Sign in

Paul Marsden

@paulmarsden.bsky.social
292 followers 402 following 126 posts

Global Health Workforce Specialist & Advocate | WHO AFRO | Huge fan of trail running, cycling, and Liverpool FC, in no particular order. Love is all you need. 🏠 Brazzaville and Liverpool

PostsRepliesMedia
Paul Marsden @paulmarsden.bsky.social · 25/09/2026
🎯 www.thelancet.com/journals/lan...
thelancet.com
Offline: Bringing hope, organising action
What happened to the radicalism that once motivated those struggling on the front lines of global health? The values embodied in global health were a credo for living, a kind of personal faith. But lo...
000
Paul Marsden @paulmarsden.bsky.social · 01/09/2026
🌍Africa’s sovereignty & health systems needs the institutions to govern them, the operational capacity to improve them & the accountability to measure they work. That is the difference between financing a system & building a sustainable one paulmarsden335496.substack.com/p/health-sys...
paulmarsden335496.substack.com
Health System Governance: the test of Africa’s health sovereignty
There is a stark reality underpinning the current health sovereignty debate:
000
Paul Marsden @paulmarsden.bsky.social · 27/08/2026
Global health sovereignty, architecture, and reform is nothing if we can’t back it up with robust health system governance capacity
000
Paul Marsden @paulmarsden.bsky.social · 14/08/2026
Independence Day run 🇨🇬
000
Paul Marsden @paulmarsden.bsky.social · 06/07/2026
FIFA ❌ Awards a dubious Peace Prize with one hand … while deporting a referee, restricting the travel of a national team, and nullifying a red card bans with the other VAR check complete: “corrupt”
010
Paul Marsden @paulmarsden.bsky.social · 25/06/2026
Defeat snatched from the jaws of mediocrity … 🏴󠁧󠁢󠁳󠁣󠁴󠁿 Groundhog Day 2026
010
Reposted by Paul Marsden
Cold War Steve @coldwarsteve.bsky.social · 25/01/2026
332220784
Reposted by Paul Marsden
Health Policy Watch - Global health news reporting @healthpolicywatch.bsky.social · 03/06/2026
Researchers say ultra-processed foods are not just “convenient.” They are part of a commercial system that has engineered, marketed & normalized products linked to obesity, diabetes, cancer & dementia. ⚠️ ✍️ @kerrycullinan.bsky.social @nickchartres.bsky.social @umich.edu @ucsfhealth.bsky.social
healthpolicy-watch.news
Big Tobacco Engineered Ultra-Processed Food, Creating Harmful And Addictive Products - Health Policy Watch
Tobacco companies have helped to engineer and scale up the ultra-processed food (UPF) industry, developing addictive products that are driving obesity,
0147
Paul Marsden @paulmarsden.bsky.social · 25/05/2026
“Stop stealing our #HealthWorkers!”… check it out ⤵️
000
Reposted by Paul Marsden
Health Policy Watch - Global health news reporting @healthpolicywatch.bsky.social · 20/05/2026
@who.int recorded 579 attacks on health care in #Ukraine in 2025, causing deaths and injuries among patients and health workers. New attacks have continued into 2026, intensifying concern at #WHA79. #GlobalHealth #HealthSecurity #HumanitarianHealth #WorldHealthAssembly 📖⬇️ & 🔁🙏
healthpolicy-watch.news
Russia Tries To Block Debate On Attacks On Health Facilities In Ukraine - Health Policy Watch
Neither Russia’s delegate banging her desk to interrupt Ukraine’s representative speaking at the World Health Assembly (WHA), nor her request to dismiss
035
Reposted by Paul Marsden
Ben Simms @bensimms65.bsky.social · 20/05/2026
“If Britain continues to benefit from internationally trained health workers, it should invest in the health systems it recruits from.” Powerful advocacy from @drbeccycoopermp.bsky.social www.politicshome.com/opinion/arti...
politicshome.com
We benefit from health workers trained abroad – so we should invest in their health systems too
As a public health doctor, I have spent much of my career thinking about what helps people and health services thrive.
