Founded | 1989 |
---|---|
Founder | Phil Harvey |
Focus | Family planning and HIV/AIDS prevention |
Location | |
Area served | Sub-Saharan Africa, Middle East and North Africa, Asia, Latin America |
Method | Social marketing of family planning and HIV/AIDS products and services |
President & CEO | Christopher Purdy |
Revenue | US $250.9 (2020) |
Website | dktinternational.org |
DKT International (DKT) is a charitable non-profit organization that promotes family planning and HIV prevention through social marketing. The Washington, D.C.-based DKT was founded in 1989 by Phil Harvey and operates in 90 countries in Africa, Asia, and Latin America. [1] Its revenue largely comes from sales of low-cost contraceptives. In 2023, DKT sold 949.58 million condoms, 120 million units of oral contraceptives, 33 million injectable contraceptives, 28.6 million emergency contraceptives and 5.4 million intrauterine devices (IUDs), among other products, in over 60 countries. [2] This is equivalent to 64.1 million couple years of protection (CYPs), making DKT one of the largest private providers of contraceptives in the developing world. The average cost per CYP was US$1.65. [3] DKT's marketing strategies have included advertising, creating location-specific brands, working with social networks and militaries, and targeting high-risk groups. [4] [5] [6] [7] [8] DKT also works with health workers and clinics that provide family planning products, information, and services. [4] Charity Navigator has given DKT a four-star rating for its finances, with 96.5% of its budget going towards programs and 3.4% towards headquarters expenses and fund raising in 2019. [9]
Phil Harvey, the founder of DKT, became interested in family planning in 1968 while working on emergency food relief for CARE International in India. [10] In 1970, he and his fellow University of North Carolina student Tim Black founded the business Adam & Eve in order to finance their charitable activities, and also founded the non-profit health organization Population Services International that same year. [10] [11] [12] [13] DKT International, named for D.K. Tyagi, an early pioneer of family planning in India, was founded in 1989. [14] DKT has grown rapidly over the years; its revenue from selling contraceptives increased from US$4.5 million in 1996 to $167.7 million in 2020, and its couple years of protection increased from 5.7 million in 2002 to 54.2 million in 2021. [15]
In 2006, DKT International refused to take the U.S. government's anti-prostitution pledge, feeling the pledge would interfere with its HIV/AIDS services worldwide. DKT challenged the pledge as a violation of First Amendment rights, with the support of the American Civil Liberties Union (ACLU). Judge Emmet G. Sullivan ruled in favor of DKT in the District Court for the District of Columbia on 18 May 2006, but the D.C. Court of Appeals reversed the decision on 27 February 2007. [16] [17]
In 2013, a different organization successfully challenged the pledge before the U.S. Supreme Court in Agency for International Development v. Alliance for Open Society International, Inc. [18]
On 31 December 2013, Phil Harvey stepped down as president after 24 years, and was replaced by Christopher Purdy. Its board includes Carlos Garcia, Karen Pak Oppenheimer, Christopher H. Purdy, Dr. Matthew Reeves, Julie Stewart, and Emeritus board member Robert L. Ciszewski. Purdy also serves as CEO of DKT International. [19]
In 2020, 66.8% of DKT's revenue was from contraceptive sales and related services, 26.7% from grants and contracts and 6.5% from other income. 52.2% of expenses were related to program costs, 44.a% to contraceptive costs, 1.4% to headquarters, 0.3% to fundraising and 2.1% to other expenses. [20] Revenue from contraceptive sales first exceeded donor support in 2005. [15]
For its first 26 years, DKT established stand-alone programs in each country and focused on countries with large markets, such as Ethiopia, Brazil and the Philippines. Eventually, though, DKT managers saw the benefits of a regional approach that can serve the reproductive health needs of multiple countries, including smaller ones. Therefore, DKT established its first regional program in French-speaking West and Central Africa in 2015. Since then, DKT has established six other regional platforms with two or more countries. These programs require fewer financial resources per country (and streamlined back office support), and leverages the common language, culture and regulatory environment of the region. [21]
In 2017, DKT launched DKT WomanCare, a marketing and distribution platform to advance DKT's mission of providing people around the world with reproductive health options. In close partnership with manufacturers, DKT WomanCare provides global integrated supply chain and marketing support. [22] It sells a range of reproductive health products to multilateral bodies, ministries of health, commercial entities and social marketing and family planning organizations, and supports product launches and sales with marketing and training of health providers. [23]
In 2020, DKT launched WomanCare Academy, an eLearning platform to improve providers’ confidence and capacity to provide reproductive health services. The first module orients providers to Levoplant (a 3 year contraceptive implant) and provides step-by-step instruction on the insertion and removal process. [24]
In 2021, DKT WomanCare sold 253,512 manual vacuum aspiration kits, 1.5 million cannulae and 1.7 million implants in 90 countries, producing 2 million couple years of protection. In 2021, WomanCare sold products in 102 countries. [25]
carafem is a nonprofit organization established by DKT International in 2013 to address challenges in reproductive and abortion care within the United States. Drawing inspiration from successful international strategies, the organization set out to address the diminishing availability of abortion providers in the U.S.
