Humanity has invented most of the solutions that its largest problems require. Under-five mortality has fallen by 52 per cent since 2000, solar electricity costs about US$0.043 per kilowatt-hour, and mobile money and public payment rails now serve hundreds of millions. Yet in 2024 only 22.5 per cent of people in low-income countries used the internet, 49 per cent had electricity, 16 per cent could cook with clean fuels, and DTP3 immunisation coverage stood at 70 per cent, below its 2019 peak. This report argues that the central development problem has shifted from invention to diffusion, and that the shift is urgent.
The report proposes a four-stage account of diffusion, distinguishing reach, uptake, depth and durability, and shows that the world has become better at reach and no better at depth. It identifies a diffusion gradient: solutions that are divisible, affordable, privately purchased and light on infrastructure spread fastest, while those that depend on networks, large capital or a capable state spread slowest. Extending recent trends in a straight line, low-income countries would reach today’s high-income electricity access in about 37 years and internet use in about 58, would take over four centuries for clean cooking, and have moved away from parity on immunisation and primary completion since 2019.
Two features of the setting shape every stage. Societies are unequal, so that solutions reach the advantaged first, and interconnected, so that solutions travel through six channels, trade, investment, finance, people, digital networks and policy learning, each of which also transmits dependence and shocks. Five families of barrier explain why proven solutions fail to spread: the price of money, missing complements, limited trust and delivery capacity, the loss of effect when pilots are scaled, and market failure. Five cases, mobile money and public payment rails, vaccine market shaping, distributed solar, Teaching at the Right Level and twice-yearly HIV prevention, show how these barriers have been overcome and where they persist.
The report concludes with seven design rules for scale, three structural risks of interdependence, supplier concentration, a financing squeeze in which official aid fell 23.1 per cent in 2025, and an artificial intelligence divide, and a strategy comprising seven principles, a three-horizon roadmap and a five-measure diffusion dashboard. The imperative is to measure depth and durability as well as reach, to protect the delivery systems that work, to lower the cost of capital, to build shared public rails, to design for the excluded, and to test for scale.