professionalisierung-institutioneller-open-access-repositorien/","version":"v1"},{"abstract":null,"archive_url":null,"authors":[{"contributor_roles":[],"family":"Racy","given":"Famira"}],"blog":{"archive_collection":null,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":null,"canonical_url":null,"category":"socialScience","community_id":"77c8c2e4-ebda-4e7c-9458-6c06b604344b","created_at":1752226126.418889,"current_feed_url":null,"description":null,"doi":null,"doi_as_guid":false,"favicon":"https://rogue-scholar.org/api/communities/77c8c2e4-ebda-4e7c-9458-6c06b604344b/logo","feed_format":"application/atom+xml","feed_url":"https://pkp.sfu.ca/feed/atom","filter":null,"funding":null,"generator":"WordPress","generator_raw":"WordPress","home_page_url":"https://pkp.sfu.ca/news/","id":"1fc8db8d-6943-4efd-8a78-7723c41ab59f","indexed":true,"issn":null,"language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":null,"prefix":"10.59350","registered_at":0,"relative_url":null,"ror":null,"secure":true,"slug":"pkp","status":"active","subfield":"1710","subfield_validated":null,"title":"Public Knowledge Project","updated_at":1779958244.215632,"use_api":null,"use_mastodon":false,"user_id":null},"blog_name":"Public Knowledge Project","blog_slug":"pkp","content_html":"
\"Feature
\n

Upload, edit, publish, all in one place. OJS, OMP, and OPS 3.6 cover the journey from manuscript to on the fly HTML, PDF, and JATS XML production.

\n

Thanks to extensive community input gathered through the PKP Forum, webinars, and working groups \u2014 and to funding from the Open Research Europe project \u2014 the upcoming 3.6 release will include an integrated HTML editing tool and the ability to generate HTML, PDF, and JATS XML files using HTML as the canonical source.\u00a0

\n

The direction was validated at the 2024 PKP Turin Sprint where attendees explored these capabilities in a dedicated typesetting working group, refining key design and implementation assumptions.

\n

Removing Offline Dependencies with the Integrated Text Editor

\n

The integrated text editor uses SciFlow, a tool that generates clean, stripped-down markup with only the essential structural and semantic elements needed for rendering.

\n
\"Image
\n

Note that the text editor is an option for Editors who prefer to work inside of the software but the legacy workflow involving desktop tools and third-party services remains available.\u00a0

\n

Integrated Text Editor Features

\n

The editor\u2019s interface will be familiar to users of text editors such as Word or Google Docs. The standard structural tools available include fonts, basic tables, headers, etc. Keyboard notations can be used for structures such as headers, ordered and unordered lists, fonts, and more.

\n

Mathematical formulas are handled via MathJax integration and editors have the option to directly author and edit LaTeX via the sidebar.

\n

\n
\"Mathematical
\n

Although only body text is shared to the integrated text editor, metadata such as references are listed in the sidebar and can be dragged onto text for quick linking.

\n


Citations can be edited or added on the fly by selecting the desired text and interacting with the sidebar tools.

\n

Upload, Edit, Save

\n

The new text editor is available as an in-software alternative that does not disrupt existing workflows.

\n

1. Submission Upload

\n

\"\u25b6\" The Author uploads their manuscript e.g., Word document

\n

\"\u25b6\" If the Grobid plugin is enabled, manuscript metadata such as titles and abstracts can be auto-extracted into the submission form

\n

2. Review\u00a0

\n
\n\n
\n

Integrated text editor walkthrough by Jarda Kot\u011b\u0161ovec, Front-end Software Lead at PKP

\n


\"\u25b6\" The uploaded manuscript file can be shared with the text editor at any stage (submission, review, copyediting, production) in the workflow using the \u201csend to text editor\u201d option.

\n

\"\u25b6\" Only the main content of the article is shared with the text editor. i.e., the content on the title page is not editable using this method.\u00a0

\n

3. Edit\u00a0

\n

\"\u25b6\" Edit the article content

\n


\"\u25b6\" Save your changes. This saves the body text HTML as the canonical source within the software.

\n

On the Fly File Production and Export

\n

In previous releases, files such as HTML, PDF, and JATS XML were created offline and uploaded to the galley. For an HTML version of the article to be displayed in the public-facing website required the existence of an HTML file in the gallery. Similarly, PDF and other downloadable files from the public website required these files to be manually kept up to date in the galley. This created a labour-intensive and potentially costly workflow where every update required external services to regenerate and re-upload files.

\n

With the 3.6 release, file creation functionality takes the body text HTML created by the integrated editor and, when triggered by the Editor, the system produces HTML, PDF, and JATS XML files for display and download. This will reduce an Editor\u2019s manual workload, satisfy PubMed\u2019s JATS XML export requirement, and allow journal-specific templates and styles to be applied for a consistent look and feel.\u00a0

\n

The following file production paths can be triggered by the Editor after moving submissions to the production stage.

\n

Body text HTML Conversion to HTML, PDF, and JATS XML

\n

\"\u25b6\" Body text HTML to HTML Galley
Using a template, the journal\u2019s stylesheet is applied to the body text HTML. The resulting file can appear inline or as a standalone HTML page on the journal\u2019s public-facing website.

\n

\"\u25b6\" Body text HTML to HTML to PDF Galley
Similarly, a template and stylesheet is applied to the body text HTML to produce a downloadable PDF from HTML, consistent with the journal\u2019s look and feel.

\"\u25b6\" Body text HTML to JATS XML Galley
The structured content is exported to JATS XML for indexing and archiving with services such as PubMed.

\n
\n

Check out the May 25th Development Update News webinar where PKP developers talk about file production, high-resolution file handling, and more upcoming features coming in the 3.6 release.

\n
\n

References

\n\n

The post OJS 3.6: Bringing Manuscript Editing and Production under one Roof appeared first on Public Knowledge Project.

","doi":"https://doi.org/10.59350/09r3t-hg291","funding_references":null,"guid":"https://pkp.sfu.ca/?p=19092","id":"eb5b8270-1bae-4ddb-96ce-f7f73a25f30b","image":"https://pkp.sfu.ca/wp-content/uploads/2026/05/Dev-dispatch-3.6-May-2026-WP-1024x576.jpg","images":[{"alt":"Feature image for the article includes the title of the article and PKP logo. The photography on the right side is an outdoor structure with pillars and a roof housing plant growth on the outside and cooking instruments on the inside, representing the bringing together of editing and production under one roof. Photo by PKP's Famira Racy.","height":"576","sizes":"(max-width: 1024px) 100vw, 1024px","src":"https://pkp.sfu.ca/wp-content/uploads/2026/05/Dev-dispatch-3.6-May-2026-WP-1024x576.jpg","srcset":"https://pkp.sfu.ca/wp-content/uploads/2026/05/Dev-dispatch-3.6-May-2026-WP-1024x576.jpg, https://pkp.sfu.ca/wp-content/uploads/2026/05/Dev-dispatch-3.6-May-2026-WP-300x169.jpg, https://pkp.sfu.ca/wp-content/uploads/2026/05/Dev-dispatch-3.6-May-2026-WP-768x432.jpg, https://pkp.sfu.ca/wp-content/uploads/2026/05/Dev-dispatch-3.6-May-2026-WP-1536x864.jpg, https://pkp.sfu.ca/wp-content/uploads/2026/05/Dev-dispatch-3.6-May-2026-WP.jpg","width":"1024"},{"alt":"Image of removing offline dependencies with the integrated text editor.","height":"919","sizes":"(max-width: 1024px) 100vw, 1024px","src":"https://pkp.sfu.ca/wp-content/uploads/2026/05/1-3.6-Integrated-text-editor-mockup-1024x919.png","srcset":"https://pkp.sfu.ca/wp-content/uploads/2026/05/1-3.6-Integrated-text-editor-mockup-1024x919.png, https://pkp.sfu.ca/wp-content/uploads/2026/05/1-3.6-Integrated-text-editor-mockup-300x269.png, https://pkp.sfu.ca/wp-content/uploads/2026/05/1-3.6-Integrated-text-editor-mockup-768x689.png, https://pkp.sfu.ca/wp-content/uploads/2026/05/1-3.6-Integrated-text-editor-mockup-1536x1378.png, https://pkp.sfu.ca/wp-content/uploads/2026/05/1-3.6-Integrated-text-editor-mockup.png","width":"1024"},{"alt":"Mathematical formulas are handled via MathJax integration and editors have the option to directly author and edit LaTeX via the sidebar.","height":"901","sizes":"(max-width: 1024px) 100vw, 1024px","src":"https://pkp.sfu.ca/wp-content/uploads/2026/05/2-3.6-Integrated-text-editor-SciFlow-MathJax-1024x901.png","srcset":"https://pkp.sfu.ca/wp-content/uploads/2026/05/2-3.6-Integrated-text-editor-SciFlow-MathJax-1024x901.png, https://pkp.sfu.ca/wp-content/uploads/2026/05/2-3.6-Integrated-text-editor-SciFlow-MathJax-300x264.png, https://pkp.sfu.ca/wp-content/uploads/2026/05/2-3.6-Integrated-text-editor-SciFlow-MathJax-768x676.png, https://pkp.sfu.ca/wp-content/uploads/2026/05/2-3.6-Integrated-text-editor-SciFlow-MathJax-1536x1352.png, https://pkp.sfu.ca/wp-content/uploads/2026/05/2-3.6-Integrated-text-editor-SciFlow-MathJax.png","width":"1024"},{"alt":"\u25b6","src":"https://s.w.org/images/core/emoji/17.0.2/72x72/25b6.png"},{"alt":"\u25b6","src":"https://s.w.org/images/core/emoji/17.0.2/72x72/25b6.png"},{"alt":"\u25b6","src":"https://s.w.org/images/core/emoji/17.0.2/72x72/25b6.png"},{"alt":"\u25b6","src":"https://s.w.org/images/core/emoji/17.0.2/72x72/25b6.png"},{"alt":"\u25b6","src":"https://s.w.org/images/core/emoji/17.0.2/72x72/25b6.png"},{"alt":"\u25b6","src":"https://s.w.org/images/core/emoji/17.0.2/72x72/25b6.png"},{"alt":"\u25b6","src":"https://s.w.org/images/core/emoji/17.0.2/72x72/25b6.png"},{"alt":"\u25b6","src":"https://s.w.org/images/core/emoji/17.0.2/72x72/25b6.png"},{"alt":"\u25b6","src":"https://s.w.org/images/core/emoji/17.0.2/72x72/25b6.png"},{"src":"https://pkp.sfu.ca/wp-content/uploads/2026/05/Dev-dispatch-3.6-May-2026-WP-1024x576.jpg"},{"src":"https://pkp.sfu.ca/wp-content/uploads/2026/05/1-3.6-Integrated-text-editor-mockup-1024x919.png"},{"src":"https://pkp.sfu.ca/wp-content/uploads/2026/05/2-3.6-Integrated-text-editor-SciFlow-MathJax-1024x901.png"}],"indexed":true,"indexed_at":1779817346,"language":"en","parent_doi":null,"published_at":1779814210,"reference":[{"id":"https://github.com/pkp/pkp-lib/issues/10419","unstructured":"Full-text editor GitHub #10419"},{"id":"https://github.com/pkp/pkp-lib/issues/10437","unstructured":"Investigating PDF generation GitHub #10437"},{"id":"https://pkp.sfu.ca/2025/06/30/production-changes-plans/","unstructured":"Article Production: Directions and Plans (June 2025)"},{"id":"https://pkp.sfu.ca/2024/11/08/pkp-turin-typesetting/","unstructured":"PKP Turin 2024 Typesetting (Nov 2024)"},{"id":"https://pkp.sfu.ca/2024/12/19/turin-2024-sprint-round-up-summary/","unstructured":"Working group discussion recap from the PKP Turin Sprint 2024"}],"registered_at":0,"relationships":[],"rid":"erx2v-h4d95","status":"active","summary":"\n \n Upload, edit, publish, all in one place.\n \n","tags":["Community Newsletter","News","News For Developers","News For Hosted Clients","Development Dispatch"],"title":"OJS 3.6: Bringing Manuscript Editing and Production under one Roof","updated_at":1779814210,"url":"https://pkp.sfu.ca/2026/05/26/ojs-3-6-bringing-manuscript-editing-and-production-under-one-roof/","version":"v1"},{"abstract":"This article presents 14 practical recommendations for action on climate change and health.","archive_url":null,"authors":[{"affiliation":[{"id":"https://ror.org/04h13ss13","name":"The Geneva Learning Foundation"}],"contributor_roles":[],"family":"Sadki","given":"Reda","url":"https://orcid.org/0000-0003-4051-0606"}],"blog":{"archive_collection":null,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":null,"canonical_url":null,"category":"educationalSciences","community_id":"7e26491f-41c6-4665-9088-5aa6643a1ba8","created_at":1731211871,"current_feed_url":null,"description":"Learning to make a difference","doi":null,"doi_as_guid":false,"favicon":null,"feed_format":"application/atom+xml","feed_url":"https://redasadki.me/feed/atom/","filter":null,"funding":null,"generator":"WordPress","generator_raw":"WordPress 6.7.1","home_page_url":"https://redasadki.me","id":"88b8caba-b485-4654-96ce-a21547abaab3","indexed":true,"issn":null,"language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":"https://techhub.social/@redasadki","prefix":"10.59350","registered_at":0,"relative_url":null,"ror":null,"secure":true,"slug":"redasadki","status":"active","subfield":"3304","subfield_validated":null,"title":"Reda Sadki","updated_at":1779958256.270569,"use_api":true,"use_mastodon":false,"user_id":"0d34dfde-a007-4ec9-9bc6-7b0318fa2c5e"},"blog_name":"Reda Sadki","blog_slug":"redasadki","content_html":"\n
\"\"
\n\n\n\n

This article presents 14 practical recommendations for action on climate change and health.