In 2015, Carafem opened its first clinic in Chevy Chase, Maryland, with a mission to bridge crucial healthcare disparities. Subsequently, the organization expanded its footprint, establishing centers in Atlanta, [26] Chicago, and Nashville. Carafem offers telehealthcare options to patients in 14 states and the District of Columbia.
Carafem is best known for its medically supported at-home abortion options, reaching patients in areas with limited healthcare access. [27] [28] [29]
Women First Digital (WFD) is an international e-health organization working in the area of sexual and reproductive health. Their mission is to provide safe and affordable abortion pills to women who want them. [30] [31] [32]
WFD has three e-health platforms, ‘safe2choose’, ‘HowToUseAbortionPill’, and ‘find my method’. [33]
safe2choose (launched in 2015) provides counseling for abortion care in multiple languages in 81 countries. Counselors communicate with patients through live chat and email.
HowToUseAbortionPill (launched in 2016) offers instructions for medical abortion in 26 languages. These guides are available for pregnancies up to 13 weeks. HowToUseAbortionPill has 57 country profiles that provide local information related to abortion, online courses for abortion seekers and providers, and an abortion chatbot available on its website as well as Facebook Messenger and WhatsApp. [34]
find my method (launched in 2019) is a website providing information about 15+ contraceptive methods in 15 different languages. [35]
WFD also translates its URLs into local languages for different regions. For example, safe2choose is ayudaparaabortar.org, HowToUseAbortionPill is comoabortarconpastillas.org, and find my method is guiadesexoseguro.org in Spanish-speaking countries of Latin America. [36] [37] [38]
Since its creation, WFD has reached people in around 180 countries, all over Asia, Africa, and the Americas. From 2015-2022, WFD received more than 25 million website sessions; provided over 300,000 direct-to-user services for abortion care; facilitated 44,000 referrals to abortion care providers; certified 12,000 medical abortion providers; and reached over 74 million users across social media channels. [31]
As of 2022, DKT International's donors include: Bill & Melinda Gates Foundation, Children's Investment Fund Foundation, David and Lucile Packard Foundation, Embassy of the Kingdom of the Netherlands, Embassy of Sweden, Erik and Edith Bergstrom Foundation, (British) Foreign, Commonwealth & Development Office, Gates Philanthropy Partners, Government of Germany (KfW Development Bank), Government of India, Government of Sweden, National Postcode Lottery (Netherlands), Preston-Werner Ventures, Swedish International Development Agency (SIDA), United Nations Office for Project Services (UNOPS), United Nations Population Fund (UNFPA), WestWind Foundation, William and Flora Hewlett Foundation and anonymous donors. [39]
As of 2023, DKT International had 24 programs with sales in 90 countries in Africa, Asia, and Latin America. [40] [41] Some initiatives serve more than one country.
