Annual Report 2025

Here’s to going the distance

MSI Nigeria nurse Ify leads an outreach team that travels into remote communities to support people with contraception.

“The hardest part is the difficult journeys. Crossing rivers, passing through harsh landscapes. Sometimes the car gets stuck in deep mud and we have to dig it out. But once you get there and see smiles on faces, you forget about it.”

Here’s to trailblazing in Pakistan for women and girls

Dr Mohsina Bilgrami shares what it was like establishing a reproductive health programme that has supported millions of Pakistani women and girls.

“It was a little daunting, but mostly exciting! I had to trust my instincts, my experiences and what I had learned in the field as a doctor. We had to find our own way to provide these services.”

Here’s to resilience and partnership during unprecedented funding cuts

2025 started with a new US administration and the dissolution of USAID, with close to $9 billion cut from global health and development. Four MSI team members share what was lost and what the future may hold:

“If someone told me what 2025 would be like, I wouldn’t have believed it. Communities cut off without warning. Many healthcare services had to end. We’re doing everything we can to try to fill the gaps.”

Here’s to educating young people & indigenous communities

Andrea was born and raised in La Paz, Bolivia. Decades of local feminist activism led her to MSI Bolivia, where she now works with indigenous communities and young people.

“I wanted to be the adult I never had when I was growing up. To help young people understand the world, their bodies and choices. To stop them from being isolated and confused like I once was.”

Here’s to 20 years of abortion access

2025 marked 20 years since Ethiopia liberalised abortion. Dr Wasihun Alemayehu has provided abortion throughout these two decades and recounts the incredible changes he’s seen.

“When someone comes to me for an abortion, it’s not always easy for them – they’re dealing with something unplanned, perhaps they’ve experienced sexual violence or struggled with their decision. Politics, systems and their community aren’t always supportive. But I can be.”

Here’s to no mountain being too high

One step at a time, Tika, an experienced nurse and MSI Lady, climbs mountains in Nepal to reach communities nestled among peaks and hilltops to provide abortion and family planning services. This is what happens when MSI’s mission meets mountains.

“If I didn’t travel here, the women would have to go three hours or more to access care, often not finding what they want when they arrive. I feel very proud and grateful to be able to provide lifesaving services free of charge.”

Here’s to supporting women through Ebola, war and more

Anna Macauley has worked for MSI Sierra Leone since 2000. The team has endured many challenges, going from strength to strength to become the nation’s leading reproductive healthcare organisation.

“MSI Sierra Leone is known around here as ‘de mammy fo welbodi’, the mother of health. Isn’t that beautiful? To me, it means people feel looked after by us. Women and girls need us in these times of hardship – we can’t sit comfortably while they suffer silently. We refuse to.”

Here’s to women creating their own healthy families and futures

Three MSI Tanzania clients share why they came to MSI for support. Nayfat shared:

“When you can plan your children, you can plan your life and your income. Getting the contraceptive implant gave me peace of mind. These services help us build better lives.”