Beginning in October 2014, several higher learning institutions (HLIs) in Tanzania banded together to improve their students’ access to sexual and reproductive health information and services. The effort started modestly—with 13 HLIs in the largely rural regions of Mwanza and Shinyanga. One year later, the initiative is poised to benefit over 18,000 students in the two regions and has contributed to a nationwide policy change to mandate sexual and reproductive health service provision in all 52 HLIs in Tanzania.