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We will drive, fly, sail or trek - doing whatever it takes to reach women in rural and remote communities.

Watch our outreach team in Ghana

Imagine if you didn’t want to get pregnant but you lived four hours’ drive away from the nearest clinic or doctor.

Without a local bus or train to take you there your only option is to walk. When you finally arrive hours later, the contraception you want is out of stock, isn’t available, or costs more than you can afford. What would you do?

This is one example of the challenges faced by millions of women around the world, every day.

We think this is unacceptable. And it's why our outreach teams travel long distances by any means necessary to reach people with services that many of us take for granted.

Outreach is our most effective way of reaching the millions of people who still don’t have access to contraception. We have over 400 outreach teams who will drive, fly, sail or trek to deliver services to people in rural and remote communities. And because we offer a range of short-term, long-term and permanent methods, it means the women we reach can get on with their lives without constantly worrying about their health or getting pregnant. Sometimes they don’t have to think about it for years.

60% of the clients we served in 2020 had no other way of getting their preferred method of contraception.

Who do we reach?

Our outreach services take a range of free or subsidised high-quality and modern contraception to people who wouldn't be able to access it any other way. Operating on a wide scale we visit over 20,000 locations every year, reaching:

  • Women living in remote, rural locations and urban slums where clinics and hospitals are scarce, too expensive to reach, or there’s a shortage of skilled staff and equipment.
  • People living in areas where modern contraceptive options are limited or prone to stock shortages, and where long-acting or permanent methods such as intrauterine devices (IUDs) and vasectomies aren’t readily available.
  • Women living in poverty who can’t afford contraception or check-ups. 26% of the people we reached in 2020 were living in severe multidimensional poverty
  • Young people, particularly young girls, who are put off by services that may be judgemental or non-confidential. 41% of the people we reached in 2020 were aged 15-24 – a group less likely to use contraception than older women.
  • 52% of the people we reached were adopters, meaning they were taking up a method of contraception for the first time or after a lapse in use.
Without MSI we’d still be having babies!
Outreach client

For many women a visit from an MSI outreach team is life-changing. It can mean the difference between her living happily, or having her health, family finances or education suffer. And the impact of empowering a woman to control her destiny creates ripples that touch her family, community and country.

How does outreach work?

Every one of the countries we work in is different, and within those countries there can be great disparities between towns and villages. Our country programmes plan their outreach trips long in advance, working with governments and the local community to identify what will work best for their unique local contexts and communities.

This could mean longer periods out in the field, different team sizes and make-ups, working with government facilities and local businesses to enhance existing health systems, or offering different services based on local demand.

The majority of our outreach teams travel cross-country using 4x4s to help them navigate difficult terrain. They set up in places where they can meet with lots of clients, to counsel them and give them a method of contraception if they want one. Depending on the location the teams set up clinics at under-used public health centres, or in large inflatable outreach tents at pre-selected sites. Sometimes they even visit clients in their own homes. The video below shows an average day for our Mpika outreach team in Zambia.


What can clients expect from an outreach visit?

We’re committed to making sure that anyone who wants quality and modern contraception can get it, regardless of where they live or how much money they have. We want people to be properly informed about their choices and empowered to take decisions that are right for them.

That’s why we don’t just turn up, give out condoms and leave. We give comprehensive care that continues long after we’ve left a site, and build lasting relationships with the communities we serve.

Services outreach clients can expect


Outreach clients always receive private and supportive one-to-one counselling before receiving any method of contraception.

An MSI team member starts by giving the client information about her family planning options, quashing myths and misinformation so she can make informed and voluntary decisions about the choice that is right for her.

Contraceptive methods

Our outreach teams offer a wide range of contraception, including short term, long term and permanent methods.

We don’t offer the methods we think people should have. We offer all methods of contraception registered in the client’s country, so she can choose for herself.

There may be occasions where the desired method isn’t available, such as when a woman wants a tubal ligation on a home outreach visit. If this happens we always refer the client to her nearest MSI centre, or another facility or provider where she can get the service.

Follow-up care

No outreach visit is complete without making sure our clients have follow up care arranged, so they can replenish their contraception and manage their health.

This could mean returning to a site two or three months later, or selecting an outreach site where trained government staff are available to continue providing this type of care after we've left.

Compassionate and quality care

Clients who visit us on outreach can expect to be treated with respect, compassion and receive high quality care – just as they would if they visited one of our centres or pharmacies.

We work hard to build trust and put people at ease. And even though some of the locations we visit are very basic, we do everything possible to make our clients comfortable.

An example of this is having all teams trained in Vocal Local - a highly effective pain relief technique called Vocal Local where they reduce the client's anxiety and pain through talking and singing to her.

Going further than others

Every year MSI goes further than others, and we don’t just mean the number of miles we travel. We go further in our approach to problem solving, by designing innovative solutions to huge challenges:

  • In several countries we use cellular and satellite vehicle tracking systems to monitor whether teams arrive at the right site and on time. This increases efficiency, improves security for our team members when they’re travelling through remote areas, and most importantly ensures clients can depend on us for a reliable service.
  • We try to notify as many people as possible about our visits, announcing our outreach schedules on local radio, social media, and using SMS messaging blasts.
  • We always try to engage religious, political, and community leaders to help promote our visits.
  • Some of our outreach teams have cut down on carrying cash and instead use mobile money to pay community mobilisers and suppliers. This reduces the risk of loss, fraud and robbery, making our staff safer and protecting our outreach funds.
  • We conduct client exit interviews every year to gain insights into the people we serve, and ensure our services are centred on their needs. 

In 2020, the COVID-19 pandemic pushed us to work in new and innovative ways - find out more about our impact in 2020.

By 2030, no abortion will be unsafe and everyone who wants access to contraception will have it. Will you help us to make our vision a reality?

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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.