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Our approach

We keep our clients at the centre of everything we do.

At MSI Reproductive Choices we don’t do one-size fits all.

We keep our clients at the centre of everything we do - striving to understand their unique challenges, and tailoring our services and approach accordingly.


Outreach is our most effective way of reaching people who don’t have access to contraception. We will drive, fly, sail or trek to rural and remote communities lacking reproductive health services.

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MSI has grown from owning a single centre in central London to operating a network of around 400 centres worldwide.

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MSI Ladies

MSI Ladies are mobile midwives, working in the community or visiting clients at home. They help us reach women and young girls with discreet and flexible services.

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Provider showing contraceptive options to client

Public Sector Strengthening

At MSI, we are partnering with the public sector to build capacity and embed quality assurance mechanisms, working towards national ownership of comprehensive sexual and reproductive healthcare.

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Social marketing

We distribute our own brand of high quality and affordable condoms, contraceptive pills and other contraceptive products through pharmacies, community-based distributors and other private providers.

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Social franchising

We partner with existing private health providers who can deliver high quality contraception and safe abortion services with our support, helping us to increase access and choice for women.

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Policy and advocacy

We work with governments to strengthen health systems and influence policy, ensuring people have sustainable access to vital services - even if we aren’t the ones delivering them.

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Community Health Worker in Nigeria

Our technical expertise

Evidence and clinical quality are integral to our programmes. Our expert research and monitoring teams use data to understand client needs, evaluate our services, and spread best practice globally.

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Group education session in Nigeria

Our vision for the future is bold.

By 2030, no abortion will be unsafe and everyone who wants access to contraception will have it.