The Challenge Initiative (TCI) is a global health platform dedicated to scaling high-impact family planning and maternal, newborn, and child health (MNCH) interventions in underserved urban communities. Anchored at the William H. Gates Sr. Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health, and funded by Bayer AG and the Gates Foundation, TCI works at the intersection of evidence-based practice and local ownership.
Operating across 15 countries in Africa, Asia, and the Philippines, TCI partners with local governments, health systems, and NGOs to strengthen the capacity of cities and districts to sustain high-quality health services long after TCI's direct engagement ends. Our model is built on a simple but powerful premise: lasting change happens when communities lead it.
Through TCI University (TCI-U), our free online learning platform, we equip health workers, government staff, and implementing partners with the tools, training, and certifications they need to deliver and sustain impactful care. From results-based management to frontline service delivery, TCI-U ensures that knowledge is always accessible, standardized, and locally owned. We believe that every person regardless of where they live deserves access to quality health services. And we believe that the path to lasting health system change runs through the people and institutions closest to the communities they serve.

The Challenge Initiative

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The Challenge Initiative

Org chart

Teams

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