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While research on how healthcare organizations implement innovations exists, less scholarship describes how organizational origins influence innovation choices. A multi-year and multi-organizational study on the healthcare system in Repiblik Ayiti (Haiti) was conducted from 2017 to 2021. The study reveals a consistent difference between the arc of the journey of the foreign-funded healthcare ventures versus that of the locally-founded healthcare ventures. We find that origin (local vs. foreign-founded) can influence the pace and sequence of innovation. Both approaches are needed to address gaps in access to care at the bottom of the pyramid. This article examines how context informs the innovation approach and how our findings may influence curricula and program development for social innovation and entrepreneurship educators.
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