Abstract
BackgroundSocial innovation (SI) in health holds potential to contribute to health systems strengthening and universal health coverage (UHC). The role of universities in SI has been well described in the context of high-income countries. An evidence gap exits on SI in healthcare delivery in the context of low- and middle-income countries (LMICs) as well as on the engagement of universities from these contexts. There is thus a need to build capacity for research and engagement in SI in healthcare delivery within these universities. The aim of this study was to examine the adoption and implementation of network of university hubs focused on SI in healthcare delivery within five countries across Africa, Asia and Latin America. The objectives were to describe the model, components and implementation process of the hubs; identify the enablers and barriers experienced and draw implications that could be relevant to other LMIC universities interested in SI.MethodsA case study design was adopted to study the implementation process of a network of university hubs. Data from documentation, team discussions and post-implementation surveys were collected from 2013 to 2018 and analysed with aid of a modified policy analysis framework.Results/discussionSI university-based hubs serve as cross-disciplinary and cross-sectoral platforms, established to catalyse SI within the local health system through four core activities: research, community-building, storytelling and institutional embedding, and adhering to values of inclusion, assets, co-creation and hope. Hubs were implemented as informal structures, managed by a small core team, in existing department. Enablers of hub implementation and functioning were the availability of strong in-country social networks, legitimacy attained from being part of a global network on SI in health and receiving a capacity building package in the initial stages. Barriers encountered were internal institutional resistance, administrative challenges associated with university bureaucracy and annual funding cycles.ConclusionsThis case study shows the opportunity that reside within LMIC universities to act as eco-system enablers of SI in healthcare delivery in order to fill the evidence gap on SI and enhance cross-sectoral participation in support of achieving UHC.
Highlights
Social innovation (SI) in health holds potential to contribute to health systems strengthening and universal health coverage (UHC)
We present a case study on the adoption and implementation of a network of university hubs focused on SI in healthcare delivery in five low- and middle-income countries (LMICs) across Africa, Asia and Latin America
We conclude with an analysis on the enablers and barriers relevant to this process in a LMIC university context
Summary
Social innovation (SI) in health holds potential to contribute to health systems strengthening and universal health coverage (UHC). The instrumental technocratic paradigm understands SI within the context of the neoliberal political agenda, focusing on solutions that can create greater efficiency gains in order to solve the crises of the welfare-state and is concerned with models such as social enterprises [4, 5]. This frame is predominant in high-income countries (HIC) such as the United Kingdom and Europe [6,7,8]. In this paper concerning LMICs, the democratic perspective is taken and SI is understood as per Westley’s (2010) definition: “Social innovation is a complex process of introducing new products, processes or programs that profoundly change the basic routines, resource and authority flows, or beliefs of the social system in which the innovation occurs” [10]
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