\n\n\n\n

The recommendations are grounded in the experiences shared by thousands of health workers and documented in the Teach to Reach 11 report \u201cLocal action to mitigate the impact of the climate crisis on health\u201d

\n\n\n\n

The recommendations below are what we conclude when we read those accounts together and ask what should change.

\n\n\n\n

They are a working analysis from The Geneva Learning Foundation, written for three audiences: community health staff and volunteers, managers and planners, and global partners.

\n\n\n\n

They appear here, in this article, for the first time.

\n\n\n\n

A separate companion article, Eight things health workers taught us about climate change and health, presents key findings on which these recommendations are based, with the Contributor accounts that support them.

\n\n\n\n

Read that piece first if the recommendations below feel abstract.

\n\n\n\n

Read this one if you have already read the findings and want to know what to do.

\n\n\n\n

Why these recommendations and not others

\n\n\n\n

Three principles run through what follows.

\n\n\n\n
    \n
  1. Solutions are already in the field. The accounts describe pirogues, drones, mobile clinics, mutual-aid funds, community-built health centres, and WhatsApp antenatal care. The job of policy is to recognise, fund, and protect what already works.
    2. \n\n\n\n
  2. Cost of climate adaptation is currently being paid by frontline health workers and the communities they serve, in money and in injuries. Any recommendation that ignores this transfers more cost to people who already cannot afford it.
    3. \n\n\n\n
  3. Climate change is a threat multiplier on familiar diseases. Recommendations that aim at exotic new programmes will miss the ground where the problem actually lives, which is in the malaria, cholera, malnutrition, and maternal mortality that workers have been tracking for decades.
    4. \n
\n\n\n\n

Recommendations for community health staff and volunteers

\n\n\n\n

The contributors are themselves community health staff and volunteers. The recommendations here are what their accounts suggest to peers in similar settings.

\n\n\n\n
    \n
  1. Map your district before the next rainy season, not during it. Several accounts make clear that the difference between a successful response and a lost patient is whether the alternative route, the higher-ground building, the canoe operator, and the women\u2019s group are known by name before the road floods. Make the map. Keep it on paper. Update it once a year.
    2. \n\n\n\n
  2. Document the protocol changes you make under climate stress. Several contributors describe adapting reporting cadences, outreach schedules, and clinical protocols in real time during climate events. That kind of adaptation is the most useful evidence the system has, and it disappears if it is not written down. Write a short note each time you change a protocol because of weather. Share it with peers.
    3. \n\n\n\n
  3. Build relationships with women\u2019s groups, traditional birth attendants, youth groups, and faith leaders before any emergency. The communities that responded best to the floods in the report were the ones where these relationships already existed. They cannot be built in the week of an emergency.
    4. \n\n\n\n
  4. Record what you spend out of pocket. The midwife in Tarime hires motorbikes. Keku Evans De-Clerk in Ho West spends four days travelling between communities. These costs are invisible to managers and donors unless someone counts them. Counting them is the first step to having them reimbursed.
    5. \n
\n\n\n\n

Recommendations for managers and planners

\n\n\n\n

The contributors describe a system in which the formal health service runs on the unrecorded labour and unrecorded spending of frontline staff and the unrecorded financing of community groups.

\n\n\n\n

The recommendations here are about giving formal recognition and resources to what is already happening.

\n\n\n\n
    \n
  1. Rewrite district emergency plans around the hazards the district actually faces, in the order they arrive. The same district will see drought, then flood, then harmattan, then heatwave. A single integrated plan that names canoe operators, higher-ground sites, and outreach schedules adjusted for the local climate calendar reaches zero-dose children and high-risk pregnancies before access closes.
    2. \n\n\n\n
  2. Authorise improvised responses in advance, so workers do not have to seek approval during a crisis. Mobile clinics, drone deliveries, telemedicine on WhatsApp, community-built facilities, daily surveillance reporting. These are happening anyway. Pre-authorisation removes the legal and procedural risk that workers currently carry alone.
    3. \n\n\n\n
  3. Create a reimbursement line for climate-related transport, equipment, and weather-related sick days. Health worker dedication is a subsidy. Make it visible in the budget. The amounts involved are small. The signal to the workforce is large.
    4. \n\n\n\n
  4. Recognise community financial mechanisms as health system infrastructure. Women\u2019s solidarity funds, mutual-aid groups, and savings groups already pay for hospital stays and emergency transport in the accounts. District plans that ignore them duplicate effort. District plans that include them work with the grain of the community.
    5. \n\n\n\n
  5. Make community trust a measurable indicator, with a budget line and a person responsible. Habila Christiana Habu in Taraba State and several other contributors describe trust as the binding constraint on emergency response. It is measurable. It can be funded. It is currently neither in most plans.
    6. \n
\n\n\n\n

Recommendations for global partners

\n\n\n\n

The Belem Health Action Plan adopted after COP30 placed adaptation and community resilience at the centre of the global response. The 2025 Lancet Countdown opened a path to climate-resilient health systems that recognises frontline knowledge. The recommendations here are about closing the gap between those framings and what is actually funded.

\n\n\n\n
    \n
  1. Shift climate-health portfolios from generating new knowledge to amplifying knowledge that already exists. Implementation science for planetary health begins with what frontline workers have already tested. Fund the documentation, peer learning, and protocol development that turns those tests into evidence the global system can use. Funding more research from the outside, on conditions that workers in nineteen countries have already described, is the wrong instrument.
    2. \n\n\n\n
  2. Fund frontline workers directly through mechanisms that match the timeline of an extreme weather event. Reconstruction funding that arrives in months arrives after the community has already moved on. Rapid response mechanisms that can reach community-led action in weeks match the timeline that floods, droughts, and cyclones actually run on.
    3. \n\n\n\n
  3. Make worker protection a required line in every emergency response grant. Reimbursement for transport, airtime, equipment, and weather-related injuries is small money and large signal. It is also the one variable in the report that no contributor reported being addressed.
    4. \n\n\n\n
  4. Treat community trust and community-built infrastructure as fundable outcomes. The current grant cycle is shorter than the time it takes to build trust in a community that has been let down before, and shorter than the time it takes to build a health centre with local labour. Multi-year, presence-based funding is what these accounts call for.
    5. \n\n\n\n
  5. Reframe climate-health investment around familiar diseases at altered scale. The signal is in malaria caseloads in Kinshasa during the dry season, dengue in Cote d\u2019Ivoire, cholera in N\u2019Djamena, malnutrition in Tiassale, and respiratory illness from harmattan dust in Transua. Funding instruments that look for new disease categories will miss it. Funding instruments that strengthen basic public health, sanitation, water security, and surveillance for these familiar diseases will reach it.
    6. \n
\n\n\n\n

What success looks like 

\n\n\n\n

Three years from now, what does success look like, if these recommendations are implemented? Here are six examples of potential outcomes:

\n\n\n\n
    \n
  1. A district plan in DRC that lists the women\u2019s solidarity fund of Ngandajika as a partner organisation, with a contact name and a budget for joint activity.
    2. \n\n\n\n
  2. A national malaria control programme in Niger that reimburses Sidikou Issaka Maiga and his colleagues for the pirogue hire, the long detours, and the supervision time that the seasonal chemoprevention campaign now requires under climate stress.
    3. \n\n\n\n
  3. A reimbursement line in the Tanzania Ministry of Health budget for the motorbikes that the midwife in Tarime currently hires herself.
    4. \n\n\n\n
  4. A grant from a global partner that arrives in time to finish the health centre that Jean-Richard Mutombo and his neighbours have started building in Tshibuba.
    5. \n\n\n\n
  5. A WhatsApp antenatal protocol in Ghana that gives Kojo Pieterson the documentation framework, the airtime, and the legal cover to do what he has already shown can be done.
    6. \n\n\n\n
  6. A district hospital in Uttarakhand that systematises Dr Mahesh Bhatt\u2019s practice of relocating high-risk pregnancies before the monsoon road closes, with funding for the relocation costs.
    7. \n
\n\n\n\n

These are not abstractions.

\n\n\n\n

The people are named.

\n\n\n\n

The places are real.

\n\n\n\n

The actions are within reach.

\n\n\n\n

The question is whether the systems that surround them will look.

\n","doi":"https://doi.org/10.59350/hs8am-cn216","funding_references":null,"guid":"https://redasadki.me/?p=23628","id":"311ff3c0-c89e-46b0-bb1f-63dbc31c221a","image":"https://redasadki.me/wp-content/uploads/2026/05/20260526.CLIMATE-Teach-to-Reach-11-report.005.1600.jpg","images":[{"height":"300","sizes":"auto, (max-width: 225px) 100vw, 225px","src":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-EN-local-action-to-mitigate-the-impact-of-climate-crisis-on-health.zenodo.18246203-COVER.640-2.png?resize=225%2C300&ssl=1","srcset":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-EN-local-action-to-mitigate-the-impact-of-climate-crisis-on-health.zenodo.18246203-COVER.640-2.png?resize=225%2C300&ssl=1, https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-EN-local-action-to-mitigate-the-impact-of-climate-crisis-on-health.zenodo.18246203-COVER.640-2.png?w=480&ssl=1","width":"225"}],"indexed":true,"indexed_at":1779813121,"language":"en","parent_doi":null,"published_at":1779809302,"reference":[],"registered_at":0,"relationships":[],"rid":"s5s4b-jbc02","status":"active","summary":"\n This article presents 14 practical recommendations for action on climate change and health.\n\nThe recommendations are grounded in the experiences shared by thousands of health workers and documented in the Teach to Reach 11 report \u201cLocal action to mitigate the impact of the climate crisis on health\u201d The recommendations below are what we conclude when we read those accounts together and ask what should change.","tags":["The Geneva Learning Foundation","Climate And Health","Climate Change And Health","Local Action To Mitigate The Impact Of The Climate Crisis On Health","Recommendations"],"title":"Climate change and health: 14 recommendations for health workers, national planners, and global partners","updated_at":1779809805,"url":"https://redasadki.me/2026/05/26/climate-change-and-health-14-recommendations-for-health-workers-national-planners-and-global-partners/","version":"v1"},{"abstract":"In Niger, the rains in 2024 were heavier than anyone alive could remember. Elders told Sidikou Issaka Maiga that they had never seen rainfall destroy so much in such a short time. The flooding washed away tracks, drowned crops, and cut whole villages off from the nearest health facility.","archive_url":null,"authors":[{"affiliation":[{"id":"https://ror.org/04h13ss13","name":"The Geneva Learning Foundation"}],"contributor_roles":[],"family":"Sadki","given":"Reda","url":"https://orcid.org/0000-0003-4051-0606"}],"blog":{"archive_collection":null,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":null,"canonical_url":null,"category":"educationalSciences","community_id":"7e26491f-41c6-4665-9088-5aa6643a1ba8","created_at":1731211871,"current_feed_url":null,"description":"Learning to make a difference","doi":null,"doi_as_guid":false,"favicon":null,"feed_format":"application/atom+xml","feed_url":"https://redasadki.me/feed/atom/","filter":null,"funding":null,"generator":"WordPress","generator_raw":"WordPress 6.7.1","home_page_url":"https://redasadki.me","id":"88b8caba-b485-4654-96ce-a21547abaab3","indexed":true,"issn":null,"language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":"https://techhub.social/@redasadki","prefix":"10.59350","registered_at":0,"relative_url":null,"ror":null,"secure":true,"slug":"redasadki","status":"active","subfield":"3304","subfield_validated":null,"title":"Reda Sadki","updated_at":1779958256.270569,"use_api":true,"use_mastodon":false,"user_id":"0d34dfde-a007-4ec9-9bc6-7b0318fa2c5e"},"blog_name":"Reda Sadki","blog_slug":"redasadki","content_html":"\n
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In Niger, the rains in 2024 were heavier than anyone alive could remember.

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Elders told Sidikou Issaka Maiga that they had never seen rainfall destroy so much in such a short time.

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The flooding washed away tracks, drowned crops, and cut whole villages off from the nearest health facility.

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The seasonal malaria chemoprevention campaign was supposed to be running.

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Children in flooded villages were unreachable by car or motorbike.

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So the malaria control programme recruited local distributors and brought them in by pirogue (small river boats), with antimalarial drugs and campaign materials, and the campaign continued.

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\u201cWe recruited local distributors and brought them in by pirogue to supply them with AQSP and campaign materials to carry out the activity. Supervision of the campaign was generally carried out by a small team, which took longer than usual, forcing us to make long detours by vehicle, sometimes three times the normal distance. This approach was also facilitated by the communities, who often came up with relevant suggestions for getting around the obstacles.\u201d

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Sidikou Issaka Maiga, National Malaria Control Programme (Research Unit), Ministry of Health, Niamey, Niger.

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The Niger malaria campaign is one of 100 accounts published in Teach to Reach 11: Local action to mitigate the impact of the climate crisis on health, the twentieth Listening and Learning Report from The Geneva Learning Foundation (TGLF).

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This article walks through eight things those workers taught us.

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It is for the community health staff who are facing similar challenges, for the managers who make the plans, and for the global partners who fund and design the systems that surround them.

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How to read what follows

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Read it as the people who wrote it intended: as evidence of what works, told by the people doing the work.

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The eight findings below are taken from the synthesis of contributor accounts in the report.

