100&Change: 2021

Bill & Melinda Gates Institute for Population and Reproductive Health

The Challenge Initiative for Healthy Cities

The Challenge Initiative for Healthy Cities (TCIHC) empowers cities with evidence-based reproductive health solutions for the urban poor for maximum scale, impact and sustainability.

Submitted: August 2019
DOWNLOAD: Project Factsheet
Two-page overview of proposal
Competition Participation
100&Change: 2021
Current Work Location(s):
  • State of Uttar Pradesh, India
  • Nairobi, Kenya
  • Kolda, Senegal
  • Central Region, Uganda
  • Bauchi State, Nigeria
  • National Capital Region, Philippines
  • Dar es Salaam Region, Tanzania
  • Islāmābād Capital Territory, Pakistan
  • Lagos State, Nigeria
  • Madhya Pradesh, India
Priority Population(s):
  • Adolescents
  • Low-income people
Sustainable Development Goals (SDGs):
  • 1. No poverty
  • 3. Good health and well-being
  • 5. Gender equality
  • 11. Sustainable cities and communities

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 rapidly scaled for impact and sustainability. The United Nations projects that by 2050, nearly 70% of the world’s population will live in cities, with 90% of that urbanization occurring in Africa and Asia and 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.

Organization Details
Lead Organization

Bill & Melinda Gates Institute for Population and Reproductive Health

website: https://www.gatesinstitute.org
Organization Headquarters
City of Baltimore, Maryland, United States
Organization ID
Annual Operating Budget
> $1 Billion
Number of Full-time Employees
> 1,000

Charity, fund, non-governmental organization, religious institution, school, or other entity