Annual Review 2024

Impact   |   1 July 2025 

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Every working day in 2024, we supported 94,000 women and girls with their reproductive choices.

MSI teams delivered contraception and abortion care in some of the poorest, most remote and fragile humanitarian settings across the globe – helping women gain agency and choose their futures. And we continued to partner with more than 20 governments, strengthening national health systems to ensure this healthcare is more readily available in the future.

Our partners and supporters have played a crucial part in driving forward our mission to provide real choices for women and girls. We’re proud to share our collective impact in our Annual Review, where you’ll find seven stories showcasing the courage, strategy, skills and grit of our teams, partners and clients.

For the longer report including commentary on MSI’s commitments, strategic goals and financial statements, see our Annual Report & Financial Statements 2024.


GLOBAL VOICES

In the ‘Global Voices’ series, we share seven stories from MSI healthcare providers, leaders, clients and partners. Their reflections and experiences from 2024 inform, inspire, and bring our work to life.

Beth Schlachter reacts to the second Trump presidency

Beth Schlachter is MSI’s Senior Director of US External Relations. She explains her reaction to a second Trump presidency and why his foreign aid agenda presents the biggest challenge she’s seen yet.

“With the US administration set on dismantling aid, everything just got harder. We can’t sugarcoat what’s happening, but we’re not powerless – we just have to keep showing up. Moments like this bring us together and push us to be bolder.”


A Pacific Islander’s mission to bring contraception to women who’ve never had it

Norefa is a nurse in an outreach team based in the Morobe province of Papua New Guinea, travelling to remote areas to provide life-changing contraception. He describes what a month in his life looks like.

“Oftentimes there’s no road access to reach the people who need us. Sometimes we’ll leave the 4×4 at the road end, disembarking our equipment to trek into villages across mountainous terrain or wading through knee-deep water.


Carole & Lalaina, two visionary women leading MSI Africa

We sat down with our MSI Africa Director and Deputy Director to learn more about their backgrounds, inspirations, and shared vision for the future of reproductive choice across the African continent.

“Many people live beyond the health system, but there is a way we can reach them. We need to be strategic and just keep pushing forward – put on our gloves so to speak, and work hard.”


Two abortion providers in conversation

Kendall and Alfonso share something important in common: they are both MSI abortion providers. They came together to discuss the joys and challenges of providing abortion and why they do it.

“People ask why I do this work and it’s simple: abortion is needed. Often clients come back to thank me, saying I saved their life. But we don’t do it to feel better about ourselves. We do it because it’s needed, it’s healthcare.”


A public sector midwife trained by MSI is changing lives

Jennifer is a senior staff midwife in the Ghana Health Service. Trained by MSI on providing quality abortion care and contraceptive choice through the public health system, she proudly supports women and girls in her community.

“It’s a noble profession. But when it has to do with abortion, there’s this stigma attached. Some see abortion as a sin because of their religion or beliefs. People in our community were reluctant to come to our facility for safe services.”


Reflections on climate & choice

A funding partner, an MSI Zambia team member, and a community member in Malawi each share perspectives on how the climate crisis intersects with reproductive health.

“What scares me is that at COP29 climate talks, I barely heard a word about women’s and girls’ health. The impact of climate change is rippling across Africa and the world, manifesting in ways that deny women and girls the futures they deserve.”


Digital healthcare in a modern world

Whitney Chinogwenya, an MSI Marketing Manager based in South Africa, sees the issues and successes of digital healthcare and privacy play out online every day – she shares her take.

“AI, chatbots, digital footprints: it’s enough to make you feel like we’re living in the future. I can confirm it’s not the future – the expansion of digital healthcare is happening right now and quickly.


Editorial - Nepal

The impact of choice

Reproductive choice has a ripple effect and builds a fairer world for everyone. Learn more about its impact.

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Calculate your impact

Calculate the impact we could make together with MSI’s Impact Investment Calculator.

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Read more stories

Take a look at our ‘Latest’ section for more inspiring stories of our work.


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