This paper presents lessons learnt and recommendations for future studies attempting to apply a parachute design approach to design for Namibia. The focus of this project is the development of a low cost, fit for purpose trauma pack for use in Namibia. The project was undertaken by an interdisciplinary team of medics, designers and engineers in an effort to reduce high mortality rates that occur as a result of road traffic collisions in Namibia. The pack was developed through applying a Human Centred Design approach that calls upon Design Thinking and end-user engagement. The key focus of the paper is a design development process that responded to key findings from user testing and design for manufacture requirements. The design was guided by the World Health Organisation’s (2010) Four A’s: Accessibility, Availability, Affordability and Appropriateness.