2018 MTR - DKT  International 2018 MTR - DKT  International Sida's regional SRHR team, based in Lusaka, Zambia, has the mandate to implement Sweden's strategy for strengthening sexual and reproductive health and rights (SRHR) in sub-Saharan Africa. The strategy is for the period 2015-2019 and comprises a total of SEK 1,900 million. In order to deliver against results, Sida 2016 decided to contribute SEK 80 million to DKT International for the program Reduction of unwanted pregnancies and increasing access to safe abortion in eastern and southern Africa (activity period 1 December 2016-30 November 2020). The agreement was subsequently amended to add an additional 24 MSEK, making the total contribution 104 MSEK over the four-year period.

As part of the Sida Agreement, a mid-term review (MTR) will be conducted by the 2018 program. The purpose of the review is to analyze DKT International's model to gain a deeper understanding of its potential market-destructive and / or market-development effects, program persistence, goal fulfillment, to better understand the model's possibilities and risks from an HRBA. The Embassy in Lusaka therefore makes a call for the Global Health and SRHR Framework Agreement in order to implement MTR according to the attached ToR. Sidas regionala SRHR-team, baserat i Lusaka, Zambia, har mandat att genomföra Sveriges strategi för att stärka sexuell och reproduktiv hälsa och rättigheter (SRHR) i Afrika söder om Sahara. Strategin är för perioden 2015-2019 och omfattar totalt 1 900 miljoner kronor. För att leverera mot resultat beslutade Sida 2016 att bidra med 80 miljoner kronor till DKT International för programmet Reducing unwanted pregnancies and increasing access to safe abortion in eastern and southern Africa (aktivitetsperiod 1 december 2016-30 november 2020). Avtalet ändrades därefter för att lägga till ytterligare 24 MSEK, vilket gör det totala bidraget 104 MSEK över fyraårsperioden.

Som en del av Sida-avtalet ska en halvtidsöversyn (MTR) genomföras av programmet 2018. Syftet med översynen är att analysera DKT Internationals modell för att få en djupare förståelse för dess potentiella marknadsstörande och/eller marknadsutveckling effekter, uthållighet av programmet, måluppfyllelse, för att bättre förstå modellens möjligheter och risker från en HRBA. Ambassaden i Lusaka gör därför ett avrop på ramavtalet för global hälsa och SRHR i syfte att genomföra MTR enligt den bifogade ToR. The contribution was a mid-term review of Sida’s contribution to DKT international’s program “Reducing unwanted pregnancies and increasing access to safe abortion in eastern and southern Africa”. The final report was delivered on time and includes the following annexes;
Midterm assessment framework
Overview documents used for documentation review
Case study tools
Extended literature review
Financial deep-dive Ethiopia
Logical Framework 
The purpose of this MTR was to provide deeper insight into 1) the potential market-distorting and/or market development effects; 2) opportunities and risks of the program in relation to access, acceptability, acceptability and quality and reach from a human-rights based and non-discriminatory perspective; and 3) the sustainability and scale-up potential of the model. The focus thereby was on learning as input for management advice.
KIT was procured using the Sida health framework agreement for the assignment.