The Challenge Initiative (TCI) in East Africa OUR COMPANY A - - PowerPoint PPT Presentation

the challenge initiative tci in east africa
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The Challenge Initiative (TCI) in East Africa OUR COMPANY A - - PowerPoint PPT Presentation

The Challenge Initiative (TCI) in East Africa OUR COMPANY A Government - Owned, Business Unusual Approach To Scale Up Nelson A Keyonzo East Africa Hub Project Director August 15, 2017| Washington, USA Taking proven Tupange innovations


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OUR COMPANY

August 15, 2017| Washington, USA

The Challenge Initiative (TCI) in East Africa

A Government - Owned, Business Unusual Approach To Scale Up

Nelson A Keyonzo – East Africa Hub Project Director

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  • Taking proven Tupange

innovations to more geographies in East Africa in a participatory way, emphasizing country- leadership for sustainability

  • Using a systematic and

phased approach to scale up

The Challenge Initiative

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The Challenge Initiative

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The Challenge Initiative

Stage 1: Marketing &

advocacy to introduce the TCI concept and garner interest

  • Initial Marketing Meeting to 27

Counties

  • Expression of interest and letters of

commitment

  • One on one visits and joint meetings

with county health managers

  • County health & TCI team meetings

to plan for landscaping and proposal development

  • Communicating to counties not

prioritized in year 1 and keeping them “warm” for future implementation

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The Challenge Initiative

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  • Review of Tupange interventions
  • Landscaping at the geography level to identify FP

gaps/needs within counties:

  • Landscaping analysis and validation of information
  • Gap identification
  • Setting of FP priorities
  • Pre-award assessment
  • Initiation of discussion on county engagement mechanisms

Stage 2: Landscaping and proposal

development

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TCI Landscaping: Discussing the approach with community health workers

The Challenge Initiative

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The Challenge Initiative

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  • Discuss and agree on

implementation mechanisms

  • Memorandum of understanding

(MoU)

  • Fixed amount award

mechanisms for funding flows

  • Technical assistance/coaching

plans

  • Initiate implementation plan
  • Impact of elections and

electoral change

Stage 3: Implementation

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TCI East Africa Hub team shifts from a proactive to a facilitative mentoring/coaching role Counties actively leading and owning implementation Continuously reexamining the resource team

The Challenge Initiative

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Change in mindsets required at two levels:

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The Challenge Initiative

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  • How to deal with government

bureaucracies in financial accountability and transparency that will have an impact on financial reporting

  • Multiple administrative structures

in a devolved system

  • Shifting to a more demand

driven, mentoring and facilitative approach takes time

Challenges

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The Challenge Initiative

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  • Participatory process key to securing

government ownership

  • Due to weak county capacity, high level of

mentoring/coaching in proposal-writing and implementation are needed

  • Reaching consensus on guiding principles

and implementation mechanisms at the

  • utset is essential

Key learnings about moving towards sustainable scale up

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The Challenge Initiative

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  • The concept of self-selection can be “ risky“and

requires a balanced approach

  • It is not easy to scale up rapidly in new localities

with a lean and mean team, with less resources and the business unusual approach

  • Having continuity in the team to guide scale up is

critical; however, they must shift their mindsets to the new scale up-focused approach

Key learnings (continued)

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Conclusion:

The Challenge Initiative

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Rapid scale up might not be as rapid as we would like it to be, but government

  • wnership will have been established,

which is key to sustainable scale up

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Government ownership

The Challenge Initiative 12

“This is different from the

  • past. What we do will not

belong to the donor. Now we are together, creating

  • pportunities for the

community to have access, not just now but in the future.”

~ Dr. Betty Langat, County Director of Health, Kericho County, during landscaping opening meeting