Sustaining the Mission: Strategic Options to Scale Unjani Clinics NPC by 2030

Unjani Clinics NPC, a non-profit organization which has a goal of improving access to primary healthcare in South Africa, has grown exponentially from six pilot clinics to 54 clinics nationwide. The business model is based on the idea of empowering black South African nurses to work as entrepreneurs who own and operate their own clinics in a country where demand for affordable primary healthcare is substantial. CEO Lynda Toussaint has ambitions to expand to 1,000 clinics by 2030 and to make primary care accessible in rural communities, where the inequality between public and private healthcare provision is stark. The case allows for a discussion of whether Unjani’s nurse-led franchise model is sustainable and replicable in communities across South Africa.