Enabling cross-country learning and exchange to support universal health coverage implementation

Area of Science:

• Global Health
• Health Systems Strengthening
• Knowledge Management

Background:

• Countries transitioning from external assistance require robust knowledge sharing mechanisms to achieve universal health coverage (UHC).
• Existing knowledge exchange often relies on didactic approaches, failing to address the evolving technical needs and policy challenges in low- and middle-income countries.
• Country-led knowledge management is crucial for sustainable health initiatives and complements traditional capacity-building efforts.

Purpose of the Study:

• To explore factors supporting experience-based knowledge exchange among health practitioners from diverse settings.
• To illustrate a peer-to-peer learning approach using the Joint Learning Network (JLN) for UHC.
• To identify key elements for successful practitioner-led knowledge sharing in health systems reform.

Main Methods:

• Analysis of Joint Learning Network (JLN) monitoring and evaluation data from 2020-2023.
• Qualitative inquiry involving semi-structured interviews with 14 stakeholders from 10 countries.
• Examining the JLN's model of a global network for UHC practitioners and policymakers.

Main Results:

• The JLN successfully engages a diverse network of practitioners who collaboratively define a learning agenda.
• Successful peer-to-peer learning necessitates dynamic, structured interactions and alignment with implementation opportunities.
• This approach facilitates in-country knowledge sharing, learning, and catalyzes action at institutional and health system levels.

Conclusions:

• Peer-to-peer learning, exemplified by the JLN, is an effective model for facilitating knowledge exchange and supporting UHC reforms.
• Dynamic and structured interactions are vital for meaningful learning and adapting to evolving health policy challenges.
• Experience-based knowledge sharing empowers practitioners and strengthens health systems for sustainable development.