The Initiative is led by the Bill & Melinda Gates Institute for Population and Reproductive Health within the Department of at the Johns Hopkins Bloomberg School of Public Health.

The Initiative’s regional accelerator hubs are led by implementing partners with technical teams of urban reproductive health experts that may be expanded as more countries participate.

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The Bill & Melinda Gates Foundation provided the start-up funding for the Initiative, which covers the costs of running the global headquarters and accelerator hubs, plus technical support. The foundation also provided seed funding for the Challenge Fund and a commitment to work with government and individual donors, foundations, nongovernmental organizations and the private sector to increase the Fund and expand city participation.