Kenya Health Outcomes Partnership - Driving Measurable Impact in Adolescent Sexual & Reproductive Health Through Outcomes-Based Funding

Bridges Outcomes Partnerships Headquarters: United Kingdom
Project Country: Kenya
Keyword: outcomes-based funding, sexual & reproductive health (SRH), HIV, adolescent girls, Kenya, low- and middle-income countries (LMICs), digital health platform, social impact

Summary

Bridges Outcomes Partnerships (BOP), a not-for-profit social enterprise, was built around a simple idea: to bring partners together to design, fund, and deliver meaningful support for people. Since its creation, BOP has built on over a decade of outcomes partnership practice and has now supported 1.4 million people via 90 partnerships and contracts, achieving over £250 million worth of outcomes across multiple sectors. In recent years, it has expanded its model to low- and middle-income countries (LMICs).

One of these LMIC programs is BOP's Kenya Health Outcomes Partnership (KHOP), a health program which focuses on improving sexual and reproductive health (SRH) and HIV-related outcomes for adolescent girls aged 15-19.

Key Figures

Partner's Information

Bridges Outcomes Partnerships (BOP) is a not-for-profit social enterprise dedicated to radically improving outcomes for people, planet, and value for society, by creating a world where funders partner based on impact. BOP has been a world-leader in the design and delivery of outcomes partnerships since 2012. Its team has worked with funders (including multilateral and bilateral donors, national and local governments, philanthropy, corporates and others), social investors, community groups, and delivery partners, to design, structure, deliver, and manage 90 of these programs and contracts. To date these have achieved over £250m worth of outcomes for 1.4 million people. In the UK alone, the public value created by these outcomes partnerships has been estimated at £1.5bn+.

Background & Challenge

For adolescent girls in Kenya, unintended pregnancies and new HIV infections pose overlapping health risks that can permanently derail health, education, and economic prospects.

While SRH services are, in principle, available through the public system, real-world access is often restricted by affordability, distance to health facilities, stigma, and confidentiality concerns, which discourage adolescent girls from seeking care. These barriers keep many girls from getting contraception, testing, and treatment when they need it most. KHOP was designed to address these core constraints.

Approach

KHOP's approach to delivery starts with a practical premise: make services easy to find, free to use, and safe to access--then continuously adapt based on what the data shows throughout the program.

BOP partnered with Tiko, a Kenyan NGO and local delivery organization, which uses its mobile-based digital platform to connect adolescent girls to nearby participating local clinics offering free SRH- and HIV-related services.

The UN Joint SDG Fund (in partnership with the UNFPA Kenya), the Government of Kenya, and the Children's Investment Fund Foundation (CIFF) partnered together to support this program; meanwhile BOP provided program management and technical expertise and coordinated the up-front social investment necessary for program delivery.

KHOP uses an outcomes-based contract structure. Measurable outcomes are defined and agreed upon in advance with the outcome funding partners (the UN Joint SDG Fund and CIFF). As the program runs, delivery and outcomes are tracked through Tiko's digital platform and reported against the agreed target outcomes. Outcome funding partners only pay once these outcomes have been achieved; creating clear accountability to those the program is supporting, and ensuring funders pay for measured impact rather than activities.

Impact & Results

As of the end of 2025, KHOP has reached over 800,000 girls and delivered more than 1.5 million services. The model demonstrates how targeted and flexible funding, technology, and a focus on outcomes can be translated into visible, verifiable impact at scale.

• 827,822 program starts
• 1,382,520 sexual health services delivered
• 447,296 HIV services delivered
• $9.8 million outcomes achieved (verified and paid)

Source: Bridges Outcomes Partnerships (https://bridgesoutcomespartnerships.org/work/young-people/health-wellbeing/kenya-health-outcomes-partnership/ Accessed 05/01/2026)

Future Outlook

BOP is working with Tiko to expand this approach across Kenya and into other countries, including South Africa. The model is designed to be replicable, and provides a sustainable, outcomes-focused solution in a context where global funding for sexual and reproductive health is under significant pressure. Funders value measurable results, and delivery partners can leverage technology to deliver, track and improve localized impact.

As KHOP and similar initiatives evolve, this outcome-first mindset--anchored in clear metrics and technology providing verifiable outputs, and in strong collaboration--offers a practical path to align diverse funders around a single program or challenge, to reduce fragmentation, to improve value for money, and to keep the focus on what works for tangible health improvement in the communities that need it.