Executive Summary
Women and girls living in urban slums in Africa and Asia lack access to contraception, leading to unintended pregnancies that perpetuate urban poverty, impede gender equity, increase maternal and child mortality, and contribute to climate change through unsustainable growth. TCIHC’s solution lets cities self-select to participate and leverage their own resources. In return, TCIHC provides additional funding, real-time monitoring and coaching on evidence-based solutions that can be scaled up rapidly for impact and sustainability.
The United Nations projects that by 2050, nearly 70 percent of the world’s population will live in cities; 90 percent of that urbanization will occur in Africa and Asia and be concentrated in urban slums. Those living in slums are often overlooked—unintentionally undercounted and unrecognized by development efforts. With an additional $100 million, TCIHC will expand its reach to 100 cities in Nigeria, India, Pakistan, Senegal, the Philippines, and Tanzania and provide four million additional women with contraceptives.
Lead Organization
Bill and Melinda Gates Institute for Population and Reproductive Health
website: https://www.gatesinstitute.orgCharity, fund, non-governmental organization, religious institution, school, or other entity
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Accomplishments
TCIHC’s groundbreaking approach delivers sustainable, cost-efficient impact at scale, letting local governments lead the implementation of high-impact family planning and adolescent and youth sexual and reproductive health interventions. With support from the Bill & Melinda Gates Foundation and Bayer AG, TCIHC has now expanded its global footprint to 13 countries with a population footprint of 222 million since its launch in 2016. TCIHC’s support of 176 local governments focuses on sustainable change for the urban poor to access quality family planning and sexual health services. Since 2017, TCIHC has contributed to more than 3 million additional users of modern contraceptive methods. TCIHC’s work has far-reaching implications and potential for addressing not only reproductive health but other global challenges, such as gender inequality and maternal and child mortality.
