TUPANGE was a Bill and Melinda Gates Foundation (BMGF) funded and JHPIEGO, an international NGO affiliated with Johns Hopkins University lead project with a consortium of partners including National Council of Population and Development (NCPD) under the Ministry of Planning and Devolution, charge of policy and advocacy activities; Marie Stopes International (MSI), responsible strengthening the private provider network and delivery in the core cities, Pharm Access Africa Limited (PAAL), responsible for contraceptive commodity security; and John Hopkins Centre for Communication Programs, leading demand creation activities. TUPANGE, also known as Kenya Urban Reproductive Health Initiative was of a BMGF initiatives in four countries namely, India, Kenya, Nigeria and Senegal.
The goal of TUPANGE was to increase contraceptive use among the urban poor in five Kenyan cities Nairobi, Mombasa, Kisumu, Kakamega and Machakos. At the time TUPANGE was initiated, national health efforts were focused mainly on HIV and primary health care for the rural population. The family planning needs of the urban poor, by contrast were being inadequately addressed, even though rapid urbanization has been transforming Kenyan cities. Over the life of the project the sexual reproductive health services were integrated into HIV/AIDS and primary health care services. The services also prepared the cities/counties for the decentralized or devolved system.
TUPANGE sought ways to improve access to quality family planning services through multiple interventions. Pharm Access Africa Limited addressed contraceptive security by its innovative SMS web based platform that enabled real time reporting at facility reporting. At the onset of project inventory reporting reports were around 40% and stock-outs were a common occurrence. Kenya has been as the forefront of mobile telephony with innovations like MPESA. Pharm Access Africa Limited developed a Short Message Service WEB based platform that could monitor contraceptive inventories at facility, sub-district, district, province and national levels. Facilities could borrow from one another since their stock levels were shown on Google maps. Reporting rates climbed to over 90% and stock-out rates fell to below 5%. This PAAL commodity tracking system also integrated into other urban reproductive health initiatives funded by the Gates Foundation. PAAL staff participated at sub-national and national levels to address forecasting and quantification to ensure constant availability of contraceptive supplies in the country.