1. Tupange - The Kenya Urban Reproductive Health Initiative
Program Overview

2. Outline of Presentation
Background Information
Project Basic Information
Goal and Objectives
Consortium + Partners
Project Sites
What's different about Tupange

3. Project Overview
Part of a broader Gates-funded “Urban Reproductive Health Initiative”
Four Countries: India, Kenya, Nigeria, Senegal
5 Year Program
The M&E for all URHIs will be done by Measurement, Learning and Evaluation Project

4. Project Goal
To achieve a 20 percentage point increase in contraceptive prevalence rates in each of the selected urban centers, specifically among the urban poor.

5. Project Objectives
Develop cost-effective interventions for integrating quality FP with MNH, HIV/AIDS, PP and PAC programs
Improve the quality of FP services for the urban poor with emphasis on high-volume clinical settings.
Strengthen public-private partnerships and innovative private-sector approaches to increase access to and use of FP by the urban poor in the private sector

6. Project Objectives
Develop interventions for creating demand for and sustaining use of contraceptives among marginalized urban populations
Create a supportive policy environment for ensuring access to FP supplies and services for the urban poor through increased funding and financial mechanisms

7. Strategic Approach Focus on urban poor Aggressively address unmet need
Targeted communication for BC & Education and accurate FP information
Partnerships – Public, Private, GoK, Communities
Enhanced policy environment – Gaps, pro-poor
Systems e.g. provider capacity, supplies, information.

8. Tupange Project Sites Urban Site (Municipality) Population Nairobi
3,133,518
Mombasa
938,131
Kisumu
409,928
Expansion Sites
Machakos
150,041
Kakamega
91,768
Population of the entire municipality. For Kisumu and Machakos we eliminated the ‘rural’ sublocations from our intervention area. In Kenya, over 90% of the population live in the lower third of the country and therefore this selection does represent a reasonable geographic spread of urban areas.
Source: 2009 Kenya population and Housing Census

9. Criteria for Urban Sites Selection
City Status – Nairobi, Mombasa, Kisumu
Other Criteria
Demographic characteristics
Geographic factors - location
Poverty index
Slums/Informal settlements
CPR/Unmet need
Existence of FP/RH Programs/Partners
Social cultural factors
CPR- Contraceptive Prevalence Rate
RH- Reproductive Health
FP- Family Planning

10. Tupange Consortium Partners
Jhpiego
Center for Communication Programs (CCP/JHU)
National Coordinating Agency for Population and Development (NCAPD)
Marie Stopes International /Kenya (MSI/K)
PharmAccess Africa Ltd (PAAL)

11. Other Key Partners
Local Research Partner (KNBS): will assist with baseline survey
Kenya Government: Ministries of Planning, MOPH&S, MOMS, Finance, Local Government/City /Municipal Councils/Country Governments
CBOs/FBOs/NGOs
Private Providers
USAID, World Bank, other donors
Urban Communities

12. Measurement, Learning and Evaluation Project (MLE)
Key Points
Advising on baseline
Conducting mid-term and end-line evaluations
Data analysis
Knowledge sharing across the URHIs
Building capacity of local research partner
Partners
University of North Carolina Population Center (lead)
APHRC
Population Reference Bureau
International Centre for Research on Women

13. Project Timeline Year 1: Baseline Assessment
Project Management arrangements
No implementation of activities
Years 2-3: Implementation in 3 cities
Tupange to be evaluated against interventions in these cities
End of year 3: mid-term evaluation
Years 4-5: Scale up to 2 additional cities
Tupange will be evaluated on 20% point CPR increase in these cities
Diffusion will be measured
End-line evaluation conducted toward close of 5th year

14. “So What’s Unique About This Project?”
Emphasis on proof of concept
Generation of new data for planning in urban centres
Exclusively urban, focus on urban poor
Some flexibility with private foundation funding as a basis for leveraging other resources.
FP integration into existing services
Building on existing programs/platforms and approaches

15. Headquarter Program Support
Headquarter staff and working committees;
Steering Committee, Technical Working Group, Consortium Partners Implementing Committee (CPIC)
Project Director, Technical Advisors (Logistics, Communication & Demand Creation, Policy & advocacy, RH/FP, Community Health), Program and admin teams,
Role: Project management, finance, strategic direction, technical oversight, overall M&E

16. County Staff County Program Manager Communication Officer
Advocacy Officer
Service Delivery officer
Community Liaison Officer
Private sector Coordinator
Roles
Technical support to implementing teams (MOH, MCM)
Support coordination of program activities
Financial support
Execution of MOU
Program monitoring and evaluation

17. Bill & Melinda Gates Foundation (Technical Design and Financial Support)
Government of Kenya
Ministry of Planning, National Development and Vision 2030 (NCAPD & KNBS)
Ministries of Health
Ministry of Local Government