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Each finding pairs a verbatim quote with what we can learn from it for three audiences: community health staff and volunteers, managers and planners, and global partners.

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A separate companion article, What we should do with what health workers know, sets out recommendations that follow from these observations.

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One contributor account does not prove what works everywhere.

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It shows what is possible and what to test.

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Where experience and routine data disagree, the question is not which to believe.

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The question is why they differ.

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What is in this evidence that is not in other evidence

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Most climate-health evidence comes from formal research institutions in high-income countries.

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The accounts in this report come from the people treating patients in the most climate-vulnerable countries in the world.

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They tell the global research and policy conversation what is happening, who is doing it, and what it costs.

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Finding #1: Track familiar diseases as they arrive earlier and reach further

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\u201cAt the moment, the biggest problem in my community is management of plastic bottles. They are thrown everywhere in the city of Kinshasa, blocking all the sewage outlets, causing floods and loss of life. The piled-up bottles harbour mosquito larvae. Malaria has become very common in Kinshasa.\u201d

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Adhama Mirindi Tresor, Community health worker, Kinshasa, Democratic Republic of the Congo.

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Across the contributions, the diseases that climate change is amplifying are familiar ones.

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Malaria.

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Cholera.

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Diarrhoea.

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Malnutrition.

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Respiratory illness from harmattan dust.

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Mental ill-health after a flood.

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The pattern reported is that these conditions are arriving earlier in the season, lasting longer, and reaching places where they used to be rare.

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Adhama Mirindi Tresor traces a chain that runs from urban waste to blocked drainage, to standing water, to mosquito breeding, to malaria in children.

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The threat multiplier framing in the 2025 Lancet Countdown matches what workers in nineteen countries described from their clinics.

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What can we take away from Finding #1?

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Finding #2: Build the alternative route before the road closes

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\u201cIn October 2024, Mali was hit by flooding throughout the interior regions, including the capital Bamako. As a result, the problem of access to basic social services arose. To get around this difficulty, the population was obliged use makeshift boats, pinasses and pirogues to reach the health centres.\u201d

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Dr Kassoum Barry, Medical doctor, Bamako, Mali.

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In Mali, the population reached health centres in pirogues.

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In Madagascar, some health districts used drones to supply health facilities during cyclones.

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In Niger, the seasonal malaria chemoprevention campaign continued because local distributors were brought in by pirogue.

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In Ghana, Ofosu-Kwabi Nasas reports that during the rains \u201cpeople who can paddle canoes come in and help.\u201d

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The first response to access collapse is always local and improvised.

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It is not a substitute for the formal system.

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It is what the formal system depends on without naming.

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What can we take away from Finding #2?

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Finding #3: Recognise community financing as health financing

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The Ngandajika women\u2019s solidarity fund, featured in the launch communication for this report, is one example of a wider pattern in the contributions.

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In Mali, Fousseyni Dembele describes a rapid multi-sector needs assessment after a flood that produced water, treatment for malnourished children, and vaccination through mobile clinics, financed through partner pooling.

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In Ethiopia, community members made local materials available to construct temporary sheds for health workers during a rotavirus outbreak.

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In Cameroon, community members in Kavumu bought a plot of land and built a health centre themselves.

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Such initiatives already exist.

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Health systems frequently do not see them.

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What can we take away from Finding #3?

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Finding #4: Treat communities as builders, not beneficiaries

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\u201cThe community played a vital role. Local cyclists provided their bikes, and the Organization donated food and clothing for most affected families. Local volunteers were trained to identify and refer critical cases. They also helped in the distribution of emergency supplies to the elderly and orphans.\u201d

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Bridget Mark Udoaka, Public Health officer, NGO, Akwa-Ibom State, Nigeria.

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Across the contributions, communities are not waiting for external help to arrive.

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In Akwa-Ibom State, local cyclists provided their bikes, volunteers were trained to identify and refer critical cases, and high-ground community centres were converted into temporary shelters and healthcare hubs.

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In Burkina Faso, village midwives were trained to assist in childbirth in communities cut off during the winter months.

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In Cote d\u2019Ivoire, Okou Gbouhouri Marius Romeo describes a community that, once aware of the danger, made available a team of volunteers to clean flooded areas and a team to learn how to disinfect wells.

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What can we take away from Finding #4?

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Finding #5: Run telemedicine on the tools workers already have

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\u201cWe had to innovate. For the first time, we piloted telemedicine services using satellite phones to connect with doctors in urban areas for complex cases.\u201d

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Antony Okungu, multi-country

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When access to a clinic collapses, contributors describe building remote-care arrangements out of whatever communication they have.

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Antony Okungu piloted satellite-phone telemedicine for the first time during a flood.

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Malick Ndome in Kolda, Senegal, distributed telephones to women in labour so midwives could give advice while they waited.

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Mambo Zadiya Merveille in Lubumbashi describes remote consultations to reach otherwise unreachable facilities.

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As far as we know, none of these were funded telemedicine programmes.

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They were ordinary clinical work running on extraordinary improvisation.

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What can we take away from Finding #5?

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Finding #6: Make community trust an explicit objective, not an assumption

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\u201cThe community\u2019s response was a mixture of cooperation and resistance. While many villagers welcomed our efforts and actively participated in creating temporary clinics, others were hesitant to engage due to fears of further flooding or distrust of external interventions. Educating them about the importance of seeking care and dispelling misconceptions required significant effort.\u201d

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Habila Christiana Habu, Community health worker, Ministry of Health, Taraba State, Nigeria.

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Habila Christiana Habu names the constraint that supplies and logistics cannot fix.

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In Taraba State, a portion of the community refused to engage with the flood response.

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The reason was not absence of services, but distrust built up over years of external interventions that did not return.

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Bridget Mark Udoaka in Akwa-Ibom State, Joseph Mbari Ngugi in Murang\u2019a County, and Bernic Ameko in the Ashanti Region of Ghana describe variations of the same pattern.

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In each account, sustained communication over time was what shifted it.

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What can we take away from Finding #6?

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Finding #7: Stop letting health workers absorb the cost of climate adaptation alone

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\u201cI have to hire a motorbike and sometimes the road is so slippery and you fall down in the mud, and the next day you even get sick. I love my profession so much such that I am still working even in such a harsh conditions.\u201d

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Anonymous midwife, Ministry of Health, Tarime District Council, Tanzania.

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The midwife in Tarime hires the motorbike out of her own pocket.

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Keku Evans De-Clerk in Ho West District, Ghana, spends four days at a time travelling between hard-to-reach communities on roads that no car can cross.

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In Sindh Province, Pakistan, Dr Khalid Hussain Memon describes finding the Medical Superintendent of a flooded rural health centre still on duty on the upper floors of houses, treating patients with whatever medicines were left.

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Across the contributions, the personal cost of keeping services running during climate disruption is absorbed by individual workers, in money, time, and physical risk, with no reimbursement structure described.

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What can we take away from Finding #7?

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Finding #8: Plan for floods, droughts, heatwaves, and cyclones together

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\u201cExtreme weather events in the Himalayan hills in Uttarakhand generally pose a challenging situation and increase people\u2019s vulnerabilities because of its difficult geography. The biggest issue is the accessibility of people to healthcare facilities due to disruption in road connectivity. It was advised that pregnant women with an expected date of pregnancy within two weeks should shift nearer to the community health centre or district hospital so that they could reach the hospital in an emergency.\u201d

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Dr Mahesh Bhatt, Doctor, NGO, Garhwal Region, Uttarakhand Himalayas, India.

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The same district often faces several climate hazards in succession.

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Flooding in the rainy season, drought before it, harmattan dust in December and January, cyclones in Madagascar, snow that cuts mountain villages in Morocco, landslides on Himalayan roads in Uttarakhand.

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Dr Djah Olivier Raphael in Cote d\u2019Ivoire describes the harmattan dry season generating a high incidence of respiratory illness in children under five and pregnant women.

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Dr Mahesh Bhatt\u2019s response, relocating high-risk pregnancies to within reach of a hospital before the road becomes impassable, treats the hazards as a single integrated emergency rather than a sequence of separate ones.

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What can we take away from Finding #8?

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Reference

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The Geneva Learning Foundation. Teach to Reach 11: Local action to mitigate the impact of the climate crisis on health. Listening and Learning report 20. The Geneva Learning Foundation, 2026. https://doi.org/10.5281/zenodo.18246203

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La Fondation Apprendre Gen\u00e8ve. Teach to Reach 11: Actions locales face \u00e0 l\u2019impact du changement climatique sur la sant\u00e9. Rapport \u00ab \u00c9couter pour Apprendre \u00bb n\u00b0 20. La Fondation Apprendre Gen\u00e8ve, 2026. https://doi.org/10.5281/zenodo.19069576

\n","doi":"https://doi.org/10.59350/fxxec-dxj41","funding_references":null,"guid":"https://redasadki.me/?p=23621","id":"8733c386-193e-40d2-a661-c526a35ae9cf","image":"https://redasadki.me/wp-content/uploads/2026/05/20260526.CLIMATE-Teach-to-Reach-11-report.008.1600.jpg","images":[{"height":"300","sizes":"auto, (max-width: 225px) 100vw, 225px","src":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-EN-local-action-to-mitigate-the-impact-of-climate-crisis-on-health.zenodo.18246203-COVER.640-2.png?resize=225%2C300&ssl=1","srcset":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-EN-local-action-to-mitigate-the-impact-of-climate-crisis-on-health.zenodo.18246203-COVER.640-2.png?resize=225%2C300&ssl=1, https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-EN-local-action-to-mitigate-the-impact-of-climate-crisis-on-health.zenodo.18246203-COVER.640-2.png?w=480&ssl=1","width":"225"}],"indexed":true,"indexed_at":1779813123,"language":"en","parent_doi":null,"published_at":1779809142,"reference":[{"id":"https://doi.org/10.5281/zenodo.18246203"},{"id":"https://doi.org/10.5281/zenodo.19069576"}],"registered_at":0,"relationships":[],"rid":"9f6ec-cpv55","status":"active","summary":"In\n\n Niger\n\n, the rains in 2024 were heavier than anyone alive could remember. Elders told Sidikou Issaka Maiga that they had never seen rainfall destroy so much in such a short time. The flooding washed away tracks, drowned crops, and cut whole villages off from the nearest health facility. The seasonal malaria chemoprevention campaign was supposed to be running. Children in flooded villages were unreachable by car or motorbike.","tags":["The Geneva Learning Foundation","Climate And Health","Climate Change And Health","Commuinty Health","Lessons Learned"],"title":"Climate change and health: 8 take-aways from community-based responses","updated_at":1779809818,"url":"https://redasadki.me/2026/05/26/climate-change-and-health-8-take-aways-from-community-based-responses/","version":"v1"},{"abstract":null,"archive_url":null,"authors":[{"affiliation":[{"id":"https://ror.org/04h13ss13","name":"The Geneva Learning Foundation"}],"contributor_roles":[],"family":"Sadki","given":"Reda","url":"https://orcid.org/0000-0003-4051-0606"}],"blog":{"archive_collection":null,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":null,"canonical_url":null,"category":"educationalSciences","community_id":"7e26491f-41c6-4665-9088-5aa6643a1ba8","created_at":1731211871,"current_feed_url":null,"description":"Learning to make a difference","doi":null,"doi_as_guid":false,"favicon":null,"feed_format":"application/atom+xml","feed_url":"https://redasadki.me/feed/atom/","filter":null,"funding":null,"generator":"WordPress","generator_raw":"WordPress 6.7.1","home_page_url":"https://redasadki.me","id":"88b8caba-b485-4654-96ce-a21547abaab3","indexed":true,"issn":null,"language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":"https://techhub.social/@redasadki","prefix":"10.59350","registered_at":0,"relative_url":null,"ror":null,"secure":true,"slug":"redasadki","status":"active","subfield":"3304","subfield_validated":null,"title":"Reda Sadki","updated_at":1779958256.270569,"use_api":true,"use_mastodon":false,"user_id":"0d34dfde-a007-4ec9-9bc6-7b0318fa2c5e"},"blog_name":"Reda Sadki","blog_slug":"redasadki","content_html":"\n

English | Fran\u00e7ais

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GEN\u00c8VE, 4 juin 2026 (La Fondation Apprendre Gen\u00e8ve) \u2013 La saison des pluies suivait autrefois un rythme que tout le monde connaissait. \u00c0 partir de 2021, les grandes pluies de novembre, d\u00e9cembre, et f\u00e9vrier ont cess\u00e9 de se comporter comme avant. La rivi\u00e8re Lubiji a d\u00e9bord\u00e9 plus longtemps.

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Le seul moyen de traverser pour aller \u00e0 la maternit\u00e9, une pirogue, ne pouvait plus passer pendant les inondations. Les femmes en travail accouchaient \u00e0 la maison, avec les risques d’h\u00e9morragie, d’infection apr\u00e8s l’accouchement, et de d\u00e9c\u00e8s que cela entra\u00eene.

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Alors les femmes de Ngandajika se sont organis\u00e9es entre elles.

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\u00ab Avec l’approche du groupe de femmes, nous avons mis en place un syst\u00e8me de suivi rapproch\u00e9 par mise en r\u00e9seau. Cela a permis aux femmes enceintes, \u00e0 partir de 32 semaines, de prendre un chemin d\u00e9tourn\u00e9 pour arriver \u00e0 temps \u00e0 la maternit\u00e9 pour un accouchement assist\u00e9. Leurs s\u00e9jours \u00e9taient pay\u00e9s par le fonds de solidarit\u00e9 du groupe de femmes. \u00bb

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Victoire Odia, infirmi\u00e8re, territoire de Ngandajika, province du Lomami, R\u00e9publique d\u00e9mocratique du Congo.

