IDEAS home Printed from https://ideas.repec.org/a/iaf/journl/y2025i1p135-143.html
   My bibliography  Save this article

Building Cost-Effective and Affordable Medical Solutions Using the Design Thinking Approach

Author

Listed:
  • Abena Engmann

    (Academic City University College, Accra, Ghana)

  • AMammie Hutchful Nortey

    (University of Ghana, Accra, Ghana)

  • Collins C Ngwakwe

    (University of Limpopo, Polokwane, South Africa)

Abstract

Nowadays, healthcare innovation is the main tool that improves the provision of medical care in developing countries, especially in countries with low resources. This research case presents the innovation journey of Goliath Robotics, a startup company in sub-Saharan Africa, specifically Ghana that operates in the health space and produces electric wheelchairs. The case focuses on three theories, particularly the resource-based view, effectuation theory and the bottom of the pyramid integrated with the design thinking process to show how these theories can be applied together in a business model to achieve affordability, accessibility and sustainability. The co-founders not only strive to source raw materials themselves but also fill in skills gaps required to produce the wheelchairs, as well as overcome a bevvy of technical hurdles in their startup journey. The research aims to bridge the literature gap regarding entrepreneurs producing affordable health solutions using the design thinking approach in underserved markets. It also delves into the importance of involving various stakeholders in developing solutions. The paper applied a case study approach. Data was collected using interviews, which were recorded, transcribed, and data analyzed interpretively. The study results show that integrating these theories creates a comprehensive framework for guiding innovation in healthcare delivery and the end user's involvement at the base of the pyramid to develop appropriate, cost-effective solutions. By integrating these theories, entrepreneurs and firms can use design thinking to identify opportunities to serve low-income populations, leverage local, available and affordable resources and internal capabilities, make effective decisions and adapt to uncertainty. Researchers can test this framework in other markets or developing countries for future studies.

Suggested Citation

  • Abena Engmann & AMammie Hutchful Nortey & Collins C Ngwakwe, 2025. "Building Cost-Effective and Affordable Medical Solutions Using the Design Thinking Approach," Oblik i finansi, Institute of Accounting and Finance, issue 1, pages 135-143, March.
  • Handle: RePEc:iaf:journl:y:2025:i:1:p:135-143
    DOI: 10.33146/2307-9878-2025-1(107)-135-143
    as

    Download full text from publisher

    File URL: http://www.afj.org.ua/pdf/1133-stvorennya-ekonomichno-efektivnih.pdf
    Download Restriction: no

