A Platform for Sustainable Scale: The Challenge Initiative’s Innovative Approach to Scaling Proven Interventions

Introduction: The global health community continues to face barriers in scaling up evidence-based interventions for widespread adoption. Although many effective have been developed over the years, expanding their reach benefit broader populations has happened slowly or not at all. Overview: Challenge Initiative (TCI) is a nontraditional development platform that supports local urban governments rapidly scale proven family planning (FP) and adolescent youth sexual reproductive (AYSRH) poor. TCI prioritizes sustainability ownership uses systems approach when managing scale. strengthens with seed funding, coaching, technical assistance (TA), University houses “how-to” guidance tools implementing interventions. In turn, commit political will financial human resources while using coaching integrate into routine practice achieve sustained impact Results: As of June 2021, supported 104 across 11 countries FP AYSRH interventions, also mobilizing about US$28 million from those facilitate implementation. increased capacity bolstered systems, 39 “graduating” support 2.02 additional clients 4 regional TA hubs. Conclusion: aims change how coordinate, finance, implement improve access quality information services. With built-in incentives governments, partners, donors participate, generating significant learning on can realize sustainable demonstrating organizations like accelerate scale-up these multiple geographies.