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Mid-Term Review (MTR) of the Netherlands’Regional Sexual and Reproductive Health and Rights and HIV/AIDS program in Southern Africa

Final Report

Authors
Pam Baatsen, Heloise Widdig, Eva Marie Gerth,, Joseph Zulu, Zaida Adriano Cumbe, Jamil Khan, Craig Dube
Publication year
Januari 2025

The Embassy of the Netherlands in Mozambique commissioned KIT Institute to review progress of the regional SRHR/HIV Programme in Southern Africa. The second phase of this Regional Programme (2021–2026 with a budget of 89 million Euro) focuses on improving the quality of life for young people aged 10–29, particularly those in vulnerable situations.

The Mid Term Review drew heavily on existing programme monitoring data, minimising the burden on partners while building on available evidence. This was complemented by primary qualitative data collection to develop in-depth case studies, a regional perspective, and a difference-in-difference Demographic Household Survey analysis, all guided by a robust evaluation framework to ensure triangulation and reliability of the findings. 

Ethical approval for the study was secured from the KIT Research Ethics Committee and relevant national Institutional Review Boards. The evaluation team was led by KIT and included national researchers and young researchers from each case study country, ensuring local perspectives were integrated throughout the process.

Relevance

The Mid-Term Review (MTR) confirms the programme’s strong relevance, addressing SRHR and HIV needs of young populations, particularly young women, in the region. It tackles challenges like teenage pregnancy, gender-based violence, and access to services. The regional approach facilitates collaboration, advocacy, and policy influence, with most targets achieved or on track.  Recommendations include strengthening policy reform, integrating mental health, improving monitoring, and mobilizing local resources. An action plan will integrate these into future workplans.