Build Health International (BHI) promotes global equity by developing high-quality health infrastructure to enable access to dignified and affordable healthcare to those who need it most. Working with public sector and NGO partners in fragile health systems, we develop infrastructure solutions that elevate the quality and accessibility of healthcare in the most impoverished and resource-constrained regions of the world. Infrastructure is an essential, yet often overlooked, tenet of global health. Organizations seeking facility support in under-resourced regions routinely face two imperfect options: importing models and methods from the Global North, designed without regard to local efficiencies, or utilizing under-resourced assets that are unable to deliver the quality and durability needed. BHI offers a third alternative - a common-sense approach to infrastructure that allows for delivery of high-quality care, that can also be operated and maintained in a resource-constrained setting. We work to make each of our healthcare facilities a part of robust public healthcare systems that will provide long-term quality, accessible, and affordable care to the local community.