The Challenge Initiative (TCI) Next Gen award builds on the TCI project (2016 - 2021) as part of a consortium led by the Bill & Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health. 

IntraHealth leads the francophone West Africa hub of TCI and is implementing the TCI model in urban areas in three priority countries: Burkina Faso, Côte d’Ivoire, and Senegal to improve access to quality family planning services for 5.5 million women of reproductive age and reach 350,000 additional family planning users.

To achieve TCI’s vision of transformed healthier cities at scale, the hub works with local governments in 29 areas to rapidly scale up a core package of seven proven high impact interventions. The hub also focuses on strengthening political and technical leadership and management and coordination of the local health systems in targeted cities. This will be paired with community accountability mechanisms to increase sustainability and ownership of the program.

The Challenge Initiative is a continuation of the work that began under the Urban Reproductive Health Initiative funded by the Bill & Melinda Gates Foundation.