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The Challenge Initiative: Business Unusual Approach to Scale up Kojo Lokko Bill & Melinda Gates Institute of Population and Reproductive Health The Challenge Initiative Moving from URHI to TCI URHI TCI Proof of scale up:


  1. The Challenge Initiative: Business Unusual Approach to Scale up Kojo Lokko Bill & Melinda Gates Institute of Population and Reproductive Health The Challenge Initiative

  2. Moving from URHI to TCI URHI TCI Proof of scale up: cost-efficient Proof of concept and sustainable Minimum package with similar Full package of interventions results: 80/20 Approach Streamlined and targeted TA: TCI Intensive technical assistance (TA) University Cities “self - select” Pilot cities chosen Leverage different funding Single donor funding sources 1 The Challenge Initiative

  3. The Challenge Initiative Consortium Bill & Melinda Gates Foundation Other Donors Other Donors The Gates Institute The Challenge Initiative (TCI) Accelerator Hubs Jhpiego IntraHealth CCP PSI Partner X Kenya, Francophone India Nigeria Uganda & Country Y Africa Tanzania Implementing organizations 3 The Challenge Initiative

  4. Demand-driven Model + Eligibility checklist Project award criteria □ Soundness □ Political commitment □ Resource contribution □ Cost-efficiency □ System readiness □ Size of potential impact Stage 2 Stage 3 Stage 1 Expression Development Implementation of Interest of proposal • Challenge Fund • Consolidated toolkit • Marketing • Technical support • Advocacy • TCI University • Community of practice • Application guidance • M&E 4 The Challenge Initiative

  5. Business Unusual 5 The Challenge Initiative

  6. TCI University

  7. Primary Outcomes Increased # of cities URHI best practices codified replicating and adapting URHI and positioned for widespread interventions on a demand- replication & adaptation driven & cost-efficient basis Desired Outcomes Improvement in program and Increased voluntary use of resource sustainability in TCI modern contraceptives, esp. geographies among urban poor 6 The Challenge Initiative

  8. Proven Solutions: 72-Hour Clinic Makeovers (Nigeria) 2 The Challenge Initiative

  9. TCI Geographies As of July 1, 2017 East Africa (EA) Hub : • Kenya; Tanzania; Uganda 22 Implementing Francophone West Africa (FWA) Hub : • 22 Senegal; Niger; Cote d’Ivoire; Mali; Benin; Proposals Togo; Burkina Faso; Guinea; Mauritania Approved 25 Nigeria Hub : Developing • Kano; Ogun; Delta Proposals India Hub : 68 • UP; MP; Odisha Expressions of Interest 3 The Challenge Initiative

  10. Business Unusual is scalable Year 3 • Codify the process of bringing cities onboard • Coaching/Mentoring combined with Year 2 trainings = strengthen cities and retains 60 capacity • Leverage partners on the ground • Cities fill gaps through the TCI approach - Cities commit resources Year 1 - Retains capacity 22 - Uses high impact & proven solutions 10 The Challenge Initiative

  11. The Challenge Initiative Invest in the expansion of innovative, high-impact urban reproductive health services with trusted partners and proven results

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