alt Hacker NewsI recall predecessors to this idea from the 1970s, which probably implies I heard about them from Futurist Magazine and/or the book Small is Beautiful. It has always been suggested that engineers could do something worthwhile by inventing very simple yet useful things that could realistically be made in poor/underresourced countries or villages.
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As other comments have implied, but not explicitly said, they do their own engineering already with what they have.
Since materials can be scarce and inconsistent, much of it is improvised. That in no way diminishes their efforts, results, or knowledge. If anything, that's way more impressive. Lots of engineers in the first world will throw a tantrum if they can't have things exactly their way and probably still make something that doesn't work as well. Entire businesses have shit their pants and gone bankrupt the moment a part is discontinued.
Trying to do better than the people who live there is not only arrogant, but it's own variation of Chesterton's Fence.
EDIT: I can't help myself and have to post an engineerguy video. It's too important of a topic to not drive this point home crystal clear by someone who is far more respected than me.
"Building a Cathedral without Science or Mathematics: The Engineering Method Explained"
What do you figure happened, such that people largely haven't done this?