Kenya
Piloting and pioneering for healthier, safer futures
Tiko established our flagship programme in Kenya in 2016, pioneering our community-based, tech-enabled approach to connect adolescent girls to free sexual and reproductive health services.
The challenge
The triple threat – an urgent crisis
Nearly a quarter of Kenya’s population is aged between 10-19 years old. Young people, especially girls, face significant health challenges: unintended pregnancy, HIV and sexual violence. This Triple Threat creates interconnected vulnerabilities for Kenyan girls, undermining their health and wellbeing, education and economic prospects.
1
in
6
teenage girls become mothers.
1
in
5
girls aged 15-24 experience sexual violence.
4
x
girls aged 15-24 are up to four times more likely to acquire HIV than boys their age
Many girls face a dangerous mix of challenges – money problems, pressure to have sex, and being kept out of school. Poverty makes things worse, pushing some into sex to survive or into marriage at a very young age.
Our solution
Scaling evidence-based healthcare across Kenya and beyond
Since 2016, Tiko has piloted, pioneered and scaled our girl-centred ecosystem approach in Kenya to address fragmented health service provision and ineffiencies resulting from traditional aid delivery. Using evidence from programme pilots and innovations, in Kenya we first established our now proven model, demonstrating how tech-enabled integrated health care for girls reduces unintended pregnancy and HIV rates. In recent years, we have begun scaling this model across 6 further countries in sub-Saharan Africa.
Growth of no-cost healthcare for girls
We continue to expand the scope of our work integrating support for sexual violence survivors into our holistic ‘Triple Threat’ approach. Through our platform, girls can now access an ecosystem of family planning services, HIV testing, pre-exposure prophylaxis (PrEP), antiretroviral therapy (ART), sexual and gender-based violence support, and mental health services, along with vital hygiene products, all at no cost.
From scale to sustainability
In the next four years, we aim to deepen and scale our impact in areas where we work to reach 80% of girls aged 15-24 living in poverty. We will also continue piloting innovations to support girls to access education and learn new livelihood skills. We will use learning from successful initiatives in Kenya in other countries where we work.
Explore our ecosystem approach
Tiko connects girls to a no-cost, integrated ecosystem of healthcare and support, designed around their lives. The ecosystem consists of peer mobilisers, community-based organizations, health providers and retailers who are all connected to the Tiko platform to give girls access to family planning, HIV prevention and treatment, sexual violence screening and support, and health products.
Where we work
Deepening our impact
We work in 16 counties across Kenya where there is a high prevalence of the triple threat, and a high demand for girl-centred health services.
Impact
Our impact in numbers in 2025
719,349
adolescent lives impacted
444,425
estimated unintended pregnancies averted
1,688,847
health and wellbeing care services delivered
310,680
HIV services delivered
In Kenya, we aim to serve
1,200,000
girls by 2030
Innovation
World’s first Development Impact Bond for adolescent sexual and reproductive health
Tiko implemented the world’s first Adolescent Sexual and Reproductive Health Development Impact Bond project as an innovative pay-for-performance model in Kenya. We have so far implemented two phases of the project. The first was a partnership involving Kenya’s Ministry of Health, the Children’s Investment Fund Foundation (CIFF) and the UK’s Foreign, Commonwealth and Development Office (FCDO) in 2020-21. The second (2023-25) was a partnership involving Kenya’s Ministry of Health, CIFF, the United Nations (UNFPA, UNAIDS, WHO) and Bridges Outcomes Partnerships.
How it works
Verified data, tangible life changes
Upfront investment
Risk-taking investors provide the initial capital for Tiko and our local partners to establish an ecosystem of integrated health care to increase adolescent girls’ access to HIV and sexual and reproductive health services in targeted areas.
Service delivery
Tiko and our local public, private and community-based partners implement the tech-enabled programme
Independent verification
Third-parties, partners, users, and built-in authentication safeguards ensure we verify that the girls actually received care and that health behaviours improved.
Donor payment
Once success is proven through verified data and transformational results, outcome funders (donors) release their funds.
Girls’ stories
Be inspired by stories of change
How integrated care changed *Linda’s life
When *Linda became pregnant at 17, fear was her constant companion. Living in a dense urban settlement in Kenya, she…
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Cynthia’s journey back to school
For many girls in urban Kenya, sexual and gender-based violence impacts different aspects of their lives. Silenced and isolated they…
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Shantel refused to let her future slip away
At only 18 years old, Shantel has lived through challenges that would break the spirit of many. The firstborn in…
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Amina’s story of breaking cycles and building futures
In Mathare, one of Nairobi’s largest informal settlements, 16-year-old Amina’s childhood was shaped by daily struggles. The sights and sounds…
Read MoreRead our evidence briefings
Boosting equitable contraceptive uptake among Adolescent Girls and Young Women (AGYW) in Addis Ababa: Insights from an evaluation of Tiko’s SRH programme
Since January 2022, Tiko, supported by the Embassy of the Kingdom of the Netherlands (EKN), has worked to increase access to high-quality, youth-friendly family planning services by adolescent girls and young women (AGYW) aged 15–24 across 11 sub-cities of Addis Ababa
Enhancing Access to Integrated Health Services by Adolescents and Young People through the Tiko Platform
Adolescents and young people (AYP) aged 15-24 in Uganda face significant barriers to accessing sexual and reproductive health (SRH), HIV, and mental health (MH) services due to social stigma, limited service integration, and economic challenges
Impact of the Tiko Platform on Tiko-Integrated and Non-Integrated Facilities: The case of Kampala, Uganda
The Tiko Platform is revolutionizing sexual and reproductive health (SRH) service delivery by integrating digital tools that enhance accessibility, streamline data management, and improve service delivery.
Read our insights
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A promising blueprint for maternal and child health
Breaking the cycle – how group antenatal care is transforming adolescent girls’ and child health in Kenya
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Ten things we can learn about the role of AI in revolutionising community-centred public health reforms
Key takeaways from our all-women panel discussion ‘From Promise to Dignity: Powering Human-Centred Care with AI’ hosted by Tiko at the 2025 Global Digital Health Forum
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Standing with girls against sexual and gender-based violence
Violence forces girls out of school, fuels unintended pregnancies and increases vulnerability to HIV. Why addressing SGBV is a key pillar of tackling the triple threat.
Contact our Kenya team
