The book investigates the paradox of increasing disease and poverty despite growing investment in global health initiatives. The author, Macharia Waruingi, utilizes the emerging grounded theory design to explore this phenomenon. The core argument posits that the failure to acknowledge tacit knowledge within local communities in developing countries is a primary driver of project failure, creating a 'relevance paradox'. The book proposes 'emergencing,' a theoretical model of knowledge emergence, as a solution to overcome these challenges and foster greater effectiveness in global health and other social problem-solving contexts.

The book introduces a novel theoretical model, 'emergencing,' aimed at enhancing effectiveness in addressing complex social issues like global health disparities. The author's approach, grounded in emerging grounded theory, highlights the critical role of tacit knowledge within local communities, a factor often overlooked in development projects. The proposed model suggests a new framework for knowledge creation and innovation that moves beyond conventional thinking. This work is positioned as a valuable resource for practitioners and theorists seeking to improve outcomes in global health and other fields facing similar challenges.