Non-state providers including commercial firms, not-for-profit organisations and faith-based organisations often provide services when governments are unable to meet people’s SRH needs. Social franchising, or networks of private providers who offer a standard set of services and share training, referral systems, quality standards and brands is one such example. The high volume of patients that these networks can provide for enables them to reduce costs of treatment for poor people. However, as with many commercial providers there is a tension between sustaining services by collecting revenue and providing services for most poor people. Those who cannot afford.