Active in 15 countries worldwide
Health Equity Starts at the Local Level
From Lagos to Lucknow, TCI's proven platform helps local governments deliver high-impact 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

How One District Health Leader in Madhya Pradesh Turned Commitment and Coordination Into a 37% Rise in Postpartum FP

Overcoming Systemic Challenges in Anyama, Côte d'Ivoire, Leads to a Locally Driven Transformation in FP Service Delivery

The Challenge Initiative Expands Global Footprint with Launch of New Hubs in Bangladesh and Indonesia

Keamari Advances Male Engagement in Family Planning Through Counseling, Reducing Stigma, and Increasing Contraceptive Uptake
Our Regional Accelerator Hubs
East Africa
Nigeria
Francophone West Africa
Pakistan
India
Philippines
Indonesia (coming soon)
Bangladesh (coming soon)
Our Partners
These six organizations are responsible for coaching local governments in TCI hubs in how to implement high-impact practices and other interventions.





