Abstract

The purpose of this Mid Term Review (MTR) was to review and evaluate the project approach, progress and results to date against the agreed results framework indicators, with a focus upon relevance, efficiency and effectiveness.

At midterm, several successes have been recorded. These include increases in knowledge and enhanced coverage by SRH services for adolescents and young people, migrants and sex workers, as well as members of host communities.

Sub-Saharan Africa has some of the worst Sexual and Productive Health (SRH) outcomes globally, including high rates of unplanned pregnancies, maternal morbidity and mortality, unmet family planning needs, high prevalence of sexually transmitted infections, Human Immunodeficiency Virus (HIV), cervical cancer and unsafe abortions. Poor SRH outcomes are heightened among migrant girls and women, many of whom are pressured into risky migration decisions for their survival, while having limited choices, and often limited information available to them regarding their

Sub-Saharan Africa has some of the worst sexual and reproductive health (SRH) outcomes globally. Sexual and Reproductive Health and Rights-HIV Knows No Borders (KNB) is a project covering six migration-affected countries in Southern Africa: Eswatini, Lesotho, Malawi, Mozambique, South Africa, and Zambia.

The project seeks to improve the sexual and reproductive (including HIV-related) health of both migrant and non-migrant adolescents and young people, sex workers and others who live in migration-affected communities.

IOM’s HIV and SRHR Knows No Borders (KNB) project is part of a regional programme of work on HIV/AIDS and SRHR in Southern Africa (2016-2020). In 2019, MDF Training and Consultancy was commissioned by the donor to conduct an evaluation of the five projects, including KNB, that together comprise the regional programme. The evaluation included contribution analysis and case studies in Mozambique, South Africa and Zambia, three of the six countries where the KNB project is operating.