The non-profit company (NPC) raises the funding, implements and manages the Unjani Clinic Network. Nurses make application for a clinic and go through a rigorous selection process, which includes site selection and performing a community survey (to determine need, affordability and community engagement) and preparing a business plan for presentation to a selection panel. Once a clinic is awarded to a Nurse, she undergoes training on standard operating procedures, systems, reporting and clinic management. A 5 year enterprise development agreement (EDA) is signed between the nurse and NPC, which governs the relationship and responsibilities. The clinic infrastructure, furniture, equipment and systems are funded and the Nurse receives working capital donations for the fist 24 months to assist her in achieving operational profitability. The Nurse takes operational ownership of the Clinic from day 1, and is responsible for all operational costs and takes all revenues generated. Based on compliance to the EDA requirements and sustainability measures, the Nurse owns the Clinic at the end of the 5 years. To date 70 nurses have been empowered through the initiative, covering 8 of the 9 provinces of South Africa and they have created permanent employment for in excess of 220 people from their communities. 1 003 050 patient engagements have been recorded since inception, with an average of 35 000 patients served by the network monthly.