The Challenge Initiative (TCI) Nigeria Support for States to Strengthen and Scale Family Planning Programming: Using the Consolidated Framework for Implementation Research (CFIR) to Improve TCI’s next Iteration

Session Date: April 24, 2021

Session Description: There is growing global recognition that without centering the leadership of national and local actors, development programs are unlikely to achieve sustained impact at scale. Further, implementers need data to make mid-course improvements and better balance intervention fidelity and adaptation. The Challenge Initiative (TCI) coaches sub-national actors to rapidly and sustainably scale best-practice family planning and adolescent and youth sexual and reproductive health (AYSRH) solutions for the urban poor. This demand-driven model is premised on local governments who opt in and lead in partnership with TCI, demonstrating political and financial commitment. Local governments decide on which evidence-based interventions to adopt and receive coaching to increase their capacity to implement and institutionalize these interventions. After four years, ninety-nine local governments now partner with TCI, reaching an additional 1.48 million family planning users in 11 countries across sub-Saharan Africa and Asia. To better understand the variation in local government progress and to strengthen future performance, TCI is using the Consolidated Framework for Implementation Research. This presentation briefly reviews the TCI model experience in Nigeria, outlines CFIR’s utility, and reviews how CFIR results thus far illuminate processes underlying implementation success in three states in Nigeria and suggest how to best target resources to strengthen implementation.