When the cleaning staff is cut in half, a private company starts billing your patients new fees, or the public clinic down the road closes for good, how do you protect the people in your care? From Germany to Nigeria, from Canada to India, services are outsourced, patients are sorted by profit, staff levels drop, and infection rates climb. If you work for health, you are an eyewitness. This primer gives you a starting point to understand what is happening, name it, and connect with others so that you can do something about it.
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Who this is for
This primer is for any health worker who can see the health system is changing but cannot name exactly what is happening or why.
- You may work in a public hospital where services have been outsourced.
- You may work in a community where a new private clinic serves only those who can pay.
- You may simply see that cost-cutting is hurting the people you serve.
If you have ever seen a patient turned away, a fee added, or a staff position cut, you are already living inside this problem.
Why complete this primer?
- You join a global peer network. You are not alone. Health workers across dozens of countries face the same pressures. We share evidence, build strategies, and support each other.
- You focus on your reality from day one. Each screen asks you to connect global evidence to what you see in your own workplace. Your professional experience is the primary text.
- We respect your time. Short readings. No videos. No heavy downloads. It works on any device.
How this works
You read a little. You think a lot. You write. By the end, you will have answered three learning questions:
- Observe. What change have you seen that affects the care, cost, or dignity of your patients?
- Connect. Why is this happening? Who has the most powerful voice in shaping health policy where you work?
- Act. What is one step you can take this week to document what you see and share it with a trusted colleague?
A step in your journey to make a difference
This primer opens the door to a full certificate programme built on peer learning and real-world action. The Geneva Learning Foundation’s Impact Accelerator provides you with a support system to continue to meet, network, and learn as you work for change.
This primer course is part of TGLF’s Certificate peer learning programme for equity in research and practice.