    File URL: http://www.afj.org.ua/en/article/1133/
    Download Restriction: no

    File URL: https://libkey.io/10.33146/2307-9878-2025-1(107)-135-143?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Chandler, Gaylen N. & DeTienne, Dawn R. & McKelvie, Alexander & Mumford, Troy V., 2011. "Causation and effectuation processes: A validation study," Journal of Business Venturing, Elsevier, vol. 26(3), pages 375-390, May.
    2. Kaidong Yu & Yameng Zhang & Yicong Huang, 2023. "Entrepreneurship at the Bottom of the Pyramid: A Systematic Literature Review," Sustainability, MDPI, vol. 15(3), pages 1-24, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fischer, Denise & Greven, Andrea & Tornow, Mark & Brettel, Malte, 2021. "On the value of effectuation processes for R&D alliances and the moderating role of R&D alliance experience," Journal of Business Research, Elsevier, vol. 135(C), pages 606-619.
    2. Margot Racat & Antonin Ricard & René Mauer, 2024. "Effectuation and causation models: an integrative theoretical framework," Small Business Economics, Springer, vol. 62(3), pages 879-893, March.
    3. Anastasiia Laskovaia & Galina Shirokova & Michael H. Morris, 2017. "Erratum to: National culture, effectuation, and new venture performance: global evidence from student entrepreneurs," Small Business Economics, Springer, vol. 49(3), pages 711-715, October.
    4. Cherbib, Jihene, 2024. "Exploring the interplay between entrepreneurial orientation, causation and effectuation under unexpected covid-19 uncertainty: Insights from large French banks," Technological Forecasting and Social Change, Elsevier, vol. 200(C).
    5. Richard J. Arend, 2020. "Getting Nothing from Something: Unfulfilled Promises of Current Dominant Approaches to Entrepreneurial Decision-Making," Administrative Sciences, MDPI, vol. 10(3), pages 1-22, August.
    6. Sylvia Hubner & Fabian Most & Jochen Wirtz & Christine Auer, 2022. "Narratives in entrepreneurial ecosystems: drivers of effectuation versus causation," Small Business Economics, Springer, vol. 59(1), pages 211-242, June.
    7. Amirmahmood Amini Sedeh & Rosa Caiazza & Amir Pezeshkan, 2023. "Unraveling the resource puzzle: exploring entrepreneurial resource management and the quest for new venture success," The Journal of Technology Transfer, Springer, vol. 48(5), pages 1552-1573, October.
    8. Marko Matalamäki & Tero Vuorinen & Elina Varamäki & Kirsti Sorama, 2017. "Business Growth in Established Companies; Roles of Effectuation and Causation," Journal of Enterprising Culture (JEC), World Scientific Publishing Co. Pte. Ltd., vol. 25(02), pages 123-148, June.
    9. Manyise, Timothy & Dentoni, Domenico, 2021. "Value chain partnerships and farmer entrepreneurship as balancing ecosystem services: Implications for agri-food systems resilience," Ecosystem Services, Elsevier, vol. 49(C).
    10. Jenny María Ruiz-Jiménez & Matilde Ruiz-Arroyo & María Mar Fuentes-Fuentes, 2021. "The impact of effectuation, causation, and resources on new venture performance: novice versus expert entrepreneurs," Small Business Economics, Springer, vol. 57(4), pages 1761-1781, December.
    11. Melián-González, Santiago & Bulchand-Gidumal, Jacques, 2016. "A model that connects information technology and hotel performance," Tourism Management, Elsevier, vol. 53(C), pages 30-37.
    12. Benedetto Cannatelli & Matteo Pedrini & Michael Braun, 2019. "Individual-level antecedents of the entrepreneurial approach: the role of different types of passion in the Italian craft brewing industry," International Entrepreneurship and Management Journal, Springer, vol. 15(4), pages 1193-1219, December.
    13. Yu, Xiaoyu & Tao, Yida & Tao, Xiangming & Xia, Fan & Li, Yajie, 2018. "Managing uncertainty in emerging economies: The interaction effects between causation and effectuation on firm performance," Technological Forecasting and Social Change, Elsevier, vol. 135(C), pages 121-131.
    14. Jiatao Li & Lee Li & Zhi Yang & Xinling Tian, 2025. "Managing disruptions in international distribution channels: effectuation, business model innovation, and channel resilience," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 56(3), pages 403-421, April.
    15. Nowinski, Witold & Rialp, Alex, 2013. "Drivers and strategies of international new ventures from a Central European transition economy," Journal of East European Management Studies, Rainer Hampp Verlag, vol. 18(2), pages 191-231.
    16. Sebastian Brenk & Dirk Lüttgens & Kathleen Diener & Frank Piller, 2019. "Learning from failures in business model innovation: solving decision-making logic conflicts through intrapreneurial effectuation," Journal of Business Economics, Springer, vol. 89(8), pages 1097-1147, December.
    17. Burnell, Devin & Neubert, Emily & Fisher, Greg & Marvel, Matthew R. & Stevenson, Regan & Kuratko, Donald F., 2024. "Entrepreneurial hustle: Scale development and validation," Journal of Business Venturing, Elsevier, vol. 39(4).
    18. Parisa Haim Faridian & Donald Neubaum & Siri Terjesen, 2025. "Untangling the complexity of innovativeness in new ventures: The interplay between causal entrepreneurial processes and social capital," Small Business Economics, Springer, vol. 64(2), pages 451-473, February.
    19. Yi Jiang & Charles-Clemens Rüling, 2019. "Opening the Black Box of Effectuation Processes: Characteristics and Dominant Types," Entrepreneurship Theory and Practice, , vol. 43(1), pages 171-202, January.
    20. Dwivedi, Abhishek & Weerawardena, Jay, 2018. "Conceptualizing and operationalizing the social entrepreneurship construct," Journal of Business Research, Elsevier, vol. 86(C), pages 32-40.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • O31 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Innovation and Invention: Processes and Incentives
    • O32 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Management of Technological Innovation and R&D
    • O35 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Social Innovation
    • O36 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Open Innovation

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:iaf:journl:y:2025:i:1:p:135-143. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Serhiy Ostapchuk (email available below). General contact details of provider: https://edirc.repec.org/data/iafkvua.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.