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Voil\u00e0 un exemple fort et concret de ce \u00e0 quoi ressemble l’adaptation locale \u00e0 la crise climatique, lorsqu’elle se mesure en naissances, et non en ateliers.

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Les inondations qui arrivent plus t\u00f4t, qui durent plus longtemps, et qui frappent plus fort sont la nouvelle r\u00e9alit\u00e9 \u00e0 Ngandajika et dans d’autres communaut\u00e9s repr\u00e9sent\u00e9es dans le nouveau rapport d’analyse \u00ab Actions locales face \u00e0 l’impact du changement climatique sur la sant\u00e9 \u00bb.

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Le fonds de solidarit\u00e9 des femmes fait partie de 100 t\u00e9moignages de ce type s\u00e9lectionn\u00e9s pour \u00eatre publi\u00e9s dans Teach to Reach 11 : Actions locales face \u00e0 l’impact du changement climatique sur la sant\u00e9, Rapport \u00ab \u00c9couter pour Apprendre \u00bb n\u00b0 20, publi\u00e9 aujourd’hui par La Fondation Apprendre Gen\u00e8ve.

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T\u00e9l\u00e9chargez ce rapport maintenant

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Ceci est le premier de deux rapports d’analyse, fond\u00e9s sur les r\u00e9ponses des personnels de sant\u00e9 aux effets du changement climatique sur la sant\u00e9, qui seront publi\u00e9s en 2026 par La Fondation Apprendre Gen\u00e8ve (Fondation).

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Le second publiera des analyses qualitatives tir\u00e9es de l’enqu\u00eate mondiale 2025 sur le changement climatique et la sant\u00e9, men\u00e9e aupr\u00e8s de plus de 6 400 professionnels de la sant\u00e9 et de l’humanitaire dans 128 pays.

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FRAN\u00c7AIS
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ENGLISH
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DISCUTER
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\ud83d\udcc5 Participez au grand \u00e9v\u00e9nement de lancement en direct avec les personnels de sant\u00e9, le 4 juin 2026

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Le 4 juin 2026, La Fondation Apprendre Gen\u00e8ve (Fondation) organise un grand \u00e9v\u00e9nement de lancement diffus\u00e9 en direct pour pr\u00e9senter le rapport.

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La s\u00e9ance est ouverte \u00e0 tous, gratuite, et tenue en fran\u00e7ais et en anglais.

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CONFIRMEZ VOTRE PARTICIPATION
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Rejoignez l’\u00e9v\u00e9nement en langue fran\u00e7aise. Vous avez manqu\u00e9 l’\u00e9v\u00e9nement en direct ? Regardez l’enregistrement en fran\u00e7ais ou en anglais.

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Suivez la premi\u00e8re formation d’apprentissage entre pairs qui vous aide \u00e0 r\u00e9pondre aux effets du changement climatique sur la sant\u00e9

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Inscrivez-vous d\u00e8s maintenant \u00e0 la formation d’apprentissage entre pairs fond\u00e9e sur le rapport : \u00ab CLIMATE-FR-004 Le changement climatique nuit \u00e0 la sant\u00e9 de votre communaut\u00e9 : ce que vous pouvez faire maintenant \u00bb.

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INSCRIVEZ-VOUS MAINTENANT \u00c0 LA FORMATION
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Cette formation est aussi disponible en anglais.

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Discutez avec le rapport

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Ayez une conversation avec le rapport. Vous tapez une question dans un langage simple, par exemple \u00ab Qu’est-ce que les personnels de sant\u00e9 de mon pays ont dit au sujet des inondations ? \u00bb ou \u00ab Quelles sont les solutions locales lorsque la route est coup\u00e9e ? \u00bb, et l’outil r\u00e9pond en utilisant uniquement le contenu de ce rapport. Vous n’avez besoin d’aucune comp\u00e9tence technique ni d’aucune exp\u00e9rience pr\u00e9alable avec l’intelligence artificielle pour parler au rapport.

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Comment apprenons-nous des exp\u00e9riences des personnels de sant\u00e9 ?

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Les personnels de sant\u00e9 de premi\u00e8re ligne ont partag\u00e9 leurs exp\u00e9riences avant, pendant, et apr\u00e8s Teach to Reach 11, le grand \u00e9v\u00e9nement digital d’apprentissage entre pairs tenu en d\u00e9cembre 2024. Qu’est-ce que Teach to Reach ?

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On leur a pos\u00e9 des questions simples.

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Que s’est-il pass\u00e9 exactement ?

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Qu’avez-vous fait ?

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Comment avez-vous su que cela avait march\u00e9 ?

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La communaut\u00e9 a-t-elle aid\u00e9, ou a-t-elle rendu les choses plus difficiles ?

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Ils ont r\u00e9pondu par \u00e9crit, dans la langue de leur choix, en fran\u00e7ais et en anglais.

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Le rapport est la synth\u00e8se de toutes ces r\u00e9ponses.

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Parmi les contributions envoy\u00e9es par les 24 610 personnels de sant\u00e9 inscrits \u00e0 l’\u00e9v\u00e9nement, venus de plus de 70 pays, 100 t\u00e9moignages d\u00e9taill\u00e9s ont \u00e9t\u00e9 choisis pour \u00eatre publi\u00e9s en entier dans l’annexe du rapport. Ces t\u00e9moignages proviennent d’au moins 19 pays, avec les groupes les plus nombreux bas\u00e9s en R\u00e9publique d\u00e9mocratique du Congo, au Niger, au Nig\u00e9ria, au Cameroun, au Kenya, au Ghana, et en C\u00f4te d’Ivoire.

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Le premier but de ce rapport est de rendre aux personnels de sant\u00e9 ce qu’ils ont bien voulu partager.

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Ils ont partag\u00e9 leurs exp\u00e9riences pour apprendre les uns des autres.

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Cette synth\u00e8se leur appartient d’abord.

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Le second but est de faire en sorte que les acteurs nationaux et internationaux apprennent \u00e0 voir la valeur et l’importance de ce que les personnels de sant\u00e9 de premi\u00e8re ligne savent, parce que ce sont eux qui sont pr\u00e9sents chaque jour.

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Les exp\u00e9riences des personnels de sant\u00e9 repr\u00e9sentent un nouveau type de preuve qui doit \u00e9clairer une action urgente.

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Que pouvons-nous apprendre de ce qui se trouve dans ce rapport ?

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Quand la temp\u00eate a d\u00e9truit le centre de sant\u00e9, la communaut\u00e9 en a construit un nouveau

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Jean-Richard Mutombo est responsable de programme \u00e0 Tshibuba, en R\u00e9publique d\u00e9mocratique du Congo.

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En 2023, des temp\u00eates accompagn\u00e9es de vents violents ont d\u00e9truit le poste de sant\u00e9 du village, les \u00e9coles, les maisons, et les plantations.

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La structure de sant\u00e9 la plus proche se trouve \u00e0 plus de 10 kilom\u00e8tres.

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La communaut\u00e9 n’a pas attendu.

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\u00ab Aujourd’hui, nous avons mobilis\u00e9 quelques ressources aupr\u00e8s de personnes de bonne volont\u00e9 vivant dans les villes pour construire un centre de sant\u00e9 dans le village de Tshibuba. Les travaux ont d\u00e9j\u00e0 commenc\u00e9 et la phase des fondations sera achev\u00e9e dans 10 jours. La population locale aide en apportant l’eau, le sable, et la main-d’\u0153uvre locale. \u00bb

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Jean-Richard Mutombo, responsable de programme, Tshibuba, R\u00e9publique d\u00e9mocratique du Congo.

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Un jumeau sauv\u00e9 sur une route inond\u00e9e, et un quartier qui a creus\u00e9 ses propres rigoles

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Geh Raphaela Agwa est sage-femme dans la communaut\u00e9 de Bomaka \u00e0 Buea, au Cameroun.

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Une femme est arriv\u00e9e \u00e0 son centre de sant\u00e9 en plein travail, apr\u00e8s avoir perdu les eaux sur une route inond\u00e9e.

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C’\u00e9tait une grossesse g\u00e9mellaire.

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Le deuxi\u00e8me jumeau avait un rythme cardiaque qui ralentissait.

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L’\u00e9quipe est intervenue \u00e0 temps.

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Le jumeau a \u00e9t\u00e9 sauv\u00e9.

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Ensuite, ils se sont organis\u00e9s.

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\u00ab Les chefs de quartier ont compris que tout devenait lent quand il pleuvait autant. Alors, chaque foyer a \u00e9t\u00e9 appel\u00e9 \u00e0 creuser les rigoles, pour que les voitures puissent circuler m\u00eame quand la pluie tombait fort. \u00bb

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Geh Raphaela Agwa, sage-femme, communaut\u00e9 de Bomaka, Buea, Cameroun.

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Surveillance quotidienne au lieu d’hebdomadaire : r\u00e9\u00e9crire le protocole dans la pratique

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Konan Kouam\u00e9 Georges est m\u00e9decin de sant\u00e9 publique dans le district sanitaire de Yopougon, \u00e0 Ouest-Songon, en C\u00f4te d’Ivoire.

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En 2023, la saison des pluies s’est comport\u00e9e d’une mani\u00e8re que les directives actuelles n’avaient pas pr\u00e9vue.

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Alors, son \u00e9quipe et lui ont r\u00e9\u00e9crit le protocole dans la pratique.

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\u00ab La saison des pluies nous a conduits \u00e0 observer une \u00e9pid\u00e9mie de dengue en 2023. La surveillance \u00e9pid\u00e9miologique a \u00e9t\u00e9 renforc\u00e9e, avec des tests rapides de dengue et de paludisme effectu\u00e9s sur les cas suspects et des donn\u00e9es transmises quotidiennement au lieu d’hebdomadairement. \u00bb

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Konan Kouam\u00e9 Georges, m\u00e9decin de sant\u00e9 publique, district sanitaire de Yopougon, Ouest-Songon, C\u00f4te d’Ivoire.

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Surveillance quotidienne au lieu d’hebdomadaire : c’est un petit changement \u00e0 lire.

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C’est un grand changement \u00e0 faire.

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C’est le type de changement que les syst\u00e8mes de surveillance classiques mettraient des ann\u00e9es \u00e0 recommander officiellement, et c’est exactement le type de signal d’alerte pr\u00e9coce que l’\u00e9pist\u00e9mologie dominante de la sant\u00e9 globale est entra\u00een\u00e9e \u00e0 \u00e9carter comme \u00e9tant simplement anecdotique.

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3 conclusions cl\u00e9s de ce rapport

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Trois conclusions reviennent \u00e0 travers les pays et les domaines de maladies.

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1. Le changement climatique nuit \u00e0 la sant\u00e9.

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La premi\u00e8re conclusion est que le changement climatique aggrave les probl\u00e8mes de sant\u00e9 qui existent d\u00e9j\u00e0, plut\u00f4t que d’en cr\u00e9er de nouveaux.

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Le paludisme, le chol\u00e9ra, la malnutrition, les maladies diarrh\u00e9iques, les troubles de la sant\u00e9 mentale, et la perte d’acc\u00e8s aux soins apparaissent tous plus souvent, plus t\u00f4t dans la saison, ou dans des endroits o\u00f9 ils \u00e9taient rares auparavant.

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Les personnels de sant\u00e9 sont les premiers \u00e0 voir ces changements, parce que ce sont eux qui soignent les patients.

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2. Les communaut\u00e9s organisent elles-m\u00eames leurs r\u00e9ponses.

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La deuxi\u00e8me conclusion est que les communaut\u00e9s ne sont pas des b\u00e9n\u00e9ficiaires passifs de l’aide.

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Elles r\u00e9pondent d\u00e9j\u00e0.

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Le rapport regroupe ce qu’elles font en deux familles, avec 17 types d’actions distincts document\u00e9s au total.

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3. Ceux qui sont les plus proches des effets du changement climatique sur la sant\u00e9 sont les moins visibles dans la conversation internationale sur la recherche et les politiques

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La troisi\u00e8me conclusion est que les personnels de sant\u00e9 et les communaut\u00e9s les plus proches de tout cela sont les moins visibles dans la conversation internationale sur la recherche et les politiques.

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Ce rapport existe pour r\u00e9duire cet \u00e9cart.

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Pourquoi cela compte pour les politiques internationales sur le changement climatique et la sant\u00e9 maintenant

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Ce rapport fournit ces preuves \u00e0 une \u00e9chelle et avec une \u00e9tendue g\u00e9ographique qui n’\u00e9taient pas disponibles auparavant. Il contribue \u00e0 la science de la mise en \u0153uvre pour la sant\u00e9 plan\u00e9taire, qui transforme la r\u00e9alit\u00e9 du terrain en action \u00e0 grande \u00e9chelle internationale.

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Les deux d\u00e9pendent du fait de savoir ce qui se passe au niveau communautaire, ce qui bloque l’action, et quelles solutions locales fonctionnent d\u00e9j\u00e0.

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\u00c0 propos de La Fondation Apprendre Gen\u00e8ve

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La Fondation Apprendre Gen\u00e8ve est une organisation suisse \u00e0 but non lucratif qui met en lien plus de 80 000 professionnels de la sant\u00e9 et de l’humanitaire dans 137 pays, \u00e0 travers des programmes d’apprentissage entre pairs con\u00e7us pour et avec la premi\u00e8re ligne. Teach to Reach, sa plateforme internationale d’apprentissage entre pairs, c\u00e9l\u00e8bre son cinqui\u00e8me anniversaire en 2026. Les rapports \u00ab \u00c9couter pour Apprendre \u00bb font partie du m\u00e9canisme d’analyse de la Fondation, qui transforme les exp\u00e9riences et les questions des participants du r\u00e9seau en donn\u00e9es qui \u00e9clairent la pratique et les politiques.

