Most health tech is built for systems that already work — stable infrastructure, funded hospitals, digitised records. Shikoh Gitau, Founder and CEO of Qhala, has spent her career doing the inverse: building health solutions from the ground up when the infrastructure, the regulation, and the user behaviour are all still taking shape at the same time. In this conversation, Shikoh shares what patient-centred design looks like in rural areas, how you influence policy as a founder, and what Africa's health tech moment tells us about the future of innovation beyond Silicon Valley.
