In 2008 Population Services Kenya (PS Kenya) began the journey that now provides over 3.5 million Kenyans with better healthcare each year. The Tunza family health network was established in response to a need that PS Kenya had observed in its work delivering reproductive and family health services to under served communities. Developed as a social health franchise, Tunza provides family health services through an innovative franchisee model. At the heart of the model is ensuring quality services are delivered by private health providers across all counties of Kenya. The quest for quality has been iterative, with PS Kenya and its partners learning, adapting and progressing up the quality ladder over its tenure