From Project to Program: Tupange's Experience with Scaling Up Family Planning Interventions in Urban Kenya. Issue 45 (May 2015)

• Record Type: Journal Article
• Authors: Keyonzo, Nelson; Nyachae, Paul; Kagwe, Peter; Kilonzo, Margaret; Mumba, Feddis; Owino, Kenneth; Kichamu, George; Kigen, Bartilol; Fajans, Peter; Ghiron, Laura; Simmons, Ruth
• Is Part Of: Reproductive health matters. Volume 23:Issue 45(2015)
• Page Start: 103
• Page End: 113
• Publication Date: 2015-05
• Subjects: Family planning -- scaling up -- sustainable scale up -- Kenya -- Tupange -- urban poor -- devolution -- decentralization -- project approach -- program approach -- Urban Reproductive Health Initiative -- ExpandNet; Gynecology -- Social aspects -- Periodicals; Obstetrics -- Social aspects -- Periodicals; Women's health services -- Periodicals; Women -- Health and hygiene -- Periodicals; Human reproduction -- Social aspects -- Periodicals; Reproduction -- Periodicals; Reproductive Medicine -- Periodicals; Women's Health -- Periodicals; Women's Rights -- Periodicals; Reproduction humaine; Gynécologie; Obstétrique; Santé de la femme; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); Electronic journals; 613.9
• DOI: 10.1016/j.rhm.2015.06.010
• Languages: English
• ISSNs: 0968-8080

Abstract

Abstract: 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.