Table 4. Summary of Cost-Effectiveness Findings.

Study	Country	Health Area	Franchise	Study Design	Bias	Main Findings
Bishai et al. 2008	Pakistan	Reproductive Health	Fractional	Cross-sectional client & provider survey	2	Cost per client in franchises lower than government facilities, higher than NGO and non-franchised private. Government facilities include tertiary care centers.
Huntington et al. 2012	Myanmar	Reproductive & Child Health		Prospective Cohort	2	Provider net income increased over the 2-years after joining franchise network
Shah et al. 2011	Ethiopia	Reproductive Health		Cross-sectional client and provider survey	3	In Ethiopia franchise clinics had the highest cost per client. In Pakistan there was no significant difference in cost per client between franchise clinics, government, and non-franchised private clinics. NGOs most cost-effective.