011
Reposted by Paul Marsden
Health Policy Watch - Global health news reporting @healthpolicywatch.bsky.social · 13/05/2026
⚠️Lower-income countries are training nurses who are then recruited abroad, while their own health systems lose clinicians, educators and leaders. INSIDE VIEW: @howardcatton.bsky.social; @intcouncilofnurses.bsky.social 📖⬇️& 🔁🙏
healthpolicy-watch.news
Nurses Are Not A Cost To Health Systems. They Are The Power Holding Them Together. - Health Policy Watch
Recently, I met with African nursing leaders who told me stories of nurses in countries such as Ghana and Nigeria earning the equivalent of only a few hundred
096
Reposted by Paul Marsden
Ben Simms @bensimms65.bsky.social · 19/05/2026
Powerful leadership from Philippines Minister Teddy Herbosa at packed #WHA79 side event on #healthworkforce. “We have spent a decade or more building the evidence & consensus. Key test now is to act” argues Prof Jim Campbell in stunningly lucid reflections on his time @who.int #healthpartnerships
011
Reposted by Paul Marsden
Madhu Pai, MD, PhD @madhupai.bsky.social · 03/05/2026
How (not) to organise a panel at a global health conference www.thelancet.com/journals/lan...
thelancet.com
How (not) to organise a panel at a global health conference
Global health is unfortunately not very global—a contradiction that becomes most evident at global health conferences. Although convened to advance the field of global health, these conferences often ...
0197
Paul Marsden @paulmarsden.bsky.social · 29/04/2026
🌍 The #Africa Region doesn’t lack vision: it lacks #governance that delivers. Health sovereignty won’t come from more plans, but from institutions that navigate the politics & issues. Get governance right, and ambition = investment = impact #HealthSovereignty #AfricaRising #WorldHealthSummit
000
Paul Marsden @paulmarsden.bsky.social · 28/04/2026
🌍 The African Region isn’t facing a #HealthWorkforce crisis - it is facing an #investment opportunity: The Region produces the workforce talent. The world benefits. Now is the time to step up and co-invest in their #jobs, #skills & #retention. My Substack Post ✍️ open.substack.com/pub/paulmars...
open.substack.com
The moment the African Region steps up for its health and care workers
There’s a number that stays with me.
010
Paul Marsden @paulmarsden.bsky.social · 26/04/2026
🌍 >250,000 health workers trained in Africa/year, can’t find jobs…while high-income countries recruit them with no co-investment in return. A crisis in plain sight. The evidence is clear: investing in health workers = economic growth + resilience + better health outcomes. Employ. Retain. Now.
011
Reposted by Paul Marsden
Health Policy Watch - Global health news reporting @healthpolicywatch.bsky.social · 10/04/2026
healthpolicy-watch.news
Record ODA Cuts: Top Donors Slash Aid As Global Health Risks Grow - Health Policy Watch
Preliminary data from the OECD reveals historic ODA cuts, setting international aid back a decade. Civil society groups warn that the reductions will devastate funding for global health, education and social protection.
022
Paul Marsden @paulmarsden.bsky.social · 24/03/2026
The G.O.A.T 🇪🇬 👑 🫶🏽
000
Reposted by Paul Marsden
Action for Global Health @afghnetwork.bsky.social · 19/03/2026
🚨 NEW: Today’s UK ODA allocations raise serious concerns for global health. With major cuts across regions — including a 56% reduction in bilateral aid to Africa — the implications are significant. Our full reaction and analysis 👇 actionforglobalhealth.org.uk/oda-allocati...
actionforglobalhealth.org.uk
ODA Allocations 2026: AfGH Official Statement | Action for Global Health
The UK Official Development Assistance programme allocations confirm that cuts to the aid budget will have a devastating impact on the health systems relied upon by the most vulnerable people around t...
052
Reposted by Paul Marsden
The Guardian @theguardian.com · 19/03/2026
The Myanmar nurses dodging drones to graduate from a secret jungle school
theguardian.com
The Myanmar nurses dodging drones to graduate from a secret jungle school
This week, the first students completed a three-year degree course, ready to treat displaced people and pro-democracy fighters unable to risk government-run hospitals
28432
Paul Marsden @paulmarsden.bsky.social · 19/03/2026
Cuts of 56% in UK health funding directly threatens years of investment in global health partnerships, health systems & workforce strengthening. This week’ UK Global Health Summit showed us the best in frontline impact. Let’s not lose this. #UKAid #GlobalHealth www.theguardian.com/global-devel...
theguardian.com
Some of the world’s poorest countries to lose UK aid due to 56% budget cut
UK’s bilateral aid to Africa, which funds areas such as schools and clinics, to be cut by almost £900m by 2028-29
000
Reposted by Paul Marsden
Ben Simms @bensimms65.bsky.social · 18/03/2026
I am incredibly proud of my colleague @margaretcaffrey.bsky.social at @globalhealthpart.bsky.social , lead author on this APPG report ‘An honest account’ #ExpertsInOurMidst #UKGlobalHealthSummit globalhealth.inparliament.uk/news/appg-pu...
