INNOVATION · CO-CREATION · IMPACT

Community‑Centred Innovation

Co‑creating solutions with communities, not for them. We design, test and scale innovations that are grounded in local knowledge, driven by real needs, and built for lasting impact.

Home / Innovation / Community‑Centred Innovation

What is Community‑Centred Innovation?

It is a participatory approach to designing and implementing solutions that places communities at the heart of every stage — from problem identification to evaluation and scale-up.

Co‑creation, not consultation

Communities are not just consulted — they are active partners. We work with community members, leaders, health workers and local organisations to identify priorities, design interventions, and drive implementation.

  • Joint problem definition and priority setting
  • Shared ownership of design and decision‑making
  • Mutual accountability for outcomes

Local knowledge meets rigorous science

We combine community wisdom with evidence‑based methods. This ensures that solutions are not only scientifically sound but also culturally appropriate, socially acceptable, and practically feasible.

  • Integration of indigenous knowledge and lived experience
  • Use of implementation science to test what works
  • Adaptation to local contexts and resources
Innovation that does not emerge from community needs is unlikely to be adopted or sustained.
— UWRA Approach to Innovation

Why community‑centred innovation?

Top‑down solutions often fail because they do not account for local realities. Community‑centred innovation ensures that interventions are relevant, accepted, and sustainable.

Relevance

Solutions are designed to address the actual needs and priorities identified by communities themselves, not assumptions made from afar.

Acceptance

When communities are involved in creating solutions, they are more likely to trust, adopt and champion them — ensuring higher uptake and sustained use.

Sustainability

Community ownership drives long‑term sustainability. When people feel a solution is theirs, they invest in its maintenance and evolution beyond external funding.

How we do community‑centred innovation

A structured, participatory process that ensures communities are equal partners from start to finish.

🔍 1. Discover & Listen
🤝 2. Co‑design
⚙️ 3. Pilot & Test
📊 4. Learn & Adapt
📈 5. Scale & Sustain

🔍 Discover & Listen

We begin by listening. Through community dialogues, key informant interviews, and participatory needs assessments, we uncover the real issues and priorities that matter most to the community.

  • Community dialogues and focus groups
  • Participatory mapping of assets and challenges
  • Understanding existing knowledge and practices

🤝 Co‑design

Together with community members, we design solutions that are practical, culturally appropriate, and aligned with local resources. This is a collaborative process of ideation, prototyping, and refinement.

  • Co‑creation workshops and design sprints
  • Prototyping with low‑cost materials
  • Incorporating feedback iteratively

⚙️ Pilot & Test

We pilot innovations in real‑world settings, monitoring implementation, gathering data, and learning from what works — and what doesn't — before scaling.

  • Small‑scale implementation in a defined setting
  • Rigorous monitoring and data collection
  • Community feedback loops throughout

📊 Learn & Adapt

We analyse what works, for whom, and under what conditions. Findings are shared openly with communities, and we adapt the innovation based on evidence and local feedback.

  • Data analysis and sense‑making sessions
  • Community reflection and feedback forums
  • Iterative refinement of the solution

📈 Scale & Sustain

Once proven, we work with communities and partners to scale innovations sustainably — embedding them into local systems, structures, and practices.

  • Integration into existing health systems and programmes
  • Capacity building for local ownership
  • Advocacy for policy and funding support

Guiding principles of our work

These principles underpin every community‑centred innovation we undertake.

Respect and trust

We build relationships based on mutual respect, transparency, and long‑term trust. Communities are equal partners, not research subjects.

Equity and inclusion

We prioritise the voices of marginalised and underserved groups. Our innovations aim to reduce, not widen, health and social inequities.

Practicality and feasibility

Solutions must be actionable within local resource constraints. We focus on what is feasible, affordable, and implementable in real‑world settings.

Iterative learning

We treat every innovation as a learning opportunity. We embrace experimentation, adapt based on evidence, and share lessons openly.

Ethical integrity

All our work adheres to the highest ethical standards, including informed consent, data protection, and community benefit.

Community‑centred innovation in action

These examples show how we have worked with communities to design and implement innovative solutions that deliver tangible results.

Maternal & Child Health

Community‑led antenatal care outreach

In a rural county with low antenatal attendance, we are planning to co‑design a community‑led outreach model with local health workers and village elders. The innovation will include mobile clinics, culturally tailored health education, and a peer‑support network for pregnant women.

Antenatal attendance is projected to increase within the next 24 months.
Digital Health

Community co‑designed SMS health reminders

Working with a peri‑urban community, we are developing an SMS‑based health reminder system for chronic disease management. Community members will help design the content, timing, and language of messages, ensuring they are relevant and trustworthy.

Medication adherence is projected to improve among participants.
Mental Health

Community‑based mental health first aid

In partnership with community health promoters, we are co‑creating a mental health first aid programme tailored to local cultural understandings of mental well‑being. The programme will train community members to recognise signs of distress and provide initial support.

Over 150 community members are to be trained; referrals to services projected to increase.
Water, Sanitation & Hygiene (WASH)

Community‑designed handwashing stations

We worked with a community in an informal settlement to design low‑cost, locally fabricated handwashing stations. Community members identified the most practical locations, materials, and maintenance protocols, ensuring high usage and durability.

Handwashing compliance increased from 22% to 78% in six months.

What makes community‑centred innovation work?

These are the critical ingredients that we build into every innovation project.

Community leadership

We invest in building the capacity of community leaders and local organisations to lead and sustain innovation efforts beyond our involvement.

Flexible funding

We design funding mechanisms that are responsive to community priorities and allow for adaptation as learning unfolds, rather than rigid, pre‑determined budgets.

Real‑time data

We use simple, practical monitoring tools that provide timely feedback to communities and implementers, enabling rapid course‑correction.

Multi‑sectoral partnerships

We bring together government, civil society, private sector, and community organisations to create an enabling environment for innovation.

Implementation science

We embed rigorous evaluation into every innovation to understand what works, for whom, and why — generating evidence that can inform policy and scale‑up.

Continuous learning

We foster a culture of learning, where communities and implementers reflect together, share insights, and continuously improve their approaches.

Co‑create innovation with communities

Whether you are a government agency, a donor, a university, or a community‑based organisation, we invite you to partner with us in designing and scaling community‑centred innovations that deliver real, lasting impact.