Being part of a brand ensures investors maintain a standard, and ensure infrastructure, drugs, and medical practices are met. Building franchises for health-care ensures familiarity and is setting standards to follow. Blue Star is a case in point. The Blue Star Network has been rolled out across Africa, and the franchise provides family planning resources and training on sexual and reproductive health. Once the private clinics have completed training, Blue Star recognition is awarded [1] .  Including the private sector in health care provision means a structural shift in the model of care: improved efficiency, quality and methods of care.  [1] See further readings: Marie Stopes International, 2013.