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CFWshops is a network of pharmacy franchises in Kenya, managed by the Sustainable Healthcare Foundation (SHF). The parent company of SHF is the Healthstore Foundation based in Minnesota, US. The non-profit HealthStore Foundation (HS) (formerly Sustainable Healthcare Enterprise Foundation) was founded in 1997 by Scott Hillstrom to ¿prevent needless death and illness by improving access to essential medicines in a sustainable way¿. Based on the basic concept of franchising, the outlets are for-profit, managed by nurses, who provide basic medications and basic care services, additional to basic hygiene products. While growth has been somewhat stagnant in Kenya, expansion into Rwanda has been successful. A series of interesting challenges need to be addressed: supply chain, information system, financial sustainability and growth.