
Active in 15 countries worldwide
Scaling What Works at the Subnational Level
From Lagos to Lucknow, TCI's proven platform helps local governments deliver high-impact women's health programs – sustainably and at scale.

Led by the William H. Gates Sr. Institute for Population and Reproductive Health at Johns Hopkins Bloomberg School of Public Health, The Challenge Initiative is an award-winning platform that empowers local governments to rapidly and sustainably scale high-impact health interventions to benefit urban poor communities.
Our Impact
Local governments engaged
Graduated local governments
Population footprint
Additional family planning clients
TCI University
Register
Discover TCI University's high-impact practices and other interventions
Learn
From toolkits showing how to implement high-impact quality family planning interventions.
Connect
With like-minded practitioners in our community of practice.
Earn
Certificates for each intervention you learn. View your progress.
Coach
Master TCI-U's Lead, Assist, Observe coaching model.
News
The Challenge Initiative Launches Lagos RISE to Expand Family Planning Access Across 20 LGAs in Lagos State, Nigeria
From Advocacy to Action: How Local Leadership Mobilized $10,000 for Family Planning in Dakar, Senegal
Strengthening Family Planning Services in Surabaya, Indonesia: From Community Demand to Stronger Systems
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Our Regional Accelerator Hubs
Our Partners
These six organizations are responsible for coaching local governments in TCI hubs in how to implement high-impact practices and other interventions.




