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DKT International (DKT) is a
charitable Charity is the voluntary provision of assistance to those in need. It serves as a humanitarian act, and is unmotivated by self-interest. Various philosophies about charity exist, with frequent associations with religion. Etymology The word ...
non-profit organization A nonprofit organization (NPO), also known as a nonbusiness entity, nonprofit institution, not-for-profit organization, or simply a nonprofit, is a non-governmental (private) legal entity organized and operated for a collective, public, or so ...
that promotes
family planning 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 marit ...
and
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
prevention through
social marketing Social marketing is a marketing approach which focuses on influencing behavior with the primary goal of achieving the "common good". It utilizes the elements of commercial marketing and applies them to social concepts. However, to see social ...
. The
Washington, D.C. Washington, D.C., formally the District of Columbia and commonly known as Washington or D.C., is the capital city and federal district of the United States. The city is on the Potomac River, across from Virginia, and shares land borders with ...
–based DKT was founded in 1989 by
Phil Harvey Phil Harvey (April 25, 1938 – December 2, 2021) was an American entrepreneur, philanthropist and Libertarianism, libertarian who set up large-scale programs that delivered subsidized contraceptives in poor countries. Harvey was the founder and ...
and operates in 90 countries in
Africa Africa is the world's second-largest and second-most populous continent after Asia. At about 30.3 million km2 (11.7 million square miles) including adjacent islands, it covers 20% of Earth's land area and 6% of its total surfac ...
,
Asia Asia ( , ) is the largest continent in the world by both land area and population. It covers an area of more than 44 million square kilometres, about 30% of Earth's total land area and 8% of Earth's total surface area. The continent, which ...
, and
Latin America Latin America is the cultural region of the Americas where Romance languages are predominantly spoken, primarily Spanish language, Spanish and Portuguese language, Portuguese. Latin America is defined according to cultural identity, not geogr ...
. Its revenue largely comes from sales of low-cost
contraceptives Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth control only be ...
. In 2023, DKT sold 949.58 million
condom A condom is a sheath-shaped Barrier contraception, barrier device used during sexual intercourse to reduce the probability of pregnancy or a Sexually transmitted disease, sexually transmitted infection (STI). There are both external condo ...
s, 120 million units of
oral contraceptives Oral contraceptives, abbreviated OCPs, also known as birth control pills, are medications taken by mouth for the purpose of birth control. The introduction of the birth control pill ("the Pill") in 1960 revolutionized the options for contraception, ...
, 33 million injectable contraceptives, 28.6 million emergency contraceptives and 5.4 million
intrauterine device An intrauterine device (IUD), also known as an intrauterine contraceptive device (IUCD or ICD) or coil, is a small, often T-shaped birth control device that is inserted into the uterus to prevent pregnancy. IUDs are a form of long-acting rever ...
s (IUDs), among other products, in over 60 countries. 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$ The United States dollar (Currency symbol, symbol: Dollar sign, $; ISO 4217, currency code: USD) is the official currency of the United States and International use of the U.S. dollar, several other countries. The Coinage Act of 1792 introdu ...
1.65. DKT's marketing strategies have included advertising, creating location-specific brands, working with social networks and militaries, and targeting high-risk groups. DKT also works with health workers and clinics that provide family planning products, information, and services.
Charity Navigator Charity Navigator is a charity assessment organization that evaluates more than 230,000 charitable organizations based in the United States, operating as a 501(c)(3) organization. It provides insights into a nonprofit's financial stability, adh ...
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.


