Small and medium sized enterprises (SMEs) can make significant contributions to developing economies. When supported by stable macroeconomic conditions and sound policy, history has shown that they act as powerful forces for economic and social development. This book builds on previous literature concerning the health and financial practices of previously disadvantaged SMEs in South Africa. It seeks in particular to better understand the impact which external financial management provision has on financial health. The findings of the work reveal highly difficult circumstances for previously disadvantaged SME owners with limited financial education. Poor financial administration skills lead to poor financial health. Yet upon seeking help externally, these SME owners are often forced to pay more to build a basic knowledge base, despite constricted financial positions. Even with prolonged billing sessions, they are often unable to leverage the skills of external advisors. In order to break this cycle, the book concludes with specific recommendations for increasing the public provision of financial education.