111
Reposted by Paul Marsden
Ben Simms @bensimms65.bsky.social · 18/03/2026
"I am proud of this country. I am proud of the NHS. But we must recognise that our health system has been built, in part, on the contributions of people from around the world." @monicaharding.bsky.social #UKGlobalHealthSummit #globalNHS #ExpertsInOurMidst globalhealth.inparliament.uk/news/appg-pu...
globalhealth.inparliament.uk
APPG publishes new inquiry report on international health worker recruitment
011
Paul Marsden @paulmarsden.bsky.social · 16/03/2026
New UK inquiry report calls for co-investments in source country & domestic health systems and #healthworkers Ethical migration is a win-win globalhealth.inparliament.uk/news/appg-pu...
globalhealth.inparliament.uk
APPG publishes new inquiry report on international health worker recruitment
000
Paul Marsden @paulmarsden.bsky.social · 15/03/2026
❌ Business as usual ✅ Mutual benefit. ✅ Diaspora empowerment. ✅ Resilient #healthsystems All set for the convo at #UK #GlobalHealthSummit 2026 (March 16–18) on shaping tomorrow’s #health together. See your there 👇
010
Reposted by Paul Marsden
BK. Titanji @boghuma.bsky.social · 13/03/2026
"The US is now pursuing biological data and pathogen intelligence through policies that risk reproducing the power imbalances of colonial extraction in new scientific form...African bodies are not cheap, expendable commodities." www.aljazeera.com/amp/opinions...
aljazeera.com
US’s new scramble for Africa is biomedical imperialism
From Zimbabwe to Zambia, US health deals are raising fears of a new era of biomedical extractivism.
15723
Paul Marsden @paulmarsden.bsky.social · 13/03/2026
The #UK Global #HealthWorkforce Programme empowered #HealthWorkers across Africa to deliver #HealthForAll It is vital for both the #UK and the world 🌍 The logic was simple: #Invest & prevent #health threats at source. It’s momentum must not be lost 🤍 www.theguardian.com/global-devel...
theguardian.com
UK government axes flagship global health project
Programme which supports schemes in six African countries was previously hailed as vital protection for Britain against future pandemics
012
Reposted by Paul Marsden
Ben Simms @bensimms65.bsky.social · 12/03/2026
It was Gordon Brown who launched the #HealthPartnerships approach in 2007, harnessing #NHS expertise to drive #UHC delivery in #LMICs. It is this Labour Govt which is ending this work, 18 years later. A sad moment. #UKGlobalHealthSummit @katlay.bsky.social. www.theguardian.com/global-devel...
theguardian.com
UK government axes flagship global health project
Programme which supports schemes in six African countries was previously hailed as vital protection for Britain against future pandemics
013
Reposted by Paul Marsden
Kerry Cullinan @kerrycullinan.bsky.social · 11/03/2026
Much of the UN Commission on the Status of Women document addressed improving justice for victims of gender-based violence - and only the US voted against it. #CSW70 healthpolicy-watch.news/us-isolated-...
healthpolicy-watch.news
Only US Votes Against Women’s Rights Document At UN Commission - Health Policy Watch
President of the UN General Assembly Annalena Baerbock told the opening of CSW that the backlash against women's rights "feels as though we are forced to
111
Reposted by Paul Marsden
Carole Cadwalladr @carolecadwalla.bsky.social · 10/03/2026
NEW: Is this the broligarchy’s first world war? AI, like war & rape, is a hyper-masculine fantasy of God-like power, a myth at the dark heart of what we’re seeing play out in the Gulf. This war hasn’t replaced the Epstein scandal. It is the Epstein scandal. open.substack.com/pub/broligar...
open.substack.com
The Broligarchy's First World War?
