Section 1. Decolonization and why it is needed in healthcare innovation -- The unwritten rulebook of global health -- UK healthcare is too expensive, frugal innovation is the answer -- Core and peripheral knowledge in global health -- False dichotomies in global health : us vs. them --- Coloniality in global health -- Reverse innovation as a decolonial strategy -- Decolonizing higher education curricula -- Decolononization, decoloniality and radicalized organizations : praxis and reflections -- Section 2. Low-cost solutions from low-income countries -- A structured approach to critical analysis of frugal innovations from low-income countries -- Mosquito net mesh for hernia repair -- Sayeba's method for post-partum haemorrhage -- Phase change material for neonatal therapeutic hypothermia -- Arbutus drill system for orthopaedic surgery -- Tilapia fish skin for severe burns -- Ponseti technique for congenital club feet correction -- Conclusion and next steps