In 2008, Population Services Kenya (PS Kenya) began the journey that now provided 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 underserved communities. Developed as a social health franchise, Tunza provided family health services through an innovative franchisee model. At the heart of the model was ensuring quality services were delivered by private health providers across all counties of Kenya. The quest for quality was iterative, with PS Kenya and its partners learning, adapting, and progressing up the quality ladder over its tenure.