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- W1643326354 abstract "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.RésuméCet article décrit comment le projet Tupange (2010-2015), une initiative de santé génésique en milieu urbain au Kenya, a appliqué avec succès la méthode ExpandNet pour étendre durablement les interventions de planification familiale, tout d’abord à Machakos et Kakamega, puis dans les trois villes principales, Nairobi, Kisumu et Mombasa. Cette nouvelle orientation a exigé de passer d’une approche de « projet » à une approche de « programme », ce qui nécessitait d’accorder une attention au leadership et l’appropriation du Gouvernement, de limiter les contributions externes, d’institutionnaliser les interventions dans les structures existantes et de mettre l’accent sur la viabilité. L’article décrit également les activités pour préparer l’expansion future des interventions du projet Tupange dans d’autres pays en vue de soutenir et d’élargir durablement l’accès aux services de planification familiale dans le nouveau contexte de la décentralisation.ResumenEste artículo describe cómo la Iniciativa de Salud Reproductiva Urbana en Kenia, el Proyecto Tupange (2010-2015), aplicó exitosamente la estrategia ExpandNet para ampliar de manera sostenible las intervenciones de planificación familiar, primero en Machakos y Kakamega, y posteriormente en las tres principales ciudades: Nairobi, Kisumu y Mombasa. Este nuevo enfoque se centró en el “programa” en vez del “proyecto”, lo cual requirió prestar atención al liderazgo y apropiación del gobierno, limitando aportes externos, institucionalizando intervenciones en estructuras existentes y haciendo hincapié en la sostenibilidad. Además, el artículo destaca los esfuerzos del proyecto por prepararse para la futura ampliación de las intervenciones de Tupange en otros países, con el fin de apoyar el acceso continuo y mejorado a los servicios de planificación familiar en el nuevo contexto de devolución (descentralización) en Kenia." @default.
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- W1643326354 date "2015-01-01" @default.
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- W1643326354 title "From Project to Program: Tupange’s Experience with Scaling Up Family Planning Interventions in Urban Kenya" @default.
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- W1643326354 doi "https://doi.org/10.1016/j.rhm.2015.06.010" @default.
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