Tillit is a social innovation enterprise addressing health inequities by fostering frugal (place, process, price, partnership and product) innovation to mitigate barriers to access to affordable quality healthcare and allied social services for underserved communities. Physical, social, economic, financial and cultural barriers hinder access to quality healthcare and social services for many communities in Africa which is reflected in low life expectancies and high infant, childhood and maternal mortality rates and morbidities which are some of the highest in the world. These underserved communities have poor health indices because they do not have access to affordable quality healthcare and allied social services such as basic education, energy, clean water, hygiene and sanitation. We inspire trust in health systems and social services by fostering transparency and performance of private and public health and allied social services providers through our advisory, project management, impact investments, third party administration and ecosystem development services and initiatives.