Program | Geographical area | Year created | 2023 CYPs |
---|---|---|---|
Brazil and South America | Latin America | 1990 | 2,743,217 |
Democratic Republic of Congo | Africa | 2009 | 2,119,261 |
DKT WomanCare | Global | 2017 | 1,498,468 |
Egypt, Middle East and North Africa | Africa/Asia | 2004 | 2,194,973 |
Ethiopia | Africa | 1990 | 4,275,559 |
Francophone West and Central Africa | Africa | 2015 | 1,408,607 |
Ghana and Anglophone West Africa | Africa | 2011 | 1,602,761 |
India - Based in Bihar (Janani) | Asia | 1996 | 4,303,677 |
India - Based in Mumbai | Asia | 1992 | 8,869,530 |
Indonesia | Asia | 1996 | 10,866,373 |
Kenya & East Africa | Africa | 2016 | 1,613,378 |
Mexico, Central America and the Caribbean | Latin America | 2003 | 2,371,982 |
Mozambique | Africa | 2009 | 620,699 |
Myanmar | Asia | 2014 | 1,064,657 |
Nigeria | Africa | 2012 | 5,670,383 |
Pakistan & Afghanistan | Asia | 2012 | 6,172,346 |
Philippines | Asia | 1990 | 3,578,740 |
Thailand | Asia | 2009 | 86,232 |
Turkey | Asia | 2008 | 346,217 |
Vietnam | Asia | 1993 | 2,228,388 |
Mifepristone, also known by its developmental code name RU-486, is a medication typically used in combination with misoprostol to bring about a medical abortion during pregnancy and manage early miscarriage. This combination is 97% effective during the first 63 days of pregnancy. It is also effective in the second trimester of pregnancy. It is taken by mouth.
Family planning is the consideration of the number of children a person wishes to have, including the choice to have no children, and the age at which they wish to have them. Things that may play a role on family planning decisions include marital situation, career or work considerations, financial situations. If sexually active, family planning may involve the use of contraception and other techniques to control the timing of reproduction.
The Mexico City policy, sometimes referred to by its critics as the global gag rule, is a former United States government policy that blocked U.S. federal funding for non-governmental organizations (NGOs) that provided abortion counseling or referrals, advocated to decriminalize abortion, or expanded abortion services. When in effect, the Mexico City policy is a U.S. government policy that requires foreign non-governmental organizations to certify that they will not "perform or actively promote abortion as a method of family planning" with non-U.S. funds as a condition for receiving U.S. global family planning assistance, and during its January 23, 2017 implementation any other U.S. global health assistance, including U.S. global HIV and maternal and child health (MCH) assistance.
The Planned Parenthood Federation of America, Inc. (PPFA), or simply Planned Parenthood, is an American nonprofit organization that provides reproductive and sexual healthcare and sexual education in the United States and globally. It is a member of the International Planned Parenthood Federation (IPPF).
Reproductive rights are legal rights and freedoms relating to reproduction and reproductive health that vary amongst countries around the world. The World Health Organization defines reproductive rights as follows:
Reproductive rights rest on the recognition of the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health. They also include the right of all to make decisions concerning reproduction free of discrimination, coercion and violence.
An unsafe abortion is the termination of a pregnancy by people lacking the necessary skills, or in an environment lacking minimal medical standards, or both. An unsafe abortion is a life-threatening procedure. It includes self-induced abortions, abortions in unhygienic conditions, and abortions performed by a medical practitioner who does not provide appropriate post-abortion attention. About 25 million unsafe abortions occur a year, of which most occur in the developing world.
Sexual and reproductive health (SRH) is a field of research, health care, and social activism that explores the health of an individual's reproductive system and sexual well-being during all stages of their life. Sexual and reproductive health is more commonly defined as sexual and reproductive health and rights, to encompass individual agency to make choices about their sexual and reproductive lives.
Phil Harvey was an American entrepreneur, philanthropist and libertarian who set up large-scale programs that delivered subsidized contraceptives in poor countries. Harvey was the founder and former president of DKT International, the Washington, D.C.-based charity that implements family planning and HIV/AIDS prevention programs in 57 countries across Africa, Asia and Latin America. He was the chief sponsor of the DKT Liberty Project which raised awareness about freedom of speech issues in the U.S. Harvey was also the president of Adam & Eve, the North Carolina–based company that sells sex toys, adult films and condoms. Consequently, he has been called "one of the most influential figures in the American sex industry today".
MSI Reproductive Choices, named Marie Stopes International until November 2020, is an international non-governmental organisation providing contraception and safe abortion services in 37 countries around the world. MSI Reproductive Choices as an organisation lobbies in favour of access to abortion, and provides a variety of sexual and reproductive healthcare services including advice, vasectomies, and abortions in the UK and other countries where it is legal to do so. It is based in London and is a registered charity under English law.
Abortion in the Philippines is constitutionally prohibited. The constitutional provision that "[The State] shall equally protect the life of the mother and the life of the unborn from conception" was crafted by the Constitutional Commission which drafted the charter with the intention of providing for constitutional protection of the abortion ban, although the enactment of a more definitive provision sanctioning the ban was not successful. The provision is enumerated among several state policies, which are generally regarded in law as unenforceable in the absence of implementing legislation. The 1987 Constitution also contains several other provisions enumerating various state policies. Whether these provisions may, by themselves, be the source of enforceable rights without implementing legislation has been the subject of considerable debate in the legal sphere and within the Supreme Court.
