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 Public Healthcare spending Worldmapper: WHO 2005.
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 TRANSFORMATIVE PARADIGM 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?
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