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Collaboration as Innovation Strategy: Lessons from the Ghana Infectious Disease Center (GIDC) Project

Dr. Naa Adjeley Ashiboe-Mensah Doamekpor holds a PhD in Building Technology, with research focused on innovation adoption and the uptake of building-integrated photovoltaic technologies in Ghana’s building industry. She is a quantity surveyor with over a decade of experience in quantity surveying, project management, and contract management, and is a Fellow of the Ghana Institution of Surveyors, a member of the Royal Institution of Chartered Surveyors, and a certified member of the Project Management Institute. She has served on the Governing Council and other committees of the Ghana Institution of Surveyors and works as a trainer and examiner for professional quantity surveyors

When I started my PhD, Ghana was in the throes of another energy crisis. I wondered why we were grappling with energy challenges in a country with abundant sunlight and heat. Given that buildings account for a significant share of energy use, the question that plagued me was how to integrate solar technologies, such as photovoltaics (solar PV), into buildings. I found that the uptake of new technologies is rarely about the technology alone. I discovered that even when solar PV was technically feasible and economically viable for building projects, adoption often stalled. This phenomenon, I found, was shaped by a wide range of interrelated factors that created a complex dynamic of influence.

Innovation is a multifaceted concept defined in various ways, but it does not necessarily require the invention of something entirely new. It can involve applying an existing idea in a novel way or within a new context. In his research on how new ideas spread through societies, Everett Rogers stated that changes in thought, behavior, or processes that create new societal value can be considered innovation. Innovation management involves generating ideas or developing new products and processes. It also includes the adoption and diffusion of these ideas, products, and processes. Innovations can only create value if people use them, which makes adoption and diffusion a critical part of innovation management.

In trying to understand innovation management, I often looked to foreign theories and overlooked the insights embedded in our own traditional practices. In this op-ed, I highlight an innovative project and show how the Akan principle of “nnoboa” offers a useful lens for explaining the success of the Ghana Infectious Disease Centre.

Innovation in the Construction Industry
Beyond the traditional concerns of time, cost, and quality, innovation in construction has become a fourth competitive dimension. The construction sector is plagued by productivity, efficiency, and safety challenges that can be addressed through innovative approaches. For instance, modular integrated construction enables entire buildings to be manufactured off-site and assembled on-site. This innovation allows for faster on-site assembly, reducing construction time while improving quality control and minimizing waste.

Another example is 3D printing, a construction method in which specialized printers use concrete or mortar as a printing material, depositing it layer by layer to create three-dimensional structures. This innovation offers significant labor savings and faster build rates, while also allowing for greater flexibility in design. NASA and the Texas-based construction technology company ICON are experimenting with 3D printing systems for use beyond Earth, such as on the Moon or Mars. Other innovations in the construction industry include drones, construction robotics and automation, digital twins, and related technologies. However, such innovations can only achieve meaningful impact if the industry is prepared to adopt them.

In the construction sector, innovation and adoption are slow and uneven. The sector is complex and conservative, and it faces high implementation risks associated with new technologies and processes. It also has a fragmented structure and disjointed project processes. Adversarial relationships further undermine collaborative efforts. In addition, clients’ excessive emphasis on cost and time has stunted innovation in the industry. The construction sector in Ghana is no different. Innovation is stifled. It is therefore instructive to explore how and why the Ghana Infectious Disease Centre (GIDC) project delivered innovative outcomes in such an environment, contrary to expectations.

The Ghana Infectious Disease Center
News broke of the first COVID-19 cases in Ghana on March 12, 2020. Ghana closed its borders on March 22, the same day that the Ghana Health Service reported the first death from the virus. Schools closed, and public gatherings were banned. By March 30, the COVID-19 case count had risen to 152, and the country experienced its first partial lockdown. As the case numbers increased, it became apparent that Ghana had gaps in its social and institutional preparedness. There were PPE shortages, testing delays, issues with isolation capacity, and a backlog of tests. The government needed help. Private businesses pooled together to launch the Ghana Private Sector COVID-19 Fund as part of efforts to assist the government financially.

The GIDC project was a 100-bed infectious disease center developed by the Ghana COVID-19 Private Sector Fund. The project was a private sector–led initiative during the COVID-19 pandemic to provide Ghana’s first infectious disease center of its size at the time. The project, however, did not start as a formalized response to a dire problem. It began as individuals recognizing the need to do something about a situation that was bigger than government. Ordinary people stepped up as citizens, taking responsibility for their community and the nation. It was this care and willingness to act, rather than watch, that led to the idea for the Ghana Infectious Disease Center.

The goal of the GIDC was to improve medical diagnostic and research capacity for infectious diseases, which was especially crucial during the COVID-19 pandemic. As the first infectious disease center of this size in the country, the major output of the project, that is, the development itself, can be considered an innovation. Although some hospitals had isolation wards, none had a dedicated facility for isolation and care. The most similar facility in function at the time was the Debrah Ward, a 25-bed capacity facility. The Debrah Ward project was completed in 12 calendar months, while the GIDC project was completed in a record time of 91 days.

The GIDC success story was possible through a combination of product and process innovations. The 91-day project duration was achieved through fast-tracking, which uses new or smarter approaches to deliver projects sooner. The project integrated modular construction technology for rapid assembly. It also used a public-private-military partnership model involving the Ghana COVID-19 Private Sector Fund, the Ghana Armed Forces, and the Ministry of Health. In addition, it adopted interdisciplinary collaboration among construction and non-construction personnel, including engineers, architects, public health experts, media professionals, and the military. This scale of private sector-led voluntary partnership within the Ghanaian context, prior to GIDC, had not been seen in Ghana’s history at this scope and speed.

Innovation Through Collective Action: The Nnoboa Logic Behind GIDC
The collaborative model used in GIDC resembles what is referred to as nnoboa in the Ghanaian traditional setting. Ghanaian communities relied on nnoboa, a collaborative mutual aid system in which community members came together to help one another with labor-intensive tasks. These tasks included constructing homes and social infrastructure. It functioned as a local, decentralized, teamwork-based construction model before the rise of formal contractors. The spirit of nnoboa demonstrates that collective action and mutual trust already exist in our cultural DNA. This makes the approach used at the Ghana Infectious Disease Centre not an imported idea, but a rediscovery of who we are.

Why does nnoboa help us innovate? Because it brings people together. Nnoboa creates networks of actors, including individuals, organizations, and even industries, whose different capabilities reinforce one another. Instead of each group trying to build expertise from scratch, collaboration enables the sharing of knowledge, facilitates faster problem-solving, and provides quicker access to necessary skills. The GIDC illustrates this clearly. Public pressure created urgency. Private philanthropy mobilized funding. Military engineering provided rapid construction capacity. Clinical experts defined technical requirements. This convergence made innovation possible at a pace rarely seen in the sector.

Collaboration also spreads risk and reduces costs. The GIDC project raised about $7.5 million through local support, mobilizing money, labor, influence, expertise, and goodwill to deliver a fully functioning facility in months, not years. Innovation thrives when we build together. That is the essence of nnoboa.

Nnoboa is, however, not purely a labor-sharing system; it is a civic practice rooted in mutual responsibility and collective problem-solving. These values align closely with one of Ashesi’s principles of citizenship. Citizenship requires individuals to care about and contribute to their community. It involves not only rights but also obligations. Individuals hold one another responsible. Citizens are encouraged to participate in governance, community development, and addressing societal problems. If we want to innovate, we need to create citizens who will pool their capabilities to solve innovative challenges for their communities.

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