
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
Nine Cities in East Africa Are Now Scaling Up Family Planning under the Initiative
Melinda Gates Participates in Roundtable with The Challenge Initiative’s Kenya Team
Health Care Officials Rally behind The Challenge Initiative in Kampala City
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No results found.
Our Regional Accelerator Hubs
No results found.
No results found.
Our Partners
These six organizations are responsible for coaching local governments in TCI hubs in how to implement high-impact practices and other interventions.




