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The purpose of the study is to establish the relationship between public health sector performance (PHSP), fleet management system, perceived service quality (PSQ) and management style (MS).

A total of 260 managerial employees were randomly selected from 5 major public hospitals in Zimbabwe to participate in this cross-sectional survey.

Fleet management system was found to positively influence both PSQ and PHSP. The results indicated that PSQ has a positive effect on PHSP. MS was found to moderate the effect of fleet management system on both PSQ and PHSP.

The current study provides fresh insights and validates extant knowledge on PHSP, fleet management and PSQ within the public health sector departments. It extends further knowledge on the public health performance in the Sub-Saharan region, as it shows that dimensions on fleet management have a direct influence on PHSP.

The concept of frugal innovation has been scholarly discussed from different perspectives. It is a concept that has in the recent years been receiving much attention. In this view, much of the scholarly attention has been given to the benefits of frugal innovation. However, sparse and little attention has been given to the possibilities and challenges of frugal innovation in attaining sustainable development in African Nations. Much of the work has explored the benefits of disruptive frugal innovation. Given this background, this chapter, therefore, seeks to contribute to disruptive frugal digital innovation by highlighting the challenges and possibilities frugal innovation brings in an attempt to achieve the Sustainable Development Goals (SDGs) especially SDG 1 that aims to end poverty in all forms as well as SDG 8 that aims to build resilient infrastructure, promote inclusive and sustainable industrialisation and foster innovation. Hence, this chapter aims to unleash some possibilities and challenges that can be brought by frugal innovation. Using literature analysis from 21 articles from Google Scholar, the chapter pre-empts key definitions and highlights the SDGs, the possibilities and challenges brought by frugal innovation in achieving economic and social sustainability in Africa. It is through these insights that the chapter seeks to inform theory, practice and policy in the context of SDGs in Africa.