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Grand Challenges Canada a \u00e9t\u00e9 un partenaire financier de Teach to Reach 11.

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Contact presse

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Claude Cardot, Claude.cardot@learning.foundation +41 77 231 96 91

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R\u00e9f\u00e9rences

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  1. La Fondation Apprendre Gen\u00e8ve. Teach to Reach 11 : Actions locales face \u00e0 l’impact du changement climatique sur la sant\u00e9. Rapport \u00ab \u00c9couter pour Apprendre \u00bb n\u00b0 20. La Fondation Apprendre Gen\u00e8ve, 2026. https://doi.org/10.5281/zenodo.19069576
    2. \n\n\n\n
  2. The Geneva Learning Foundation. Teach to Reach 11: Local action to mitigate the impact of the climate crisis on health. Listening and Learning report 20. The Geneva Learning Foundation, 2026. https://doi.org/10.5281/zenodo.18246203
    3. \n\n\n\n
  3. Sadki R. Teach to Reach 11. redasadki.me, 30 novembre 2024. https://redasadki.me/2024/11/30/teach-to-reach-11-2/
    4. \n\n\n\n
  4. Sadki R. Anecdote ou exp\u00e9rience v\u00e9cue : repenser le savoir pour des syst\u00e8mes de sant\u00e9 r\u00e9silients au climat. redasadki.me, 11 novembre 2024. https://redasadki.me/2024/11/11/anecdote-or-lived-experience-reimagining-knowledge-for-climate-resilient-health-systems/
    5. \n\n\n\n
  5. Sadki R. Changement climatique et sant\u00e9 : ce que le Lancet Countdown dit sur la valeur et l’importance des savoirs et de l’action au niveau local. redasadki.me, 29 octobre 2025. https://redasadki.me/2025/10/29/climate-change-and-health-what-the-lancet-countdown-says-about-the-value-and-significance-of-local-knowledge-and-action/
    6. \n\n\n\n
  6. Sadki R. Comment le Lancet Countdown \u00e9claire une nouvelle voie vers des syst\u00e8mes de sant\u00e9 r\u00e9silients au climat. redasadki.me, 29 octobre 2025. https://redasadki.me/2025/10/29/how-the-lancet-countdown-illuminates-a-new-path-to-climate-resilient-health-systems/
    7. \n\n\n\n
  7. Sadki R. Le d\u00e9veloppement est adaptation : le tournant de Bill Gates porte en r\u00e9alit\u00e9 sur le lien entre changement climatique et sant\u00e9. redasadki.me, 30 octobre 2025. https://redasadki.me/2025/10/30/development-is-adaptation-bill-gatess-shift-is-actually-about-linking-climate-change-and-health/
    8. \n\n\n\n
  8. Sadki R. Changement climatique et sant\u00e9 : un nouveau programme d’apprentissage entre pairs par et pour les personnels de sant\u00e9 des pays les plus vuln\u00e9rables au climat. redasadki.me, 23 juillet 2025. https://redasadki.me/2025/07/23/climate-change-and-health-a-new-peer-learning-programme-by-and-for-health-workers-from-the-most-climate-vulnerable-countries/
    9. \n\n\n\n
  9. Sadki R. Science de la mise en \u0153uvre pour la sant\u00e9 plan\u00e9taire : de la r\u00e9alit\u00e9 du terrain \u00e0 l’action locale \u00e0 l’\u00e9chelle internationale. redasadki.me, 17 d\u00e9cembre 2025. https://redasadki.me/2025/12/17/planetary-health-from-ground-truth-to-local-action-at-global-scale/
    10. \n\n\n\n
  10. Romanello, M., Walawender, M., Hsu, S.-C., Moskeland, A., Palmeiro-Silva, Y., Scamman, D., Smallcombe, J.W., Abdullah, S., Ades, M., Al-Maruf, A., et al. (2025). The 2025 report of the Lancet Countdown on health and climate change. The Lancet, S0140673625019191. [https://doi.org/10.1016/S0140-6736(25)01919-1](https://doi.org/10.1016/S0140-6736(25)01919-1).
    11. \n
\n","doi":"https://doi.org/10.59350/fsna8-gkf49","funding_references":null,"guid":"https://redasadki.me/?p=23613","id":"43c15889-65fc-4415-948b-bf15f16c9499","image":"https://redasadki.me/wp-content/uploads/2026/05/20260127.Teach-to-Reach-11-climate-and-health-04.1600.jpg","images":[{"height":"300","sizes":"auto, (max-width: 225px) 100vw, 225px","src":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-FR-mesures-locales-visant-a-attenuer-limpact-de-la-crise-climatique-sur-la-sante.zenodo.19069576-COVER.640.png?resize=225%2C300&ssl=1","srcset":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-FR-mesures-locales-visant-a-attenuer-limpact-de-la-crise-climatique-sur-la-sante.zenodo.19069576-COVER.640.png?resize=225%2C300&ssl=1, https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260114.T2R11-FR-mesures-locales-visant-a-attenuer-limpact-de-la-crise-climatique-sur-la-sante.zenodo.19069576-COVER.640.png?w=480&ssl=1","width":"225"},{"height":"832","sizes":"auto, (max-width: 1000px) 100vw, 1000px","src":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260525.182044.Safari.20260604.CLIMATE-Local-action-to-mitigate-the-impact-of-the-climate-crisis-on-health-NotebookLM.png?resize=1392%2C832&ssl=1","srcset":"https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260525.182044.Safari.20260604.CLIMATE-Local-action-to-mitigate-the-impact-of-the-climate-crisis-on-health-NotebookLM.png?w=1392&ssl=1, https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260525.182044.Safari.20260604.CLIMATE-Local-action-to-mitigate-the-impact-of-the-climate-crisis-on-health-NotebookLM.png?resize=300%2C179&ssl=1, https://i0.wp.com/redasadki.me/wp-content/uploads/2026/05/20260525.182044.Safari.20260604.CLIMATE-Local-action-to-mitigate-the-impact-of-the-climate-crisis-on-health-NotebookLM.png?resize=768%2C459&ssl=1","width":"1392"}],"indexed":true,"indexed_at":1779799722,"language":"fr","parent_doi":null,"published_at":1779791314,"reference":[],"registered_at":0,"relationships":[],"rid":"2avm8-h6s77","status":"active","summary":"English |\n\n Fran\u00e7ais\n\n\n GEN\u00c8VE, 4 juin 2026 (La Fondation Apprendre Gen\u00e8ve) \u2013\n\nLa saison des pluies suivait autrefois un rythme que tout le monde connaissait. \u00c0 partir de 2021, les grandes pluies de novembre, d\u00e9cembre, et f\u00e9vrier ont cess\u00e9 de se comporter comme avant. La rivi\u00e8re Lubiji a d\u00e9bord\u00e9 plus longtemps.","tags":["The Geneva Learning Foundation","Climate And Health","Climate Change And Health","Fran\u00e7ais","Peer Learning"],"title":"Nouvelles perspectives: les acteurs locaux m\u00e8nent la r\u00e9ponse face aux impacts du changement climatique sur la sant\u00e9","updated_at":1779794869,"url":"https://redasadki.me/2026/05/26/nouvelles-perspectives-health-workers-are-leading-community-responses-to-climate-change-impacts-on-health/","version":"v1"},{"abstract":"The DataCite Registered Service Providers (RSP) Program strengthens the global research ecosystem by enabling trusted partners to deliver DataCite services locally and at scale. DataCite RSPs help institutions adopt persistent identifiers by enabling DOI registration, improving research metadata quality, and connectivity.","archive_url":null,"authors":[{"contributor_roles":[],"name":"DataCite Staff"}],"blog":{"archive_collection":23763,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":[{"name":"DataCite Staff"}],"canonical_url":null,"category":"computerAndInformationSciences","community_id":"916f4925-a9f6-4b4d-b823-c769ef054f15","created_at":1733579959,"current_feed_url":null,"description":"Connecting Research, Advancing Knowledge","doi":null,"doi_as_guid":false,"favicon":"https://rogue-scholar.org/api/communities/916f4925-a9f6-4b4d-b823-c769ef054f15/logo","feed_format":"application/atom+xml","feed_url":"https://datacite.org/blog/feed/atom/","filter":null,"funding":null,"generator":"WordPress","generator_raw":"WordPress","home_page_url":"https://datacite.org/","id":"127eb888-8cbe-4afc-a6f8-b58adffec39f","indexed":true,"issn":null,"language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":null,"prefix":null,"registered_at":0,"relative_url":null,"ror":null,"secure":true,"slug":"datacite","status":"active","subfield":"1710","subfield_validated":null,"title":"DataCite Blog - DataCite","updated_at":1779958128.679063,"use_api":true,"use_mastodon":false,"user_id":"dead81b3-8a8b-45c9-85fe-f01bb3948c77"},"blog_name":"DataCite Blog - DataCite","blog_slug":"datacite","content_html":"\n

The DataCite Registered Service Providers (RSP) Program strengthens the global research ecosystem by enabling trusted partners to deliver DataCite services locally and at scale. DataCite RSPs help institutions adopt persistent identifiers by enabling DOI registration, improving research metadata quality, and connectivity. This localized support expands access and builds capacity across regions, advancing DataCite\u2019s vision of a global community where all research outputs and resources are openly available, connected, and discoverable.

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Naseej for Technology (formerly known as Arabian Advanced Systems) and DataCite are pleased to announce that Naseej is now a DataCite Registered Service Provider\u2014the first provider to join the program from the Middle East.

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Naseej is a leading digital transformation provider in the Middle East & North Africa (MENA) region, specializing in knowledge, education, and research infrastructure solutions for academic institutions, government entities, and cultural organizations. One of its flagship solutions is the Medad Cloud Platform, a comprehensive suite of cloud-based applications designed to support the full lifecycle of academic and research operations.\u00a0\u00a0

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As a DataCite Registered Service Provider, Naseej\u2019s Medad software integrates with the DataCite REST API, allowing DataCite Members and Consortium Organizations to register DOIs using their DataCite credentials. In order to gain this recognition, Naseej had to meet requirements and follow best practices meant to ensure that integrations register DataCite DOIs accurately with rich metadata.\u00a0

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Integrating Nasseej Medad with DataCite Infrastructure\u00a0

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Naseej integrated DataCite DOI services within the Medad Digital Repository (DAR) to support persistent identification and standardized citation of digital assets and research outputs. The integration allows repository administrators to register, update, and manage DOIs directly from the DAR publishing workflow using the DataCite API, with automatic metadata mapping and synchronization.

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\"Screenshot\n\t\t\t\n\t\t\t\t\n\t\t\t\n\t\t
Creating a new image item in the repository interface, including DOI status options and required metadata fields.
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The integration is designed to support multiple repository content types stewarded by DataCite member organizations, including theses, publications, archival materials, datasets, and digital collections. By embedding DOI registration into the repository workflow, DAR helps institutions improve discoverability, interoperability, and long-term access to their digital content. 

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Voices from the Community

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Commenting on this milestone for DataCite\u2019s Registered Service Provider program, Dr. Ahmad Alhusayni, MEDAD Platform Director, said:

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\u201cWe are proud that Medad has become DataCite\u2019s first Registered Service Provider in the Middle East. This milestone reflects our commitment to strengthening research infrastructure across the region by enabling universities, libraries, and research institutions to manage DOI registration through trusted, standards-aligned workflows. Together with DataCite, we look forward to advancing the visibility, discoverability, and long-term impact of all research outputs from the Middle East.\u201d\u00a0

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Muneer Al Battashi, Managing Director of the Oman Research and Education Network (OMREN), which recently launched a DataCite consortium in Oman, shared his experience working with Medad and integrating it with the DataCite infrastructure:

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\u201cThe integration between Medad and DataCite Fabrica was smooth and efficient. Through this collaboration, OMREN aims to streamline DataCite DOI registration workflows for the Oman National Repository (Shuaa) while ensuring reliable interoperability between our repository infrastructure and DataCite services.\u201d

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Maria Gould, Director of Strategic Programs & Partnerships at DataCite, commented:

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“We are thrilled to welcome Naseej as a new DataCite Registered Service Provider. This is an exciting and important development for research organizations across the Middle East and North Africa to be able to connect to DataCite infrastructure and services and broaden the visibility of their outputs and activities.”

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Naseej Academy is hosting a community awareness webinar on 24 June at 7:30 PM Saudi Arabia time with DataCite staff sharing insights into DataCite\u2019s global community, services, and relevant DataCite use cases. You can check once the event is open for registration here.

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DataCite welcomes Naseej as a DataCite Registered Service Provider and looks forward to seeing this implementation adopted and used by the DataCite community. If you have questions about working with a DataCite Registered Service Provider or joining the program, please contact DataCite support.

