Pakistan has a population of 196 million, making it the sixth largest country in the world. Although the fertility rate has declined on a national level from 4.9 children per woman in 1990-91 to 3.8 in 2012-13, it has not changed much for women who are poor and in rural areas, remaining at 4.5 children. In its State of the World’s Mothers 2015 report, Save the Children ranked Pakistan 149th out of 178 countries in its Mothers’ Index which assesses the well-being of mothers.
To address these issues, DKT Pakistan was established in 2012 with the goal of serving the poor and underserved populations who have higher unmet need and lower contraceptive prevalence rates.
Integration of equity goals requires tremendous social investment for changing behavior and norms. Meeting equity goals becomes more challenging as we move into remote areas of Pakistan where people have low purchasing power and cultural norms are less conducive to family planning.
DKT Pakistan now extends its operations across the country with a special focus on rural and hard to reach areas in collaboration with provincial governments. DKT Pakistan has built partnerships with the Department of Health (DoH), Department of Population Welfare (DoPW) and has attracted funding from donors such as the British Department for International Development (DFID) and the Packard Foundation.
DKT Pakistan’s goal is to revolutionize the reproductive health sector in Pakistan to reach the 6 million Pakistani women (20% of married women) with an unmet need for contraception through the following strategies:
- Social marketing of condoms, including the Josh and Prudence brands and other contraceptives such as IUDS, oral contraceptives, injectables and emergency contraception in traditional and non-traditional sales outlets.
- Clinical networks of the Dhanak Health Care Centers network of midwife-owned and managed clinics. Dhanak clinics emphasize long-term methods (such as IUDs), adding diversity to a method mix that is heavily dependent on short-term contraceptives. Most of these clinics are renovations of existing clinics but some are newly constructed. Since 2012, DKT Pakistan has opened 1,120 Dhanak clinics.
Both the social marketing and clinical network operations are increasingly focused on rural areas, which have reduced access to reproductive health care providers and contraception and contain 65% of the country’s population.
DKT Pakistan uses two main tactics to reach new users of family planning products and services:
- In rural villages, DKT operates mobile units that put on shows in rural villages for both women and men. The shows entertain and educate people on contraceptive options, and refer them to the nearest Dhanak health center.
- In suburban areas, DKT implements “Dhanak Corners” — small, pop-up stands in front of pharmacies that offer family planning information and refer women to the nearest Dhanak health center.
- DKT also conducts community mobilization activities such as door to door visits and other innovative community based activities
DKT Pakistan tries different strategies to promote family planning and sexual and reproductive health respectfully and clearly within Pakistan’s cultural context. These TV advertisements show how DKT Pakistan creatively promotes family planning in the Pakistani context.
In 2018, DKT Pakistan generated more than 2.44 million couple years of protection in both Pakistan and Afghanistan.
Website: DKT Pakistan
For more information, please contact our country director. You can find contact information here