AI-guided weapons, two out-of-control authoritarians, no legal authority and a toxic mess of masculinity: welcome to the manosphere's first major conflict
29840389
Reposted by Paul Marsden
Doctors Without Borders / Médecins Sans Frontières (MSF) @msf.ca · 09/03/2026
#SouthSudan: "Access to health care is absolutely not insured anymore. Hospital are sometimes destroyed, health facilities are closing." - Christopher, Country Director. Since the Mar. 6 evacuation orders, 100ks in Akobo are facing an impossible choice: leave their homes or face violence.
16323
Reposted by Paul Marsden
Global Health Partnerships (formerly THET) @globalhealthpart.bsky.social · 14/01/2026
3 days. One shared goal: Shaping Tomorrow’s Health, Together 🌍 Join up to 300 delegates per day at the #UKGlobalHealthSummit 2026 in London to co‑create solutions for stronger, fairer health systems. 👉 Secure your pass: whova.com/portal/regis...
whova.com
UK Global Health Summit 2026: Shaping Tomorrow’s Health, Together Registration hosted by Whova
2026-03-16, London
011
Reposted by Paul Marsden
Ulrike Franke @rikefranke.eu · 06/03/2026
This is a real video from the official White House account on a war that is currently killing people. I don’t know how the US is going to come back from this. The post was “JUSTICE THE AMERICAN WAY. 🇺🇸 🔥”
70935741228
Reposted by Paul Marsden
Devex @devex.com · 06/03/2026
USAID's dismantling & ongoing aid cuts from Western donors are jeopardizing vital services & programs for women and girls globally, especially in humanitarian crises. For International Women’s Day, explore Devex articles on how foreign aid cuts impact women & girls worldwide🧵 #IWD2026 #aidcuts
A graphic of women helping each other climb a set of stairs. The graphic is to celebrate International Women's Day 2026.
153
Reposted by Paul Marsden
UNRWA @unrwa.org · 05/03/2026
“The Middle East has become the deadliest place in the world: - to be a medical worker - to be a humanitarian - to be a UN team member - to be a journalist And one of the deadliest to be a civilian.” – UNRWA Commissioner-General Philippe Lazzarini
03326
Reposted by Paul Marsden
Daniel D. Reidpath @dreidpath.bsky.social · 02/03/2026
genevasolutions.news/global-news/... For decades UN salaries have been benchmarked against US Federal civil service salaries. Perhaps, if the US fulfilled its international obligations and contributed what it owes to the UN organisations, this conversation would be moot.
genevasolutions.news
As the financial crisis deepens, UN faces growing pressure to cut salaries - Geneva Solutions
The US is pressing the UN to cut staff pay to ease its budget crisis. Unions in Geneva say compensation is being misrepresented, but other states are also warming to the idea.
011
Reposted by Paul Marsden
James Mellor @jamesdfmellor.bsky.social · 28/02/2026
"Assemble the Board of Peace - I'm starting a war".
407145003286
Reposted by Paul Marsden
The BMJ @bmj.com · 21/02/2026
In 2024 NHS staff reported working unpaid overtime equivalent to at least 49 000 full time employees. A BMJ data analysis finds this discretionary effort, which has long underpinned NHS service delivery, is declining. What does this mean for workforce planning? bit.ly/4cBRFOU
bmj.com
Unpaid overtime in the NHS is falling—what this means for the workforce
In 2024 NHS staff reported working unpaid overtime equivalent to at least 49 000 full time employees. Such discretionary effort has long underpinned NHS service delivery, but recent data show it is de...
12311
Reposted by Paul Marsden
The Lancet @thelancet.com · 27/02/2026
On the cover of The Lancet: Editorial — “Robert F Kennedy Jr: 1 year of failure” Read the latest issue: spkl.io/63327Aa31W
Cover of The Lancet, 28 February 2026 issue. The quote: “The destruction that Kennedy has wrought in 1 year might take generations to repair, and there is little hope for US health and science while he remains at the helm.”
