From Project to Program: Tupange's Experience with Scaling Up Family Planning Interventions in Urban Kenya

Reprod Health Matters. 2015 May;23(45):103-13. doi: 10.1016/j.rhm.2015.06.010. Epub 2015 Jul 26.


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.

Keywords: ExpandNet; Family planning; Kenya; Tupange; Urban Reproductive Health Initiative; decentralization; devolution; program approach; project approach; scaling up; sustainable scale up; urban poor.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Community-Institutional Relations
  • Family Planning Services / methods*
  • Family Planning Services / organization & administration*
  • Female
  • Health Promotion / methods
  • Health Promotion / organization & administration
  • Humans
  • Interinstitutional Relations*
  • Interprofessional Relations*
  • Interviews as Topic
  • Kenya
  • Male
  • Middle Aged
  • Reproductive Health
  • Urban Population
  • Young Adult