Jake McKnight talks about the failures and successes of projects he’s studied or been involved in, reflecting on the idea that ‘Africa Works’, and as researchers and implementors, it’s up to us to fit local cultures rather to try to ‘fix’ them. Jake McKnight is a Health Systems Researcher at the Oxford Health Systems Collaboration (OHSCAR). He was originally a logistician for MSF in Angola and Somalia, before conducting his PhD research in Ethiopia. He then read for the MSc. in African Studies at Oxford, before completing his PhD at Said Business School, where he concentrated on healthcare reform in Ethiopia. Creative Commons Attribution-Non-Commercial-Share Alike 2.0 UK: England & Wales; http://creativecommons.org/licenses/by-nc-sa/2.0/uk/