
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
Changing the Narrative: How Nyamira County is Tackling Its High Rate of Teenage Pregnancies
TCI Coachee with Interest in M&E Becomes Anambra State’s Ministry of Health Data Manager
In Their Own Words: The Impact of Coaching in Firozabad, a Newly Graduated City in India
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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.




