| Policy making bodies are increasingly highlighting the important role innovation can play in African development–not only to spur economic growth but also to deliver locally relevant, affordable products and services to African populations. The health sector is one area where innovation is most needed; however, we know very little about the capacity of African countries to innovate in this area. At the same time, a range of conceptual questions have arisen in the academic literature as to the very definition of innovation in an African context, and specifically, the applicability of the National Innovation System (NIS) to African countries.;Through detailed case study research of science-based health firms in South Africa, of the NIS health system of Ghana, and by comparing these data with data collected in Uganda and Tanzania, I shed light on these questions from an empirical perspective. I find that science-based health innovation is a complex field, and whilst institutions can help or hinder its viability, the current state of health innovation in SSA can be attributed primarily to individual entrepreneurs with strong networks, who are taking risks in a largely non-enabling environment. I find that, more important for innovation, is the ability to access global knowledge–through appropriate policies and strong partnerships– and the capacity to apply it locally. For this, tacit knowledge, or &... |