\n","doi":"https://doi.org/10.5438/cp4k-mp67","funding_references":null,"guid":"https://datacite.org/?p=15191","id":"16292eb5-c366-418e-9935-f07820f8542a","image":"https://datacite.org/wp-content/uploads/2026/05/Datacite_Social_Media_Blog_post_banner_Naseej_RSP_1.png","images":[{"alt":"Screenshot of a \u201cNew Repository Item\u201d form in an admin interface, showing required metadata sections and DOI status options.","src":"data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7"},{"alt":"Screenshot of a \u201cNew Repository Item\u201d form in an admin interface, showing required metadata sections and DOI status options.","height":"492","sizes":"(max-width: 1024px) 100vw, 1024px","src":"https://datacite.org/wp-content/uploads/2026/05/image-1-1024x492.png","srcset":"https://datacite.org/wp-content/uploads/2026/05/image-1-1024x492.png, https://datacite.org/wp-content/uploads/2026/05/image-1-300x144.png, https://datacite.org/wp-content/uploads/2026/05/image-1-768x369.png, https://datacite.org/wp-content/uploads/2026/05/image-1.png","width":"1024"},{"alt":"Repository record page showing metadata for an article by Saif Mohammad Al Badwawi, including source, publisher, date, language, subjects, DOI, QR code, and CC BY-NC license.","src":"data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7"},{"alt":"Repository record page showing metadata for an article by Saif Mohammad Al Badwawi, including source, publisher, date, language, subjects, DOI, QR code, and CC BY-NC license.","height":"509","sizes":"(max-width: 1024px) 100vw, 1024px","src":"https://datacite.org/wp-content/uploads/2026/05/image-2-1024x509.png","srcset":"https://datacite.org/wp-content/uploads/2026/05/image-2-1024x509.png, https://datacite.org/wp-content/uploads/2026/05/image-2-300x149.png, https://datacite.org/wp-content/uploads/2026/05/image-2-768x381.png, https://datacite.org/wp-content/uploads/2026/05/image-2-1536x763.png, https://datacite.org/wp-content/uploads/2026/05/image-2.png","width":"1024"},{"alt":"Portrait of a smiling man wearing a white thobe and a red-and-white checkered keffiyeh against a plain gray background.","src":"data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7"},{"alt":"Portrait of a smiling man wearing a white thobe and a red-and-white checkered keffiyeh against a plain gray background.","height":"507","sizes":"(max-width: 471px) 100vw, 471px","src":"https://datacite.org/wp-content/uploads/2026/05/image.jpeg","srcset":"https://datacite.org/wp-content/uploads/2026/05/image.jpeg, https://datacite.org/wp-content/uploads/2026/05/image-279x300.jpeg","width":"471"},{"alt":"Portrait of a man wearing a white dishdasha and a patterned Omani turban against a light gray background.","src":"data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7"},{"alt":"Portrait of a man wearing a white dishdasha and a patterned Omani turban against a light gray background.","height":"942","sizes":"(max-width: 936px) 100vw, 936px","src":"https://datacite.org/wp-content/uploads/2026/05/image-3.png","srcset":"https://datacite.org/wp-content/uploads/2026/05/image-3.png, https://datacite.org/wp-content/uploads/2026/05/image-3-298x300.png, https://datacite.org/wp-content/uploads/2026/05/image-3-150x150.png, https://datacite.org/wp-content/uploads/2026/05/image-3-768x773.png, https://datacite.org/wp-content/uploads/2026/05/image-3-70x70.png, https://datacite.org/wp-content/uploads/2026/05/image-3-80x80.png","width":"936"},{"alt":"Professional headshot of a woman with shoulder-length, wavy brown hair, smiling against a light blue background. 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English | Fran\u00e7ais

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GENEVA, 4 June 2026 (The Geneva Learning Foundation) \u2013 The rainy season used to follow a pattern that everyone knew. From 2021 onwards, the heavy rains in November, December, and February stopped behaving as they used to. The Lubiji river overflowed for longer.

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The only crossing to the maternity hospital, a pirogue, could not cross during the floods. Women in labour gave birth at home, with the risks of haemorrhage, post-partum infection, and death that come with that.

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So the women of Ngandajika organised themselves.

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\u201cWith the women\u2019s group approach, we have set up a system of close monitoring through networking, which has enabled pregnant women from the age of 32 weeks to take a roundabout route to arrive at the maternity hospital in time for the assisted birth. Their stays were paid for by the women\u2019s group solidarity fund.\u201d

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Victoire Odia, Nurse, Ngandajika territory, Lomami province, Democratic Republic of the Congo.

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This is a powerful, specific example of what local adaptation to the climate crisis looks like when it is measured in births, not in workshops.

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Floods that come earlier, last longer, and arrive harder are the new normal in Ngandajika and other communities represented in the new insights report \u201cLocal action to mitigate the impact of the climate crisis on health\u201d.

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The women\u2019s solidarity fund is one of 100 such accounts selected for publication in Teach to Reach 11: Local action to mitigate the impact of the climate crisis on health, Listening and Learning report 20, released today by The Geneva Learning Foundation.

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Download this report now

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The is the first of two insights reports, based on health worker responses to the impacts of climate change on health, that will be published in 2026 by The Geneva Learning Foundation (TGLF).

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The second will publish qualitative insights from the 2025 Global Climate Change and Health survey of more than 6,400 health and humanitarian workers in 128 countries.

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ENGLISH
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FRAN\u00c7AIS
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CHAT
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\ud83d\udcc5 Join the live Launch Event with health workers on 4 June 2026

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On 4 June 2026, The Geneva Learning Foundation (TGLF) is hosting a livestreamed Launch Event to introduce the report.

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The session is open to the public, free, and held in both English and French.

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CONFIRM YOUR PARTICIPATION
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Join the French-language event. Did you miss the live event? Watch the recording in English or French.

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Take the first peer learning course that helps you respond to climate change health impacts

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Enroll now in the peer learning course based on the report: \u201cCLIMATE-EN-004 Climate change is harming your community\u2019s health: what you can do now\u201d.

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ENROLLIN THE PEER LEARNING COURSE
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This course is also available in French.

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Chat with the report

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Have a conversation with the report. You type a question in plain language, for example \u201cWhat did health workers in my country say about floods?\u201d or \u201cWhat are local solutions when the road is cut off?\u201d, and the tool answers using only the content of this report. You do not need any technical skill or any prior experience with artificial intelligence to talk to the report.

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How do we learn from health worker experiences?

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Frontline health workers shared their experiences before, during, and after Teach to Reach 11, the global peer learning event held in December 2024. What is Teach to Reach?

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They were asked simple questions.

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What exactly happened?

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What did you do?

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How did you know it worked?

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Did the community help, or make things harder?

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They answered in writing, in the language they preferred, in English and in French.

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The report is the synthesis of all those answers.

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From the contributions submitted by the 24,610 health workers registered for the event from more than 70 countries, 100 detailed accounts were selected for full publication in the annex of the report, drawn from at least 19 countries, with the largest groups based in the Democratic Republic of the Congo, Niger, Nigeria, Cameroon, Kenya, Ghana, and C\u00f4te d\u2019Ivoire.

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The first purpose of this report is to give back to the health workers who shared what they know.

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They shared their experiences to learn from each other.

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This synthesis belongs to them first.

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The second purpose is to make sure that national and global actors learn to see the value and significance of what frontline health workers know, because they are the ones who are there every day.

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Health worker experiences represent a new kind of evidence that needs to inform urgent action.

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What can we learn from what\u2019s in this report?

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When the storm destroyed the health centre, the community built a new one

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Jean-Richard Mutombo is a programme officer working in Tshibuba, in the Democratic Republic of the Congo.

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In 2023, storms with violent winds destroyed the village health post, schools, homes, and plantations.

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The nearest health facility is more than 10 kilometres away.

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The community did not wait.

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\u201cToday, we have mobilised some resources from generous people living in the towns to build a health centre in the village of Tshibuba. Work has already started and the foundation stage will be completed in 10 days\u2019 time. The local population is helping by collecting water, sand, and local labour.\u201d

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Jean-Richard Mutombo, Programme officer, Tshibuba, Democratic Republic of the Congo.

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A twin saved on a flooded road, and a neighbourhood that dug its own drainage

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Geh Raphaela Agwa is a midwife at Bomaka Community in Buea, Cameroon.

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A woman came to her clinic in labour after her waters had broken on a flooded road.

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It was a twin pregnancy.

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The second twin had a slowing heart rate.

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The team operated in time.

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The twin was saved.

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Afterwards, they organised.

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\u201cThe quarter heads realized that everything was slow when it rained that much. So everyone from each household was called upon to dig the gutters so that cars could move even though it rained heavily.\u201d

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Geh Raphaela Agwa, Midwife, Bomaka Community, Buea, Cameroon.

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Daily surveillance instead of weekly: rewriting the protocol in practice

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Konan Kouam\u00e9 Georges is a public health medical doctor in the Yopougon Health District, in Ouest-Songon, C\u00f4te d\u2019Ivoire.

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In 2023, the rainy season behaved in a way current guidelines did not anticipate.

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So he and his team rewrote the protocol in practice.

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\u201cThe rainy season led us to observe a dengue epidemic in 2023. Epidemiological surveillance has been stepped up, with dengue and malaria rapid tests being carried out on suspected cases and data being transmitted on a daily basis instead of on a weekly basis.\u201d

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Konan Kouam\u00e9 Georges, Public health medical doctor, Yopougon Health District, Ouest-Songon, C\u00f4te d\u2019Ivoire.

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Daily surveillance instead of weekly is a small change to read.

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It is a large change to do.

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It is the kind of change that conventional surveillance systems would take years to formally recommend, and it is exactly the sort of early warning signal that the dominant epistemology of global health is trained to dismiss as anecdotal.

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3 key findings from this report

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Three findings run across countries and disease areas.

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1. Climate change is harming health.

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The first finding is that climate change is making existing health problems worse, rather than producing new ones.

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Malaria, cholera, malnutrition, diarrhoeal disease, mental ill-health, and lost access to care all appear more often, earlier in the season, or in places where they used to be rare.

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Health workers are the first to see these shifts because they are the ones treating the patients.

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2. Communities are self-organizing responses.

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The second finding is that communities are not passive recipients of help.

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They are already responding.

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The report groups what they do into two families, with 17 distinct kinds of action documented across both.

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3. Those closest to the impacts of climate change on health are the least visible in the global research and policy conversation

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The third finding is that the health workers and the communities closest to all of this are the least visible in the global research and policy conversation.

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This report exists to narrow that gap.

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Why this matters for global climate change and health policy now

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This report supplies that evidence at a scale and geographic breadth that has not been previously available, contributing to the implementation science for planetary health that turns ground truth into action at global scale.

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Both depend on knowing what is happening at community level, what is blocking action, and what local solutions already work.

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About The Geneva Learning Foundation

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The Geneva Learning Foundation is a Swiss nonprofit that connects more than 80,000 health and humanitarian workers across 137 countries through peer learning programmes designed for and with the frontline. Teach to Reach, its global peer learning platform, is celebrating its fifth anniversary in 2026. The Listening and Learning Reports are part of TGLF\u2019s Insights mechanism, which turns the experiences and questions of network participants into evidence that informs practice and policy.

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Grand Challenges Canada was a funding partner for Teach to Reach 11.

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Media contact

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Claude Cardot, Claude.cardot@learning.foundation +41 77 231 96 91

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References

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  1. The Geneva Learning Foundation. Teach to Reach 11: Local action to mitigate the impact of the climate crisis on health. Listening and Learning report 20. The Geneva Learning Foundation, 2026. https://doi.org/10.5281/zenodo.18246203
    2. \n\n\n\n
  2. La Fondation Apprendre Gen\u00e8ve. Teach to Reach 11: Actions locales face \u00e0 l\u2019impact du changement climatique sur la sant\u00e9. Rapport \u00ab \u00c9couter pour Apprendre \u00bb n\u00b0 20. La Fondation Apprendre Gen\u00e8ve, 2026. https://doi.org/10.5281/zenodo.19069576
    3. \n\n\n\n
  3. Sadki R. Teach to Reach 11. redasadki.me, 30 November 2024. https://redasadki.me/2024/11/30/teach-to-reach-11-2/
    4. \n\n\n\n
  4. Sadki R. Anecdote or lived experience: reimagining knowledge for climate-resilient health systems. redasadki.me, 11 November 2024. https://redasadki.me/2024/11/11/anecdote-or-lived-experience-reimagining-knowledge-for-climate-resilient-health-systems/
    5. \n\n\n\n
  5. Sadki R. Climate change and health: what the Lancet Countdown says about the value and significance of local knowledge and action. redasadki.me, 29 October 2025. https://redasadki.me/2025/10/29/climate-change-and-health-what-the-lancet-countdown-says-about-the-value-and-significance-of-local-knowledge-and-action/
    6. \n\n\n\n
  6. Sadki R. How the Lancet Countdown illuminates a new path to climate-resilient health systems. redasadki.me, 29 October 2025. https://redasadki.me/2025/10/29/how-the-lancet-countdown-illuminates-a-new-path-to-climate-resilient-health-systems/
    7. \n\n\n\n
  7. Sadki R. Development is adaptation: Bill Gates\u2019s shift is actually about linking climate change and health. redasadki.me, 30 October 2025. https://redasadki.me/2025/10/30/development-is-adaptation-bill-gatess-shift-is-actually-about-linking-climate-change-and-health/
    8. \n\n\n\n
  8. Sadki R. Climate change and health: a new peer learning programme by and for health workers from the most climate-vulnerable countries. redasadki.me, 23 July 2025. https://redasadki.me/2025/07/23/climate-change-and-health-a-new-peer-learning-programme-by-and-for-health-workers-from-the-most-climate-vulnerable-countries/
    9. \n\n\n\n
  9. Sadki R. Implementation science for planetary health: from ground truth to local action at global scale. redasadki.me, 17 December 2025. https://redasadki.me/2025/12/17/planetary-health-from-ground-truth-to-local-action-at-global-scale/
    10. \n\n\n\n
  10. Romanello, M., Walawender, M., Hsu, S.-C., Moskeland, A., Palmeiro-Silva, Y., Scamman, D., Smallcombe, J.W., Abdullah, S., Ades, M., Al-Maruf, A., et al. (2025). The 2025 report of the Lancet Countdown on health and climate change. The Lancet, S0140673625019191. https://doi.org/10.1016/S0140-6736(25)01919-1.
    11. \n
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On May 1, 2026, the U.S. Food and Drug Administration (FDA) approved vepdegestrant, marketed as VEPPANU\u2122, for adults with estrogen receptor-positive, human epidermal growth factor receptor 2-negative, ESR1-mutated advanced or metastatic breast cancer, as detected by an FDA-authorized test, after disease progression following at least one line of endocrine therapy [1]. The FDA also approved Guardant360 CDx as a companion diagnostic device to identify patients with breast cancer harboring ESR1 mutations for treatment with vepdegestrant [1]. Arvinas describes VEPPANU\u2122 as the first FDA-approved proteolysis-targeting chimera (PROTAC) therapy [12]. The approval is scientifically important, but it should be interpreted with clinical restraint. The clinical benefit was most evident in the ESR1-mutated population, while the overall trial population did not achieve statistical significance. The lesson is not that catalytic degradation has fixed endocrine resistance. It is that a new pharmacologic approach has reached patients, with a mechanistically coherent and clinically meaningful benefit in a biomarker-defined population, while the magnitude of benefit remains modest.

