TIP Global Health (formerly The Ihangane Project) is achieving lasting improvements in health outcomes in resource-scarce settings of Rwanda by promoting local innovation within the existing health care infrastructure. The tools created alongside our community partners are shared with the Rwanda Ministry of Health to improve their implementation strategies. Our work in Ruli, Rwanda serves as a social innovation laboratory for creating effective and resilient local health care delivery systems. We work to enable local health care systems to cohesively integrate national mandates and community priorities. We build essential linkages between the overarching infrastructure established by governments and international entities to standardize health care, the capacity of frontline health care workers to provide effective care, and the ability of community members to absorb and translate this care into healthier lives for themselves and their families.