Uttar Pradesh is one of India’s most populated states. Among other issues one of the major concerns in Uttar Pradesh today is the need for quality health service and delivery to the marginalized sections. The National Rural Health Mission (NRHM) has also has understood the importance of this requirement and has emphasized the need for implementation of policies to ensure the initiation and sustenance of the very basic process of quality health service and delivery. It has underlined the need for government and NGO partnerships to achieve this mammoth and essential task. Public-private partnership ensures balance between equity and efficiency-this ensures improved services, health system accountability and the timely achievement of the Millennium Development Goals. Supported by USAID, SIFPSA has been successfully implementing the Public-Private Partnership in the Second Phase of the IFPS project. The aims and objectives are to improve reproductive and child health services as well as improve access to and quality of health care services. The focus is to develop various Public-Private partnership models to achieve the goals of the government. The social franchising model will look at establishing a large number of hospitals with high standards which will be provided to the poor.