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Urban Reproductive Health Initiative (URHI)

India, Kenya, Nigeria, Senegal, Multi-Regional

The Urban Reproductive Health Initiative was a Gates Foundation-funded program (2009-2015) to improve family planning access in urban slums of India, Kenya, Nigeria, and Senegal. It combined supply-side interventions (provider training, commodity management, facility improvements) with demand creation through community health workers and educational outreach. The program significantly increased modern contraceptive uptake among the urban poor, with measurable increases in new family planning acceptors across all countries.

Behavior Goal

Increase modern contraceptive use among urban poor populations through improved service quality and community outreach

Implementers & Partners

  • Johns Hopkins Center for Communication Programs
  • IntraHealth International
  • FHI 360
  • Marie Stopes International

Donors & Sponsors

  • Bill & Melinda Gates Foundation

Key Takeaways

  • 1Tailored supply-side interventions increased family planning uptake across all four countries
  • 2Community health workers essential for reaching urban slum populations
  • 3Provider training improved service quality and client satisfaction
  • 4Commodity management systems ensured method availability
  • 5Model successfully scaled through The Challenge Initiative

Sources

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