In South Africa, high rates of unintended pregnancy, maternal mortality, and HIV infection make it critical for women to have access to prevention tools that meet their needs. One important tool is the female condom, which the government of South Africa has promoted through its public-sector distribution program since 1998. In 2012, the South African government launched a new National Strategic Plan on HIV, sexually transmitted infections (STIs), and tuberculosis (TB) for 2012-2016 that included ambitious female condom procurement targets. Over 18 months from 2012 to 2013, advocates from PATH and the reproductive rights advocacy group Women in Sexual and Reproductive Rights and Health (WISH) Associates implemented a series of activities to maintain a steady drumbeat of attention on female condoms, to increase accountability among South African officials for procurement and programming. As a result, the South African government released its largest-ever tender for female condoms, requesting a supply of 54 million units over three years.