Benin

TCI is a global program led by the William H. Gates Sr. Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health. Since 2016, TCI has been implemented in Francophone West Africa by Global Communities partner IntraHealth, which serves as the regional hub. Funded by the Bill & Melinda Gates Foundation and Bayer AG, TCI works to expand access to high-quality family planning services across the region.

To achieve TCI’s vision of healthier cities at scale, the Francophone West Africa hub partners with local governments in 29 cities to rapidly expand a core package of proven, high-impact interventions. The hub also works to strengthen political and technical leadership, as well as the management and coordination of local health systems. Cities self-select into the program through a competitive process and are required to contribute their own resources to implement activities. With TCI’s support, cities in Benin, Burkina Faso, Côte d’Ivoire, Niger, Senegal, and Togo have mobilized the political will, investments, and resources needed to expand access to family planning. As a result, the number of additional contraceptive users rose from 66,225 in the first phase (2016–2020) to 273,114 during the NextGen phase (as of June 2025). Over the same period, local government contributions increased from 42% ($423,924) to 54% ($952,222).