From Project to Program: Tupange's Experience with Scaling Up Family Planning Interventions in Urban Kenya.
This paper describes how the Urban Reproductive Health Initiative in Kenya, the Tupange Project (2010-2015), successfully applied the ExpandNet approach to sustainably scale up family planning interventions, first in Machakos and Kakamega, and subsequently also in its three core cities, Nairobi, Kisumu and Mombasa. This new focus meant shifting from a "project" to a "program" approach, which required paying attention to government leadership and ownership, limiting external inputs, institutionalizing interventions in existing structures and emphasizing sustainability. The paper also highlights the project's efforts to prepare for the future scale up of Tupange's interventions in other counties to support continuing and improved access to family planning services in the new context of devolution (decentralization) in Kenya.
Tupange, Kenya Urban Reproductive Health Initiative, Jhpiego, Nairobi, Kenya. Electronic address: nelson.keyonzo@jhpiego.org.
Nelson
N
Keyonzo
Tupange, Kenya Urban Reproductive Health Initiative, Jhpiego, Nairobi, Kenya.
Paul
P
Nyachae
Tupange, Kenya Urban Reproductive Health Initiative, Jhpiego, Kisumu, Kenya.
Peter
P
Kagwe
Tupange, Kenya Urban Reproductive Health Initiative, Jhpiego, Nairobi, Kenya.
Margaret
M
Kilonzo
Tupange, Kenya Urban Reproductive Health Initiative, Jhpiego, Mombasa, Kenya.
Feddis
F
Mumba
Tupange, Kenya Urban Reproductive Health Initiative, Jhpiego, Nairobi, Kenya.
Kenneth
K
Owino
Technical Services, National Council for Population and Development, Nairobi, Kenya.
George
G
Kichamu
Division of Family Health, Reproductive and Maternal Health Services Unit, Nairobi, Kenya.
Bartilol
B
Kigen
ExpandNet Secretariat, Gex, France.
Peter
P
Fajans
Partners in Expanding Health Quality and Access, Davis, CA, USA.
Laura
L
Ghiron
University of Michigan School of Public Health, Inverness, CA, USA.
Ruth
R
Simmons
D000293:Adolescent; D000328:Adult; D003159:Community-Institutional Relations; D005193:Family Planning Services / Q000379:methods* / Q000458:organization & administration*; D005260:Female; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration; D006801:Humans; D007373:Interinstitutional Relations; D007400:Interprofessional Relations; D007407:Interviews as Topic; D007630:Kenya; D008297:Male; D008875:Middle Aged; D060728:Reproductive Health; D014505:Urban Population; D055815:Young Adult
ExpandNet; Family planning; Kenya; Tupange; Urban Reproductive Health Initiative; decentralization; devolution; program approach; project approach; scaling up; sustainable scale up; urban poor