DKT operates a regional social marketing program in Anglophone West Africa (AWA) based in Ghana. In 2010, DKT established its Ghana office in the country’s capital, Accra. In 2018, DKT launched sales in Liberia and Sierra Leone to leverage common language and economies of scale.

Work in the region proved to be difficult. As a country, Ghana has made strong progress against many Millennium Development Goals, and has eradicated polio. However, progress in maternal health and family planning continues to be slow. DKT’s objective in Ghana is to raise the contraceptive prevalence rate and reduce maternal mortality. DKT learned that these same objectives applied to nearby Liberia, where two-thirds of the population is under 25, and Sierra Leone, where women have a 1 in 21 lifetime risk of dying from pregnancy-related causes (the world’s highest maternal mortality rate).