Adam & Eve is an American independent company that sells adult products through e-commerce. In 2004, it was the largest mail order distributor of sex toys, condoms, and erotica in the United States. Its parent company, PHE Inc., is the largest private employer in Hillsborough, North Carolina, where its headquarters are located. The company funds non-profit social marketing organizations that address issues such as population growth, disease control, and sex education in developing countries.
Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent unintended pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth control only became available in the 20th century. Planning, making available, and using human birth control is called family planning. Some cultures limit or discourage access to birth control because they consider it to be morally, religiously, or politically undesirable.
Even though there is considerable demand for family planning in Pakistan, the adoption of family planning has been hampered by government neglect, lack of services and misconceptions. Demographics play a large role in Pakistan's development and security since the change from military rule to civilian leadership. Challenges to Pakistani's well-being, opportunities for education and employment, and access to health care are escalated due to the country's continuously-growing population. It was estimated in 2005 that Pakistan's population totaled 151 million; a number which grows 1.9 percent annually, equaling a 2.9 million population growth per year. Though Pakistan's fertility rates still exceed those of neighboring South Asian countries with a total fertility rate at 4.1 and contraception use is lower than 35 percent, approximately one-fourth of Pakistani women wish to either delay the birth of their next child or end childbearing altogether.
Birth control in the United States is available in many forms. Some of the forms available at drugstores and some retail stores are male condoms, female condoms, sponges, spermicides, over-the-counter progestin-only contraceptive pills, and over-the-counter emergency contraception. Forms available at pharmacies with a doctor's prescription or at doctor's offices are oral contraceptive pills, patches, vaginal rings, diaphragms, shots/injections, cervical caps, implantable rods, and intrauterine devices (IUDs). Sterilization procedures, including tubal ligations and vasectomies, are also performed.
A medical abortion, also known as medication abortion or non-surgical abortion, occurs when drugs (medication) are used to bring about an abortion. Medical abortions are an alternative to surgical abortions such as vacuum aspiration or dilation and curettage. Medical abortions are more common than surgical abortions in most places around the world.
Carafem is an American nonprofit organization that provides women’s reproductive health services with centers in Maryland, Atlanta Georgia, Chicago Illinois, and Nashville TN metro areas as well as virtual care in select states. The organization seeks to normalize, "de-medicalize" and remove the social stigma from the provision of birth control and early abortions amidst an ongoing polarized and politicized debate on abortion in the United States. The organization intentionally uses certain language, such as "health center" instead of "clinic", and openly uses the word "abortion" in its advertising.
Abortion in Kenya is prohibited with the exception of certain circumstances including danger to the life and health of the expectant mother, and rape. Unsafe abortions are a major cause of deaths and health complications for women in Kenya.
In Madagascar, abortion is illegal in all circumstances. The abortion law punishes receiving or assisting in an abortion with imprisonment or fines. It is one of the only countries with a total abortion ban. Abortion has been illegal since the French colonial era, influenced by attitudes favoring increased births. In 2017, the government rejected a proposal to legalize therapeutic abortion. A bill allowing abortion in the case of rape was proposed by Member of Parliament Masy Goulamaly in November 2021 but was withdrawn by the parliament.
In Africa, abortion is subject to various national abortion laws. Most women in Africa live in countries with restrictive laws. Most countries in Africa are parties to the African Union's Maputo Protocol, the only international treaty that defines a right to abortion. Sub-Saharan Africa is the world region with the highest rates of unsafe abortions and abortion mortality. Most abortions in the region are unsafe. The region has the highest rate of unintended pregnancy, the primary motive for abortion. The most likely women to have abortions are young, unmarried, or urban. Post-abortion care is widely available.
In Guinea, abortion is illegal unless the pregnancy poses a threat to the life or health of the pregnant woman or fetus, if it resulted from rape, or if the pregnant woman is a minor. Illegal abortions are punishable by fines and prison. Legal abortions require approval from doctors in the case of therapeutic abortion or ethics committees in the case of abortion from rape. The conditions for legal abortion are debated. Women's rights activists and journalists have advocated for reform.