Inspiring futures where girls are unstoppable forces of change
Delivering positive impact for girls in Africa facing the “triple threat” of unintended pregnancy, HIV and sexual and gender-based violence
About Tiko
Tiko inspires futures where girls take charge of their sexual and reproductive choices, with the freedom to shape their lives.
Tiko’s mission
Founded in 2014, Tiko is an African non-profit organisation that enhances the potential and fosters the resilience of girls in Africa by addressing the critical “Triple Threat”: unintended pregnancy, HIV, and sexual and gender-based violence (SGBV).
Our ecosystem approach
Tiko unites an ecosystem of existing, established partners to provide an environment enabling girls to choose when, where and how they meet their health and wellbeing needs.
Step 1
Lucy lives in multidimensional poverty.
She faces health challenges, from unintended and teenage pregnancy, HIV infection, sexual and gender-based violence and period poverty, alongside psychological and mental poor health.
Ecosystem actor
Step 2
Miriam, a mobiliser working for one of Tiko’s community-based partner organisations, approaches Lucy.
Miriam, who also lives in Lucy’s community and faces the same challenges, engages with Lucy to talk about her sexual and reproductive health (SRH) and the services that are available to her. She explains that Tiko would allow her to access youth-friendly, quality-assured SRH services at no cost to her.
Ecosystem actor
Step 3
Lucy decides to seek a health service.
Miriam helps to onboard Lucy onto the Tiko platform, her digitally-enabled ecosystem of quality public and private healthcare providers and pharmacies within her community, offering integrated SRH services.
Lucy doesn’t need a phone. Miriam can onboard her through various high tech (WhatsApp-based), low-tech (SMS-based) and no-tech (QR-coded card) options.
Ecosystem actor
Step 4
A public or private clinic or pharmacy within Lucy’s community has joined the Tiko ecosystem. They partner with Tiko to benefit from demand generation and the ability to reach adolescent girls and young women.
The provider offers accessible and holistic services across contraception, HIV treatment and prevention, menstrual hygiene management, sexual and gender-based violence and mental health.
Ecosystem actor
Step 5
Lucy visits a clinic in her community, one of a set of options she was referred to by Miriam.
Lucy receives a health service, and rates the quality of the care. For this rating, she receives rewards, called ‘Tiko miles’: Tiko recognises Lucy for her positive health seeking behaviour. She can spend these miles at local retailers to buy essential items, like sanitary pads.
The clinic is funded through Tiko to provide the service to Lucy, and is trained, rewarded and nudged to provide a quality service, and receive a good rating from Lucy.
Ecosystem actor
Step 6
A retailer in Lucy’s community, such as a shop or kiosk, has joined the Tiko ecosystem. They partner with Tiko to benefit from the service uptake, as they can accept Tiko miles as currency and cash them in for real payments.
Lucy’s local economy has the opportunity to help motivate the positive health behaviours of adolescent girls and young women.
Ecosystem actor
Step 7
Lucy has the agency to choose when, where and how she meets her SRH needs as part of an empowered network of young people in her community.
Mobilisers nudge her to continue accessing services, and she shares her experiences with peers, who in turn seek more information on how Tiko can serve them.
Tiko supports Lucy over the years throughout new health challenges that come her way.
Ecosystem actor
Tech-enabled sexual and
reproductive health
Through real-time data and robust verification processes, Tiko empowers local partners to make a difference and global donors to realise lasting impact.
Real-time data
Our partners and donors have access to our live dashboards for a real-time view of our collective impact, enabling true transparency and accountability.
Verified results
Our impact results are verified through third-parties, partners, users, and built-in authentication safeguards, enabled by emerging technologies.
Local implementation
Partnering with existing, reputable, local SRH providers that deliver value at cost per impact, rather than competing with them.
Case Study
The world’s first Development Impact Bond for adolescent Sexual and Reproductive Health
At Tiko we capture, validate and report on the impact we have in real-time. Our culture is driven by a focus on high performance to deliver as many positive outcomes for the girls we support as possible. This is well aligned to innovative form of financing which links our payments directly to the validated outcomes we deliver.
With our partners we are actively exploring outcome-based financing as a funding mechanism of our work, building on our experience of delivering the world’s first ever Development Impact Bond (DIB) for ASRH in Kenya.
The ASRH DIB is a partnership between Tiko, the UN in Kenya, Government of Kenya, the Children’s Investment Fund Foundation and the Bridges Outcomes Partnership. Tiko is scheduled to exceed our agreed performance metrics, against which our payment is linked, ahead of programme completion.
We are exploring similar outcomes-based financing models in our other countries, including South Africa and Zambia.
The latest from Tiko
- Integration is the Only Way Forward for Girls’ Health and Wellbeing
The scale and urgency of the challenge to support millions of girls to rise up in the face of the Triple Threat, take control of their… Read more: Integration is the Only Way Forward for Girls’ Health and Wellbeing - First Zambian Young Woman to Receive the Lenacapavir PrEP Injection
Growing up in Jack Township, an overcrowded community struggling with poor sanitation, high teen pregnancies, and frequent cases of sexual violence, 23-year-old Loveness has lived through… Read more: First Zambian Young Woman to Receive the Lenacapavir PrEP Injection - UNFPA Zambia Strengthens Partnership with Tiko to Scale High-Impact Adolescent Sexual and Reproductive Health and Rights Information and Services
Increased Investment Follows Tiko’s Record Performance, Establishing Pathway to Innovative Outcomes-Based Financing. LUSAKA, ZAMBIA, 11 December 2025 — UNFPA, United Nations Population Fund is increasing its… Read more: UNFPA Zambia Strengthens Partnership with Tiko to Scale High-Impact Adolescent Sexual and Reproductive Health and Rights Information and Services