Dream Fund: ‘She Makes Her Safe Choice’

She Makes Her Safe Choice is a programme focused on improving access to safe abortion methods. In cooperation with the non-profit social marketing organisation DKT International and several in-country partners, Rutgers will drastically reduce the number of unsafe abortions. The programme starts in Kenya and Ethiopia, and at a global level. In 2020 it will be scaled-up to francophone West-Africa.

Current locations
Kenya, Ethiopia, West Africa and global
No more unsafe abortions
Target group
Women and young people
Length of programme
Consortium partner
Partner organisations
Funded byDutch Postcode Lottery

©Marieke van der Velden 

Unsafe abortions

Every year 22 million women undergo an unsafe abortion and between 22.500 and 44.000 women worldwide die from the complications. No fewer than 5 million women face serious and lifelong health problems as a consequence of unsafe abortion.

Generous support: investing in safe choices

Rutgers and DKT international want to change this by making safe abortion methods widely available. The Dutch Postcode Lottery has supported this dream generously with a donation from their Dream Fund. This provides the opportunity to make safe abortion methods worldwide more accessible in four years’ time, and offer women quality options to prevent unintended pregnancies. Unsafe abortion is a sensitive issue that few donors dare to invest in. The Postcode Lottery has shown great courage and leadership by doing so. We are very pleased that we can make a big difference with their support.


Women have the right to make their own choices about their lives and bodies, including whether or not to have a child, and the right to receive the necessary support to realise their choices safely. It is therefore crucial for all – men, women and young people – to receive information about sexuality and have access to contraception and safe abortion.


Data unsafe abortions
credits Rutgers & DKT International


Safe abortion methods - medical abortion pills and MVA kits - are not only made available  in Kenya and Ethiopia, but also in 90 countries worldwide via a global reproductive health marketing and product distribution platform called DKT WomenCare Global. This platform will also be used to educate health service providers worldwide through training in the correct use and application of safe abortion methods, and quality of care.

Multi-component Approach

In both Kenya and Ethiopia, the programme applies a multi-component approach that is built on three pillars:

  • Supply
  • Demand
  • Support

Adapting to the specific in-country context, various interventions are set up in both countries to:

  • make safe abortion methods (MVA kits and medical abortion pills) available and affordable in-country, including marketing of contraceptives and training and support to healthcare providers (SUPPLY).
  • create awareness (at community and individual level) and provide information on prevention and safe termination of unintended pregnancies, including referral (f.i. through campaigns and mHealth) to quality products and services (DEMAND).
  • advocate at various levels to create support for a more conducive environment for safe and legal abortion, f.i. approval of standards and guidelines (SUPPORT).

Expected results

The She Makes Her Safe Choice programme has set ambitious targets. By 2021, we will prevent 160.000 unintended pregnancies and 2.6 million unsafe abortions worldwide. As a result, 8.000 fewer women will die from complications resulting from an unsafe abortion. Over 2 million women will be informed through m-Health solutions and an estimated 20 million people will be reached through mass media campaigns on contraception and safe abortion.

Snowball effect

The programme’s integrated approach of information and access to contraception and safe abortion will reduce the number of unsafe abortions substantially and structurally. This will inspire other countries with similar problems to adopt such an approach and will likely create a snowball effect. A growing number of women will become aware of their options and safe abortion methods will become increasingly available. Safe abortion methods will become cheaper as a result of the larger distribution volumes and will therefore also become financially more accessible, giving more women affordable options to decide over their own bodies.



  Powered by Dream Fund funding of Dutch Postcode Lottery

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Annually Rutgers receives support from the Dutch Postcode Lottery and its participants