Endocrine Resistance and the Role of ESR1 Mutations

ESR1 mutations occur in approximately 20\u201340% of estrogen receptor-positive (ER+) metastatic breast cancers after progression on endocrine therapy, particularly after aromatase inhibitor-based treatment, and are also common in contemporary cohorts previously treated with cyclin-dependent kinase 4/6 (CDK4/6) inhibitors [2], [3]. The most common alterations, Y537S and D538G, in the ligand-binding domain stabilize an active receptor conformation and decrease sensitivity to fulvestrant and some oral selective estrogen receptor degraders (SERDs). Clinically, these mutations are linked to shorter progression-free survival and limited subsequent endocrine options. In this context, later-line endocrine monotherapy often produces short progression-free survival, although outcomes vary by prior endocrine sensitivity, ESR1 mutation status, and trial population. This has driven interest in agents that can achieve deeper and more durable estrogen receptor pathway suppression [4].

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Mechanism of Action: From Occupancy to Catalytic Degradation

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Figure 1. Mechanistic contrast between traditional SERD pharmacology and vepdegestrant-mediated PROTAC degradation.

Traditional SERDs operate through occupancy-driven pharmacology. They bind the ligand-binding domain of the estrogen receptor (ER), induce a conformational change that promotes partial proteasomal degradation, and sterically hinder coactivator recruitment. Degradation may remain incomplete, and mutant receptors can retain transcriptional activity. Vepdegestrant operates through an event-driven, catalytic mechanism. It is a heterobifunctional molecule that simultaneously engages the estrogen receptor and the E3 ubiquitin ligase cereblon (CRBN). The resulting ternary complex recruits the CRL4CRBN E3 ubiquitin ligase complex, leading to receptor polyubiquitination and proteasomal degradation. In principle, this event-driven mechanism can allow target degradation without requiring sustained stoichiometric target occupancy, distinguishing PROTAC pharmacology from conventional occupancy-driven inhibition. Preclinical studies reported robust estrogen receptor degradation and antitumor activity in ER-positive breast cancer models, including models with clinically relevant ESR1 mutations, with activity observed as monotherapy and in combination with CDK4/6 or PI3K/mTOR pathway inhibitors [5], [6]. This deeper receptor depletion, rather than receptor occupancy alone, provides a mechanistic rationale for activity in ESR1 mutation-driven resistance.

Analytical Perspectives: Why Degradation Demands More Than Exposure

For an analytical scientist, vepdegestrant demonstrates why targeted degradation cannot be assessed solely from exposure data. For a traditional small-molecule inhibitor, the main question is whether enough drug exposure is achieved at the target for a sufficient period. A PROTAC raises additional questions: whether the compound forms the intended ternary complex, recruits the relevant E3 ligase machinery, induces measurable target degradation, and produces a pharmacodynamic response that correlates with clinical benefit. Exposure, engagement, degradation, and patient selection therefore become interconnected parts of the evidence chain.

Published liquid chromatography\u2013tandem mass spectrometry (LC-MS/MS) methods enabled sensitive measurement of vepdegestrant in rodent plasma. Niessen et al. reported a lower limit of quantification (LLOQ) of 0.5 ng/mL in rat plasma, while Choi et al. reported a validated range of 1 to 1000 ng/mL in mouse and rat plasma [10], [11]. These studies supported preclinical pharmacokinetic and stability assessment, including rodent exposure and matrix-dependent stability behavior. Separately, mechanistic studies supported ER-vepdegestrant-CRBN ternary complex formation and downstream estrogen receptor degradation [5], [6]. Together, these findings illustrate why degrader development requires an evidence chain that links exposure, target engagement, degradation, pharmacodynamic response, and patient selection.

In VERITAC-2, the clinical translation of that evidence chain depended on biomarker selection. ESR1 mutation status was determined using blood-based circulating tumor DNA (ctDNA) through central or local testing, enabling prespecified analysis of the ESR1-mutated population and supporting the companion diagnostic strategy with Guardant360 CDx. That is the broader lesson: for targeted degradation to mature clinically, the field will need rigorous analytics not only for the molecule but also for the target, the degradation event, and the patient population most likely to benefit.

Clinical Validation: The VERITAC-2 Phase 3 Trial

Approval was based on VERITAC-2 (NCT05654623), a global, randomized, open-label Phase 3 trial that enrolled 624 patients with ER+/HER2\u2212 advanced or metastatic breast cancer whose disease progressed after one or two lines of endocrine therapy, including at least one CDK4/6 inhibitor-containing regimen [1], [7], [8]. Patients were randomized 1:1 to vepdegestrant 200 mg orally once daily with food or to fulvestrant administered according to standard labeling. Randomization was stratified by ESR1 mutation status, determined by circulating tumor DNA, and by the presence of visceral metastases. Patients had not received prior fulvestrant or chemotherapy for advanced or metastatic disease [1], [7].

In the prespecified ESR1-mutated population (n = 270), blinded independent central review\u2013assessed progression-free survival was significantly longer with vepdegestrant: median 5.0 months (95% confidence interval [CI], 3.7\u20137.4) versus 2.1 months (95% CI, 1.9\u20133.5) with fulvestrant (hazard ratio 0.57; 95% CI, 0.42\u20130.77; P = 0.0001) [1], [7]. Objective response rates were 19% (95% CI, 12\u201327%) versus 4% (95% CI, 1.6\u201310%). In the overall population, the difference in progression-free survival did not reach statistical significance (median 3.7 versus 3.6 months; hazard ratio 0.83; 95% CI, 0.68\u20131.02; P = 0.07). Overall survival data remain immature. The statistically significant progression-free survival (PFS) benefit was observed in the ESR1-mutated subgroup, whereas the overall population did not achieve statistical significance.

The safety profile was manageable but not trivial. The FDA approval summary notes warnings and precautions for QTc interval prolongation and embryo-fetal toxicity [1]. The prescribing information also includes adverse reactions, laboratory abnormalities, dose modification guidance, and clinically relevant interaction considerations involving QT-prolonging drugs, CYP3A inhibitors or inducers, and certain P-gp or UGT1A9 substrates [15]. For a targeted degrader intended for oral chronic use, tolerability, QTc monitoring, and concomitant medication management are not secondary details. They are part of the therapeutic profile.

Therapeutic Landscape and Unresolved Questions

In the EMERALD trial subgroup analysis, elacestrant provided a relevant oral SERD comparison for ESR1-mutated ER-positive, HER2-negative advanced breast cancer [4]. Direct cross-trial comparisons are limited by differences in control arms and eligibility criteria. These differences do not prove that one treatment is superior to the other, but vepdegestrant\u2019s fulvestrant-controlled data and degrader mechanism make it a distinct endocrine option. Since VERITAC-2 excluded prior fulvestrant exposure, it does not answer how vepdegestrant performs after fulvestrant or how fulvestrant performs after vepdegestrant. Companion diagnostic testing with Guardant360 CDx supports biomarker-guided patient selection [1]. As noted in expert commentary, the emergence of mechanistically distinct degraders raises important questions about the best sequencing strategies [9].

Several unresolved questions still exist. Resistance mechanisms to PROTACs, possibly involving CRBN downregulation or alterations in ubiquitin-proteasome components, are not fully understood. The optimal sequencing with respect to elacestrant and emerging agents, such as AKT-pathway inhibitors and antibody-drug conjugates, remains uncertain. Real-world adherence, QTc monitoring, concomitant medication management, and long-term safety will require careful post-approval attention. Global disparities in access to circulating tumor DNA testing and the medication itself will influence equitable access to benefits. The median PFS of 5.0 months, representing an absolute difference of 2.9 months compared to fulvestrant, suggests that monotherapy is unlikely to provide long-term disease control for most patients.

Broader Implications

The approval of vepdegestrant marks a significant milestone: the first time a PROTAC has achieved FDA approval and demonstrated meaningful benefit for patients. The event-driven pharmacology of targeted degradation expands what is possible when the therapeutic objective is not merely to inhibit a protein, but to remove it from the cellular system. In breast cancer, future questions will include how ER degraders should be combined with endocrine and targeted therapies, and whether earlier use can provide benefits beyond current biomarker-based strategies. Vepdegestrant provides clinical evidence that CRBN recruitment can be therapeutically effective for an ER degrader in solid-tumor oncology. A broader question for targeted protein degradation is whether clinically useful degrader platforms can expand beyond the heavily used cereblon and von Hippel-Lindau E3 ligase systems.

Recent FDA approvals in breast cancer, including expanded indications for trastuzumab deruxtecan in HER2-positive early-stage disease and datopotamab deruxtecan in unresectable or metastatic triple-negative breast cancer, reinforce a broader shift toward mechanism-defined, biomarker-guided, and modality-diverse treatment. Vepdegestrant belongs in that landscape, but its significance is distinct: it is not another antibody-drug conjugate, but the first approved PROTAC estrogen receptor degrader [13], [14].

Conclusion

Vepdegestrant should be viewed clearly, without hype. It is the first FDA-approved PROTAC, marking a major milestone in targeted protein degradation. It also shows a statistically significant and clinically relevant progression-free survival benefit in ESR1-mutated ER-positive, HER2-negative advanced breast cancer. Nonetheless, median PFS remains measured in months, overall survival data are immature, and the statistically significant progression-free survival benefit was demonstrated in the ESR1-mutated population, not in the overall trial population. That is the clinically important balance: regulatory proof of a new modality, but with a benefit that remains biomarker-dependent and limited in duration. It demonstrates that catalytic degradation can become an approved therapeutic strategy, while reminding the field that mechanism is only the beginning. The future will depend on sequencing, combinations, resistance biology, patient selection, and whether deeper degradation can translate into longer disease control.

References

[1] U.S. Food and Drug Administration, \u201cFDA approves vepdegestrant for ER-positive, HER2-negative, ESR1-mutated advanced or metastatic breast cancer,\u201d May 1, 2026. [Online]. Available: https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-vepdegestrant-er-positive-her2-negative-esr1-mutated-advanced-or-metastatic-breast

[2] N. Chaudhary et al., \u201cCDK4/6i-treated HR+/HER2- breast cancer tumors show higher ESR1 mutation prevalence and more altered genomic landscape,\u201d npj Breast Cancer, vol. 10, Art. no. 15, 2024. doi:10.1038/s41523-024-00617-7

[3] L. Boscolo Bielo et al., \u201cGenomic and clinical landscape of metastatic hormone receptors-positive breast cancers carrying ESR1 alterations,\u201d ESMO Open, vol. 9, no. 10, Art. no. 103731, 2024. doi:10.1016/j.esmoop.2024.103731

[4] A. Bardia et al., \u201cElacestrant in ER+, HER2- metastatic breast cancer with ESR1-mutated tumors: Subgroup analyses from the phase III EMERALD trial by prior duration of endocrine therapy plus CDK4/6 inhibitor and in clinical subgroups,\u201d Clin. Cancer Res., vol. 30, no. 19, pp. 4299\u20134309, 2024. doi:10.1158/1078-0432.CCR-24-1073

[5] S. M. Gough et al., \u201cOral Estrogen Receptor PROTAC Vepdegestrant (ARV-471) Is Highly Efficacious as Monotherapy and in Combination with CDK4/6 or PI3K/mTOR Pathway Inhibitors in Preclinical ER+ Breast Cancer Models,\u201d Clin. Cancer Res., vol. 30, no. 16, pp. 3549\u20133563, 2024. doi:10.1158/1078-0432.CCR-23-3465

[6] C. Tang et al., \u201cInsights Into Vepdegestrant (ARV-471): The First-in-Class Estrogen Receptor Proteolysis-Targeting Chimera Approaching Food and Drug Administration Approval for Breast Cancer,\u201d ChemMedChem, vol. 21, no. 6, e202501111, 2026. doi:10.1002/cmdc.202501111

[7] M. Campone et al., \u201cVepdegestrant, a PROTAC Estrogen Receptor Degrader, in Advanced Breast Cancer,\u201d N. Engl. J. Med., vol. 393, no. 6, pp. 556\u2013568, 2025. doi:10.1056/NEJMoa2505725

