The Janani program addresses the reproductive health needs of low-income people primarily in the Indian states of Bihar and Jharkhand. Our primary program beneficiaries are people who can pay something for reproductive healthcare but not full commercial rates and live in areas where the government system is not functioning. We try to reach the poorest of the poor through coupon/voucher schemes and free service camps. Our program provides affordable and high quality contraceptives and clinical reproductive health services through three linked distribution networks. We sell Government of India subsidized Mithun and Style condoms and Apsara oral contraceptives in addition to commercially sourced Plan X condoms through a network of 40,000 shops in urban and rural markets. We have also trained a male and female couple, branded as a Titli (Butterfly) Center, in 38,500 villages to sell products, counsel clients on reproductive health issues, do rapid diagnostic tests (e.g. pregnancy dipstick), and make referrals to our franchise Surya (Sun) Clinics for services. We have trained 505 M.B.B.S. qualified doctors to perform a range of reproductive health procedures including tubal ligations, no scalpel vasectomies, and abortions using medical vacuum aspiration technology. We are currently operating 59 franchise Surya Clinics staffed by doctors whom we have trained, to whom we provide advertising support and a clinic administrator, and for whom we generate patient referrals from our Titli Centers. The doctors pay us an annual membership fee, and we expect them to adhere to our prices, which are 40-50% of commercial sector prices, and our quality of care norms. The reasonably priced and quality products and services that we offer through our extensive networks of shops, Titli Centers, and Surya Clinics make reproductive healthcare accessible to the people of Bihar and Jharkhand who cannot afford commercial rates and who are not served by the public sector.