Global Partnerships & Platforms
The Challenge Initiative
Meeting the Challenges in Urban Global Health
The Challenge Initiative
The Challenge Initiative (TCI) is a global platform that supports local governments in urban areas to scale up high-impact interventions that have been proven successful. By working through existing government and community systems and institutionalizing these practices, TCI facilitates self-reliance and sustainability, while achieving impact.
TCI’s current work focuses on family planning and adolescent and youth sexual and reproductive health (AYSRH) programming, but the TCI model could be applied to any health area related to maternal, newborn and child health. Led by the William H. Gates Sr. Institute for Population and Reproductive Health (based at Johns Hopkins Bloomberg School of Public Health), TCI has six regional partners or “hubs” in East Africa, Francophone West Africa, India, Nigeria, Pakistan and the Philippines. Those partners are, respectively, Jhpiego, IntraHealth International, Population Services International India, Johns Hopkins Center for Communication Programs, Greenstar Social Marketing and the Zuellig Family Foundation.
Transforming Family Planning for Urban Communities: The Innovative Approach of The Challenge Initiative
TCI has engaged more than 170 local governments in urban areas across 13 countries: Benin, Burkina Faso, Côte d’Ivoire, India, Niger, Kenya, Nigeria, Pakistan, Philippines, Senegal, Tanzania, Togo and Uganda. We currently have a population footprint of 222 million and have contributed to 3.2 million additional family planning clients. In addition, local governments have committed $102M to these TCI-supported family planning programs with about 50% of that spent thus far. Finally, with TCI coaching, local governments have implemented 38,000 high-impact practices (HIPs) and other interventions across 4,500 facilities.
Discover TCI University
TCI University (TCI-U) is a dynamic platform offering high-impact urban family planning and AYSRH interventions for learning, adapting, disseminating and coaching. As a key mechanism to build capacity and strengthen health systems, TCI-U supports local governments to scale up these interventions with in-person and virtual coaching, online toolkits and a vibrant community of practice. Learn more below.
TCI’s coaching approach has several unique elements: The model is locally owned and implemented. The process is systematic yet flexible. And it is grounded in a commitment to sustainable transformation.
TCI coaches support local governments as they select, adapt and implement proven interventions from TCI-U’s collection of highly synthesized how-to guidance and tools.
This package of TCI interventions aligns with global high-impact practices and is designed to support local governments in providing access to quality family planning services by those with unmet need.
Once you register with TCI University, you will become a member of TCI Global CoP. This online space connects TCI hub staff, managers, implementers and other experts working in urban reproductive health, providing opportunities for real-time social learning, help with challenges, access to expertise, networking opportunities and knowledge sharing.
Featured Institute Experts
Connected Global Program
Our Best Practices Scale Up Global Program is committed to locally led and resourced SRHR programs that feature a package of demand generation, service delivery, and advocacy interventions that are adapted to the local context. The Challenge Initiative is a “business unusual” platform that empowers local governments to rapidly and sustainably scale high-impact practices and other interventions to benefit urban poor communities.
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About the Challenge Initiative
TCI supports local governments in leading – and owning – their family planning and AYSRH programs by strengthening their capacity and self-reliance. TCI does not implement programs. Under TCI, cities self-select to be part of the team, demonstrate their commitment by bringing their own resources to the table and then lead the implementation of high-impact interventions.