Why support pay for service healthcare in sub-Saharan Africa? In decades to come universal healthcare free at the point of use, all funded with affordable social insurance programs, may be available in sub-Saharan Africa. However, in the short-term even the most basic access to healthcare is either non-existent or if available is unaffordable for all but a small minority. EfD believes that social enterprise models of healthcare can play an important role in improving access to better health care for families on lower incomes until universal support is available and affordable.

EfD will only support social enterprise models of healthcare provision where, in addition to the business being sustainable and having potential to scale, also provides demonstrably high quality services which are affordable for lower income households.

EfD will focus its support in particular on programmes that aim either to improve the quality of care and/or to catalyse further support from other public or private funders. Penda Health is an excellent example of the former and Jacaranda Health of the latter.


Penda Health provides high-quality affordable primary health care services for lower income families in poorer parts of Nairobi, Kenya.

Jacaranda Health provides high quality, cost effective, maternal and new born child health services in Kenya