History

Phil Harvey Phil Harvey (April 25, 1938 – December 2, 2021) was an American entrepreneur, philanthropist and Libertarianism, libertarian who set up large-scale programs that delivered subsidized contraceptives in poor countries. Harvey was the founder and ...
, the founder of DKT, became interested in family planning in 1968 while working on emergency food relief for
CARE International CARE (Cooperative for Assistance and Relief Everywhere, formerly Cooperative for American Remittances to Europe) is a major international humanitarian agency delivering emergency relief and long-term international development projects. Founded i ...
in India. In 1970, he and his fellow
University of North Carolina The University of North Carolina is the Public university, public university system for the state of North Carolina. Overseeing the state's 16 public universities and the North Carolina School of Science and Mathematics, it is commonly referre ...
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 Population Services International (PSI) is a 501(c)(3) registered nonprofit organization, nonprofit global health organization that began as an international not-for-profit provider of contraception and safe abortion services, and has evolved int ...
that same year. DKT International, named for D.K. Tyagi, an early pioneer of
family planning in India Family planning in India is based on efforts largely sponsored by the Indian government. From 1966 to 2009, contraceptive usage has more than tripled (from 13% of married women in 1970 to 48% in 2009) and the fertility rate has more than halve ...
, was founded in 1989. DKT has grown rapidly over the years; its revenue from selling contraceptives increased from
US$ The United States dollar (Currency symbol, symbol: Dollar sign, $; ISO 4217, currency code: USD) is the official currency of the United States and International use of the U.S. dollar, several other countries. The Coinage Act of 1792 introdu ...
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. In 2006, DKT International refused to take the U.S. government's
anti-prostitution pledge The anti-prostitution pledge is an organization-wide policy opposing prostitution and sex-trafficking that the federal government of the United States requires certain non-governmental organizations (NGOs) to adopt in order for them to receive fe ...
, feeling the pledge would interfere with its
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
/
AIDS The HIV, human immunodeficiency virus (HIV) is a retrovirus that attacks the immune system. Without treatment, it can lead to a spectrum of conditions including acquired immunodeficiency syndrome (AIDS). It is a Preventive healthcare, pr ...
services worldwide. DKT challenged the pledge as a violation of
First Amendment First most commonly refers to: * First, the ordinal form of the number 1 First or 1st may also refer to: Acronyms * Faint Images of the Radio Sky at Twenty-Centimeters, an astronomical survey carried out by the Very Large Array * Far Infrared a ...
rights, with the support of the
American Civil Liberties Union The American Civil Liberties Union (ACLU) is an American nonprofit civil rights organization founded in 1920. ACLU affiliates are active in all 50 states, Washington, D.C., and Puerto Rico. The budget of the ACLU in 2024 was $383 million. T ...
(ACLU). Judge Emmet G. Sullivan ruled in favor of DKT in the
District Court for the District of Columbia The United States District Court for the District of Columbia (in case citations, D.D.C.) is a federal district court in Washington, D.C. Along with the United States District Court for the District of Hawaii and the High Court of American Sa ...
on 18 May 2006, but the D.C. Court of Appeals reversed the decision on 27 February 2007. 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.''


Organization

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. 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. Revenue from contraceptive sales first exceeded donor support in 2005. 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.


Affiliates


DKT Womancare

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. 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. 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. 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.


carafem

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 Cornelius Crane "Chevy" Chase (; born October 8, 1943) is an American comedian, actor, and writer. He became the breakout cast member in the first season of ''Saturday Night Live'' (1975–1976), where his recurring ''Weekend Update'' segment b ...
, Maryland, with a mission to bridge crucial healthcare disparities. Subsequently, the organization expanded its footprint, establishing centers in
Atlanta Atlanta ( ) is the List of capitals in the United States, capital and List of municipalities in Georgia (U.S. state), most populous city in the U.S. state of Georgia (U.S. state), Georgia. It is the county seat, seat of Fulton County, Georg ...
,
Chicago Chicago is the List of municipalities in Illinois, most populous city in the U.S. state of Illinois and in the Midwestern United States. With a population of 2,746,388, as of the 2020 United States census, 2020 census, it is the List of Unite ...
, and
Nashville Nashville, often known as Music City, is the capital and List of municipalities in Tennessee, most populous city in the U.S. state of Tennessee. It is the county seat, seat of Davidson County, Tennessee, Davidson County in Middle Tennessee, locat ...
. Carafem offers telehealthcare options to patients in 14 states and the
District of Columbia Washington, D.C., formally the District of Columbia and commonly known as Washington or D.C., is the capital city and Federal district of the United States, federal district of the United States. The city is on the Potomac River, across from ...
. Carafem is best known for its medically supported at-home abortion options, reaching patients in areas with limited healthcare access.


Women First Digital

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. WFD has three e-health platforms, ‘safe2choose’, ‘HowToUseAbortionPill’, and ‘find my method’. 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 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 (also called procedural or instrumentation) a ...
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. find my method (launched in 2019) is a website providing information about 15+ contraceptive methods in 15 different languages. 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. 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.  


Donors

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.


Programs

As of 2023, DKT International had 24 programs with sales in 90 countries in
Africa Africa is the world's second-largest and second-most populous continent after Asia. At about 30.3 million km2 (11.7 million square miles) including adjacent islands, it covers 20% of Earth's land area and 6% of its total surfac ...
,
Asia Asia ( , ) is the largest continent in the world by both land area and population. It covers an area of more than 44 million square kilometres, about 30% of Earth's total land area and 8% of Earth's total surface area. The continent, which ...
, and
Latin America Latin America is the cultural region of the Americas where Romance languages are predominantly spoken, primarily Spanish language, Spanish and Portuguese language, Portuguese. Latin America is defined according to cultural identity, not geogr ...
. Some initiatives serve more than one country.


References


External links


Official website

DKT International
on
Charity Navigator Charity Navigator is a charity assessment organization that evaluates more than 230,000 charitable organizations based in the United States, operating as a 501(c)(3) organization. It provides insights into a nonprofit's financial stability, adh ...

DKT WomanCare
{{Authority control International charities Health charities in the United States Birth control providers HIV/AIDS prevention organizations Organizations established in 1989 Non-profit organizations based in Washington, D.C. Medical and health organizations based in Washington, D.C. HIV/AIDS organizations in the United States