Imagine you are designing a hospital for one of the poorest communities in the world. There is no infrastructure for water, power or waste. Roads are rough and unreliable. Medical supplies disappear in the dead of the night to be sold on the black market.
The average life expectancy of residents here is 42.5 years old, and 257 out of every 1,000 children born here will die before they celebrate their fifth birthday. Now imagine you are designing this hospital over a bad Skype connection, without ever stepping foot in the country where it will be built.