Inclusive Innovation

The Sapling Nursery helps MSF staff explore, develop and test innovative new approaches to challenges in our projects Caption
The Sapling Nursery helps MSF staff explore, develop and test innovative new approaches to challenges in our projects

Inclusive Innovation at Médecins Sans Frontières / Doctors Without Borders (MSF) supports staff at all levels to develop, test, and implement novel solutions to the challenges we face, with the goal of improving access to quality healthcare. 

Inclusive Innovation (formerly known as the Sapling Nursery) is a collaboration between the innovation team at the Manson Unit in MSF UK and the MSF Sweden Innovation Unit.  

We aim to generate positive and lasting change by providing more options for MSF frontline staff to create solutions to intractable issues in complex situations.  

More than just developing new ideas, we also aim to address systemic issues of exclusion by putting equality, diversity and inclusion at the centre of innovation opportunities.  

This means valuing the unique perspectives, experiences and needs of different individuals; there are no one-size-fits-all solutions.

We support the transition towards place-based community innovation through a learning-by-doing approach. 

How we’ll work together

We are committed to supporting MSF frontline staff through the process of innovation and the support system will accommodate the following delivery models:

Locally led – where the local MSF frontline workers formulate the approach, and headquarters-based teams provide, for example, resources and connections, while working in similar ways to ensure mutual learning and support.  

Locally owned – where the approach comes from a headquarters-based team, but there is a determined effort to transfer the ownership of the work to the local MSF frontline workers so, over time, it can transform the programme into one that is locally led.  

Locally delivered – where the approach comes from a headquarters-based team, and the local MSF frontline workers implement it without having been involved in setting the priorities or the approach, and where there is no transfer of ownership.  

The support available

Inclusive Innovation offers Exploratory and Implementation Support applications which provide MSF teams with training, guidance, and other valuable resources to strengthen their solutions at every stage.

Exploratory Support

Exploratory Support allows MSF teams to explore, develop and test innovative approaches in response to challenges in MSF projects.

The Inclusive Innovation team will guide MSF teams through Human-Centred Design workshops, connect them with an Innovation Facilitator, and support them in writing an application for further funding to test their idea.

Implementation Support

Implementation Support facilitates the testing, adaptation, and piloting of innovations developed using participatory approaches.  

By the time an innovation reaches the implementation stage, it has already been explored, defined, and prototyped in collaboration with the communities for whom it is designed.  

This year, Inclusive Innovation invites MSF teams to submit ideas on play therapy interventions that integrate play into their projects, inspired by MSF’s newly developed Play Therapy Toolkit. Awardees will receive support, guidance, training and other valuable resources to pilot their play therapy interventions.

The 2025 Call for Implementation Support Applications is now open. Find out more and apply >

Examples of paediatric innovations supported

Noma Discharge Toolkit >

The Noma Discharge Toolkit aims to help caregivers look after their children after leaving the hospital.

Play Therapy Toolkit >

Play therapy uses play to help a child, or a group of children, explore and express their emotions and process and cope with difficult experiences.

Examples of previous projects

When Yaashe, a six-year-old noma patient from Borno state, and her family arrived at the Sokoto Noma Hospital, they felt isolated because they don’t speak the local language. 

The mental health staff helped them integrate with the other patients. Yaashe fell ill two months after Boko Haram killed her father and her family had to flee their village. 

“Yaashe was a healthy and happy girl, but then suddenly she got a fever and after just three days she developed a hole in her face. When I saw her coming out of surgery, I thanked God. I love her very much" remembers Yagana, Yaashe’s mother. 

Her daughter finally received surgery six months after arriving at the hospital. It’s the first of several operations she needs because of the severity of her injuries. 

Sokoto, Nigeria.
28 October, 2017.

Stories of change

How can story-telling help communities fight disease? Find out more from Kate Hughes.

Jaqueline, 72, in Bulengo IDP camp near Goma, North Kivu: She lives here with two of her grandchildren - their parents were killed in the late 2000s, near Bukavu. She has an injured leg and spine when she fell from a bridge near Bukavu. 

'It's very difficult to live here. We haven+t received any help at all. We have nothing. People spend the whole day searching for vegetables. If someone takes pity on us, they can give us a bit of 'fou-fou' or some beans. My grandchildren were sent away from school because we have no money for the school fees. We don't even have money for soap, to wash clothes. It's only if someone gives us a few francs that we can buy some soap. I can't cultivate with my injuries, I can't even carry a jerrycan of water...

Menstrual hygiene management

How do you manage menstrual hygiene in a humanitarian crisis? Chiara Domenichini attempts to solve the problem.