Thought leadership on the systems that shape our future.
Original synthesis and policy analysis grounded in verifiable evidence. Each piece identifies a gap in the existing literature, draws on comparative case studies from the Global South, and proposes concrete steps within reach of current institutional capacity.
10 articles
Prevention as Policy: Why We Keep Treating What We Should Be Stopping
Kenya's Social Health Insurance Fund was designed to broaden access. What it has not yet resolved is why the system it funds continues to reward procedures over prevention.
Who Writes the Rules for AI in African Healthcare?
Kenya is developing a national AI policy. Whether that policy will reflect the realities of Kenyan patients — or import assumptions that do not fit — depends on who is in the room and when they arrive.
Dignity Is a Design Requirement, Not a Feature
Kenya's Constitution prohibits discrimination on the basis of disability. Most of the systems Kenyans with disabilities interact with daily have not absorbed this.
From Treatment Economies to Prevention Economies: What the Transition Requires
Kenya's SHIF was a structural reform. Turning it into a prevention economy requires a second reform that is not yet being discussed loudly enough.
Accessible Technology Is Not a Niche Market
Kenya's disability population is not a marginal use case. It is a constituency of over 900,000 people with severe disabilities — and multiples more with moderate ones — whose inclusion in digital systems is a constitutional obligation and a commercial opportunity simultaneously.
Resource Constraints as Design Advantage
The most transferable innovations in global health over the last thirty years emerged from environments with the least. Kenya is one of those environments. That is not a disadvantage — it is the brief.
The Post-Discharge Gap: What Happens When Hospitals Cannot Follow You Home
The clinical risks for a person with severe mobility impairment peak not during hospitalisation but in the weeks after discharge. Kenya's health system currently has no structured response to this.
Health Data: Who Generates It, Who Benefits from It, and Who Should
Kenya generates substantial quantities of clinical health data through its public health system. That data is increasingly valuable for AI development. The frameworks governing who captures that value are not yet in place.
Disability, Policy, and Technology: Why the Three Rarely Arrive Together
Technology policy is made without disability input. Disability policy is made without technology expertise. The result is systems that are technically sophisticated and practically exclusionary.
Govern AI Before Scaling It: The Window Kenya Has and Is Running Out of Time to Use
The optimal moment to govern a transformative technology is before it is embedded in critical infrastructure. Kenya's window for proactive AI governance in healthcare is open. It will not remain so.