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Insights by Ota

A curated editorial section featuring articles, field reflections, and selected writing across systems, governance, capital, and execution.

Why most health partnerships in Africa fail before they start
Partnerships • May 7, 2026

Why most health partnerships in Africa fail before they start

I have watched well-funded, well-intentioned partnerships collapse, not because the work was wrong, but because the relationship was never properly designed.The pattern is remarkably consistent. Two organisations come...

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The system we were waiting on has left the room. So what do we build now?
Public Policy • May 3, 2026

The system we were waiting on has left the room. So what do we build now?

The World Bank spring meetings ended a couple of weeks ago. The numbers are significant. But the more important shift isn't in the numbers, it's in something I've...

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