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INCLUSIVE INNOVATION IN HEALTH
Rethinking healthcare delivery
Dr Lindi van Niekerk
Bertha Centre for Social Innovation & Entrepreneurship
University of Cape Town Graduate School of Business
CARDIAC MILESTONES OVER 2 CENTURIES
•
Invention of the stethoscope (René Laënnec, Paris 1816)
•
First successful transfusion of human blood (James Blundell,
UK 1818)
•
Pioneering use of the ECG as diagnostic tool (Paul Dudley,
USA 1907)
•
Repair of a stab wound to the heart (Ludwig Rehn, Frankfurt
1896 )
•
Surgery on the aortic valve (Theodore Tuffier, Paris 1912),
•
Surgery on the mitral valve (Elliot Cutter, Boston 1923),
•
Closure of atrial septal defect (John Lewis, Minnesota 1952)
•
Valve substitute implantation (Charles Hufnagel, Georgetown
1952)
•
Open heart operation with heart lung machine (John Gibbon,
Boston 1953)
•
Totally implantable pacemaker (Ake Senning, Sweden 1959)
•
Coronary artery bypass (Michael DeBakey, Houston 1964)
•
Cardiac transplantation (Christiaan Barnard, Cape Town 1967)
•
……
MOST PREVENTABLE DEATHS
HEALTH SERVICE QUALITY
"I do believe the only way we can end all preventable
deaths and the suffering of millions is to provide decent
health care to all." Hilary Benn, 2006
UNEQUAL DISTRIBUTION
Health Workers
Worldmapper: WHO 2005.
Public Healthcare spending
SCIENTIFIC/ MEDICAL INNOVATION

Vaccines, drug therapies, and adequate scientific
knowledge to address many of the health issues
affecting people in developing countries.

Funding: unprecedented golden era of funding
for research and for global health
 How do we take advantage of the scientific
knowledge and funding that exists to actually
deliver health care outcomes?
WHY DO WE NEED INNOVATION?
https://www.youtube.com/watch?v=ou3LuxuWjSI#t=12
HEALTH CARE DELIVERY
Definition - Integrated & effective provision of
services to underserved people with diseases for
which proven therapies exist, in resource-poor
areas of the world
The ‘delivery gap’ - despite financial investments
or medical advances, prevents care from reaching
those who need it most.
Achieving VALUE – Patient health outcomes per
$ spent
SOCIAL INNOVATION AS A NEW LENS
A novel solution to a social problem that is more
effective, efficient, sustainable, or just than existing
solutions and for which the value created accrues
primarily to society as a whole rather than private
individuals. (Phylis et al, 2008)
Social innovation is an initiative, product or
process or program that profoundly changes
the basic routines, resource and authority
flows or beliefs of any social system.
(Westley, 2010).
A SOCIAL INNOVATION HEURISTIC: TWO MINDSETS
CORRECTIVE
PARADIGM
TRANSFORMATIVE
PARADIGM
PROBLEMS
POSSIBILITIES
GAPS
STRENGTHS
SERVICE
CO-CREATION
DEVELOPMENT
EVOLUTION
PRODUCTS & PROCESSES
PATTERNS
EXTERNALIZED INSTITUTIONS
INTERNALIZED INSTITUTIONS
CATEGORY
CONTINUUM
Nilsson, Bonnici, Nwosu 2012
PRINCIPLES OF SOCIAL INNOVATION IN
HEALTH
UNDERSTANDING THE CHALLENGES
Asking those on the frontlines…
TYPOLOGY OF SOCIAL INNOVATIONS
INNOVATORS WITHIN THE SYSTEM
INNOVATORS OUTSIDE THE SYSTEM
DEVELOPING INNOVATION CAPACITY
DEVELOPING ECOSYSTEM - LIVING
INNOVATION LAB
DEVELOPING AN EVIDENCE BASE
What solution can you create?
THANK YOU
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