Sustainable Scale: Avoiding the Pitfalls of Growth in Healthcare Systems
In healthcare, growth is essential—but unchecked growth can be dangerous. Around the world, nations striving to expand healthcare access often run into the same problem: rapid scale leads to overstretched services, reduced quality, and systemic breakdowns. Yet Kenya appears to be breaking this cycle. Through models championed by leaders like Jayesh Saini , the country is offering a powerful example of how to scale responsibly—without compromising care quality or access equity. The Scale Dilemma in African Healthcare Across Africa, governments and private players are under pressure to scale fast. Populations are booming, urbanisation is surging, and healthcare demand is rising sharply. But this urgency often leads to expansion without sufficient infrastructure, staffing, or digital backbone. Clinics get built but remain under-resourced. Hospitals see more patients but suffer longer wait times and declining patient satisfaction. This is where Kenya’s approach, particularly through ...