13581314
Paul Marsden @paulmarsden.bsky.social · 27/02/2026
The #UK’s looming migrant #healthworker crisis: #Nurse visas: down by 93% #careworkers: down 97% Misguided migration is: - Worsening skill shortages - Undermining an exhausted workforce This isn't just border policy; it's life-or-death for the vulnerable www.theguardian.com/society/2026...
theguardian.com
Drop in overseas workers is ‘car crash’ for UK hospitals and care homes, say experts
Care roles hit particularly hard by UK’s lurch to the right on migration, according to analysis of Home Office data
000
Reposted by Paul Marsden
Peter Stefanovic @peterstefanovic.bsky.social · 26/02/2026
Immigration has benefited the UK by filling critical skill and labour shortages. In fact without immigrants our public services - particularly health and social care would not be able to function.
10383110
Reposted by Paul Marsden
Thor Benson @thorbenson.bsky.social · 23/02/2026
What a perfect day for John Oliver to do a Twitter takedown
youtube.com
Twitter: Last Week Tonight with John Oliver (HBO)
YouTube video by LastWeekTonight
5416122
Reposted by Paul Marsden
Bhekisisa Centre for Health Journalism @bhekisisa.org · 05/02/2026
One year after the Trump Administration funding cuts: SA’s #HIV response is still reeling. Thousands of health workers lost their jobs. Clinics closed overnight. And the R2-billion pledge that brought relief for some programmes ends in March. What happens next? bhekisisa.org/health-news-...
bhekisisa.org
What will HIV funding look like in 2026? - Bhekisisa
After a year of US funding cuts across global public health, including South Africa’s hard-hit HIV programmes, new realities are settling in. We spoke to Mitchell Warren from the New York-based HIV…
012
Reposted by Paul Marsden
Health Policy Watch - Global health news reporting @healthpolicywatch.bsky.social · 20/02/2026
🌍 The race for the next @who.int Director-General has quietly begun. With a $1B funding gap, U.S. withdrawal, internal reform battles, and geopolitical fractures, the next leader must be both technocrat and diplomat. @wellcometrust.bsky.social @gavi.org @drtedros.who.int 📖⬇️ & 🔁🙏
healthpolicy-watch.news
Want To Become The Next WHO Director-General? Get In Line  - Health Policy Watch
As the mandate of Dr Tedros Adhanom Ghebreyesus approaches its expiration in August 2027, the high-stakes manoeuvring for the next WHO Director-General (DG) of the World Health Organization (WHO) has ...
042
Paul Marsden @paulmarsden.bsky.social · 21/02/2026
FIFA … unpresidential
000
Reposted by Paul Marsden
Health Policy Watch - Global health news reporting @healthpolicywatch.bsky.social · 20/02/2026
💔 More than 160,000 women died in conflict and fragile settings in 2023 from pregnancy-related causes. These are not inevitable deaths. They are the result of damaged health systems, insecurity, & disrupted services. ✍️@kerrycullinan.bsky.social @gatesfoundation.bsky.social @unicef.org 📖⬇️ & 🔁🙏
healthpolicy-watch.news
'No Woman Should Lose Her Life, Giving Life' - Health Policy Watch
“We must protect maternal health in fragile settings. That means investing in primary health care, protecting health workers and facilities, ensuring
042
Reposted by Paul Marsden
Review of African Political Economy @roapejournal.bsky.social · 20/02/2026
roape.net/2026/02/20/f... In this piece, Sarah Cotte explores the political economy of the Gulf involvement in Africa, looking specifically at land investments, stressing that the Gulf states in their new ‘scramble for Africa’ should be categorised as sub-imperialist.
198
Reposted by Paul Marsden
Resilience Action Network Africa @ranafrica.org · 18/02/2026
"Adopting the #LusakaAgenda and incorporating community voices is more than a policy shift; it's a commitment to deliver health care for all—but only if we choose to transform primary health care together. Until we are all safe." @laktarr001.bsky.social @thinkglobalhealth.org tinyurl.com/545zwrkd
thinkglobalhealth.org
The Lusaka Agenda Shows the Power of Community Voices | Think Global Health
By prioritizing primary health-care systems led by locals, the Lusaka Agenda can transition power back to Africa
021
Reposted by Paul Marsden
Action for Global Health @afghnetwork.bsky.social · 16/02/2026
The Overlooked Benefits of Health Aid to Donor Countries A recent study outlines how health development assistance creates economic gains for donor countries @thinkglobalhealth.org www.thinkglobalhealth.org/article/the-...
thinkglobalhealth.org
The Overlooked Benefits of Health Aid to Donor Countries | Think Global Health
A recent study outlines how health development assistance creates economic gains for donor countries
156