[8] E. P. Hamilton et al., \u201cVepdegestrant, a PROTAC estrogen receptor (ER) degrader, vs fulvestrant in ER-positive/human epidermal growth factor receptor 2 (HER2)\u2013negative advanced breast cancer: Results of the global, randomized, phase 3 VERITAC-2 study,\u201d J. Clin. Oncol., vol. 43, suppl. 17, abstr. LBA1000, 2025. doi:10.1200/JCO.2025.43.17_suppl.LBA1000

[9] P. Neven and S. N. Han, \u201cPROTAC SERD vepdegestrant outperforms fulvestrant for advanced-stage ER+HER2\u2212 breast cancer harbouring acquired ESR1 mutations,\u201d Nat. Rev. Clin. Oncol., vol. 22, no. 10, pp. 709\u2013710, 2025. doi:10.1038/s41571-025-01062-6

[10] J. Niessen et al., \u201cDevelopment and validation of LC-MS/MS methods for the pharmacokinetic assessment of the PROTACs bavdeglutamide (ARV-110) and vepdegestrant (ARV-471),\u201d J. Pharm. Biomed. Anal., vol. 249, Art. no. 116348, 2024. doi:10.1016/j.jpba.2024.116348

[11] H.-I. Choi et al., \u201cStability Evaluation and Pharmacokinetic Profiling of Vepdegestrant in Rodents Using Liquid Chromatography\u2013Tandem Mass Spectrometry,\u201d Molecules, vol. 29, no. 17, Art. no. 4048, 2024. doi:10.3390/molecules29174048

[12] Arvinas, Inc., \u201cArvinas Announces FDA Approval of VEPPANU (vepdegestrant) for the Treatment of ESR1m, ER+/HER2- Advanced Breast Cancer,\u201d May 1, 2026. [Online]. Available: https://ir.arvinas.com/news-releases/news-release-details/arvinas-announces-fda-approval-veppanu-vepdegestrant-treatment

[13] U.S. Food and Drug Administration, \u201cFDA approves two separate indications for fam-trastuzumab deruxtecan-nxki in HER2-positive early-stage breast cancer,\u201d May 15, 2026. [Online]. Available: https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-two-separate-indications-fam-trastuzumab-deruxtecan-nxki-her2-positive-early-stage

[14] U.S. Food and Drug Administration, \u201cFDA approves datopotamab deruxtecan-dlnk for unresectable or metastatic triple-negative breast cancer,\u201d May 22, 2026. [Online]. Available: https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-datopotamab-deruxtecan-dlnk-unresectable-or-metastatic-triple-negative-breast-cancer

[15] U.S. National Library of Medicine, \u201cVEPPANU (vepdegestrant) tablets, prescribing information,\u201d DailyMed, revised May 2026. [Online]. Available: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=751e18d5-1d41-4b67-b1f3-10272ca5312d

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Mechanistic contrast between traditional SERD pharmacology and vepdegestrant-mediated PROTAC degradation.","src":"https://substackcdn.com/image/fetch/$s_!Am0B!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F496b522b-aa54-419c-ae9b-1264d6a49bfe_1688x932.png"},{"src":"https://substackcdn.com/image/fetch/$s_!EzGS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2aa9d263-e9c2-44d3-bd58-b06b72249ce5_1672x941.png"},{"src":"https://substackcdn.com/image/fetch/$s_!Am0B!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F496b522b-aa54-419c-ae9b-1264d6a49bfe_1688x932.png"}],"indexed":true,"indexed_at":1779766146,"language":"en","parent_doi":null,"published_at":1779762479,"reference":[{"id":"https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-vepdegestrant-er-positive-her2-negative-esr1-mutated-advanced-or-metastatic-breast"},{"id":"https://doi.org/10.1038/s41523-024-00617-7"},{"id":"https://doi.org/10.1016/j.esmoop.2024.103731"},{"id":"https://doi.org/10.1158/1078-0432.CCR-24-1073"},{"id":"https://doi.org/10.1158/1078-0432.CCR-23-3465"},{"id":"https://doi.org/10.1002/cmdc.202501111"},{"id":"https://doi.org/10.1056/NEJMoa2505725"},{"id":"https://doi.org/10.1200/JCO.2025.43.17_suppl.LBA1000"},{"id":"https://doi.org/10.1038/s41571-025-01062-6"},{"id":"https://doi.org/10.1016/j.jpba.2024.116348"},{"id":"https://doi.org/10.3390/molecules29174048"},{"id":"https://ir.arvinas.com/news-releases/news-release-details/arvinas-announces-fda-approval-veppanu-vepdegestrant-treatment"},{"id":"https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-two-separate-indications-fam-trastuzumab-deruxtecan-nxki-her2-positive-early-stage"},{"id":"https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-datopotamab-deruxtecan-dlnk-unresectable-or-metastatic-triple-negative-breast-cancer"},{"id":"https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=751e18d5-1d41-4b67-b1f3-10272ca5312d"}],"registered_at":0,"relationships":[],"rid":"zhjv4-nxg26","status":"active","summary":"The first FDA-approved PROTAC proves catalytic degradation can become medicine, but its modest, biomarker-defined benefit shows that mechanism is only the beginning","tags":[],"title":"Vepdegestrant and the Emergence of Targeted Protein Degradation in Breast Cancer","updated_at":1779762479,"url":"https://abrahamfinny.substack.com/p/vepdegestrant-and-the-emergence-of","version":"v1"},{"abstract":"We\u2019ve recently reached an important milestone for the research nexus: the works in our metadata corpus are now connected with over 2 billion citation links! This is a great opportunity to share a dedicated dataset and discuss why these are important for science. The reference metadata is a lifeline of discoverability.","archive_url":null,"authors":[{"contributor_roles":[],"family":"Korzec","given":"Kornelia","url":"https://orcid.org/0000-0002-4632-5228"},{"affiliation":[{"id":"https://ror.org/02twcfp32","name":"Crossref"}],"contributor_roles":[],"family":"Tkaczyk","given":"Dominika","url":"https://orcid.org/0000-0001-5055-7876"},{"contributor_roles":[],"family":"Portenoy","given":"Jason","url":"https://orcid.org/0000-0002-3340-2597"}],"blog":{"archive_collection":null,"archive_host":null,"archive_prefix":null,"archive_timestamps":null,"authors":[{"name":"Crossref Staff"}],"canonical_url":null,"category":"computerAndInformationSciences","community_id":"093ada45-3a02-4007-b8b6-be28f221e01d","created_at":1731023545,"current_feed_url":null,"description":"Recent content in Blog on Crossref","doi":null,"doi_as_guid":false,"favicon":"https://rogue-scholar.org/api/communities/093ada45-3a02-4007-b8b6-be28f221e01d/logo","feed_format":"application/atom+xml","feed_url":"https://www.crossref.org/blog/feed.xml","filter":null,"funding":null,"generator":"Hugo","generator_raw":"Hugo 0.125.4","home_page_url":"https://www.crossref.org/blog/","id":"57deff0b-2720-438e-8e0a-c87e7a29ce43","indexed":true,"issn":null,"language":"en","license":"https://creativecommons.org/licenses/by/4.0/legalcode","mastodon":null,"prefix":"10.64000","registered_at":0,"relative_url":null,"ror":null,"secure":true,"slug":"crossref","status":"active","subfield":"1710","subfield_validated":null,"title":"Crossref Blog","updated_at":1779958118.374585,"use_api":null,"use_mastodon":false,"user_id":"25eda43e-7ce7-42f0-9cb3-54bf1fa5f2a7"},"blog_name":"Crossref Blog","blog_slug":"crossref","content_html":"

We\u2019ve recently reached an important milestone for the research nexus: the works in our metadata corpus are now connected with over 2 billion citation links! This is a great opportunity to share a dedicated dataset and discuss why these are important for science.

\n

The reference metadata is a lifeline of discoverability. Scholars use citations to critique and build on existing research. They acknowledge the contributions of others through references. Our members can then deposit those references as part of metadata with Crossref, and we use those to link the cited and citing objects. This results in complex thematic networks that can be explored by interested researchers. Many tools for research discovery use the linked reference metadata in Crossref to support searches of related content.

\n

The citation links are derived from bibliographic references in the metadata of one work that include DOIs of materials it cites (scholarly works, data, code, etc.). It\u2019s always best if the members can deposit these relationships in full. In a recent post, we shared that nearly half of these links are asserted by our members through metadata deposits, and the other half are created thanks to our automated matching. This form of metadata enrichment happens when members include some information about the references but without the DOI of the cited work, and it\u2019s enough to automatically find and add that DOI. The enrichment supports making data more useful for the community.

\n

The most important impact of citation links is the increased discoverability of connected works. Reference metadata is an important tool for improving visibility and readership of our members\u2019 content. These links are also the foundation of our Cited-by service, which enables implementing members to display citation counts of the work they published on their landing pages.

\n

The chart below shows the cumulative count of citations over time, by the created date of the citing DOI\u2019s record. These include records linked by DOI either through member-submitted metadata or matched by Crossref, as well as records that are unmatched. Unmatched records can include records that we were unable to match with the information we have, but also records that truly have no DOI to link to. You can explore the full citation dataset of all 2 billion citation links between Crossref DOIs available now as a (somewhat hefty) download.

\n
\"cumulative
\n

Cumulative count of references deposited to Crossref by created date of citing DOI

\n
\n
\n

The push for open citation data is something that has unfolded over the last few decades, making more and more of these relationships public. Notably, the growth in citation links reflects not just the output of new scholarship, but also a sustained effort to extend coverage of the historical scholarly record. We can see evidence of this playing out over time by looking at our historical data\u2014periodic snapshots of Crossref\u2019s metadata going back to 2019. When comparing successive snapshots and examining the publication dates of citing and cited works, we can classify each newly appearing citation as either a new paper citation, or a retrospective one. A new citation is where the citing work was published since the previous snapshot, representing real growth in the scholarly record. A retrospective citation is where both papers already existed but the link between them had not yet been captured by Crossref, and these represent indexing catchup rather than new publishing activity.

\n

The chart below shows the cumulative count of citations added in each category since 2019. In the early years of our data, retrospective backfill was the dominant source: the blue line climbs steeply from 2019 to 2021 as a large volume of previously uncaptured historical citation relationships entered the corpus. Over time, however, that rate of backfilling has levelled off. New paper citations, meanwhile, have grown steadily throughout the period, and by 2025 they surpassed the cumulative retrospective total. The open citation ecosystem continues recovering historical links, but the citation network\u2019s growth is now increasingly driven by the natural momentum of scholarly publishing itself.

\n
\"retrospective
\n

Cumulative citations added to Crossref by type, 2019\u20132026. Retrospective citations (blue) represent links to and from works that existed before the previous snapshot; new paper citations (green) come from works published since the last snapshot.

\n
\n
\n

Combined with other metadata for more context, reference metadata supports bibliographic and meta-research on different aspects of the scholarly process, and can support judgements about research integrity and conflicts of interest.

\n

Stereotypically, when talking about references, we consider links to published works (whether preprints, journal articles, or books). However all types of records in Crossref can be cited. Thanks to the changes in our latest schema, members can now signal the types of content that is being referenced. And with our new Data citations endpoint, the community can explore specifically links from Crossref-registered records to research data, including citation links to works within Crossref, as well as DataCite\u2019s corpus.

\n

Close to half of all records registered with Crossref still have none or not enough reference information to make such connections. We invite members to regular Metadata health-check webinars to support them in improving completeness of their records for increased transparency and visibility.

","doi":"https://doi.org/10.64000/8cekz-69m52","funding_references":null,"guid":"https://doi.org/10.64000/8cekz-69m52","id":"f6158eff-8f3a-4254-ba32-ddd853c3e5c9","image":"https://www.crossref.org/images/blog/2026/cumulative-references-by-year-and-type.png","images":[{"alt":"cumulative count of references by created date of citing DOI, split by three categories: references with DOIs submitted by members; references with DOIs matched by Crossref; and references with no matched DOIs","src":"https://www.crossref.org/images/blog/2026/cumulative-references-by-year-and-type.png","width":"75%"},{"alt":"retrospective cumulative by year added by crossref","src":"https://www.crossref.org/images/blog/2026/retrospective-cumulative-by-year.png","width":"75%"},{"alt":"Cumulative count of references deposited to Crossref by created date of citing DOI","src":"https://www.crossref.org/images/blog/2026/cumulative-references-by-year-and-type.png"},{"alt":"Cumulative citations added to Crossref by type, 2019\u20132026. Retrospective citations (blue) represent links to and from works that existed before the previous snapshot; new paper citations (green) come from works published since the last snapshot.","src":"https://www.crossref.org/images/blog/2026/retrospective-cumulative-by-year.png"}],"indexed":true,"indexed_at":1779817350,"language":"en","parent_doi":null,"published_at":1779753600,"reference":[],"registered_at":0,"relationships":[],"rid":"1hgw9-30659","status":"active","summary":"We\u2019ve recently reached an important milestone for the research nexus: the works in our metadata corpus are now connected with over 2 billion citation links! This is a great opportunity to share a dedicated dataset and discuss why these are important for science. The reference metadata is a lifeline of discoverability. Scholars use citations to critique and build on existing research.","tags":["Citation","Crossref","Metadata","Research Nexus","Schema"],"title":"Two billion citation links in Crossref help research travel further","updated_at":1779753600,"url":"https://www.crossref.org/blog/two-billion-citation-links-in-crossref-help-research-travel-further/","version":"v1"}],"out_of":50248,"page":1,"per_page":10,"total-results":50248}