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Our Impact

We're making choice possible around the world

We are MSI Reproductive Choices, a team of 9,000 working across the globe to deliver reproductive choice.

We’ve delivered choice for over 45 years.

In 37 countries around the world, we’ve supported over 162 million people to access reproductive choice, offering autonomy over their own bodies, so that they can make the choices that are right for them and their futures.  

Today, and every single day, we’re supporting the reproductive choices of another 67,000 people across six different continents, with access to contraception, abortion and life-saving post-abortion care. And we’re incredibly proud to do it. 

34 million people around the world are using contraception provided by MSI right now

We helped Maureen

Maureen accessed contraception in one of MSI Zambia’s mobile caravans that travel directly into communities to provide reproductive healthcare. She chose an IUD because she wanted to complete her education. “If it was not for the IUD, I might have dropped out of school due to unwanted pregnancy,” Maureen told us.

"Young people have big dreams ahead of them. With contraception, they can achieve their goals."
- MAUREEN, MSI CLIENT
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The difference a year can make: a 2021 snapshot

In 2021, MSI reached more people than ever before.  We delivered a record year of impact, providing more than 20% of the world’s demand for contraception. Our teams provided medical abortion in women’s homes in Nepal during another wave of COVID-19, protected access to contraception during the climate crisis in Senegal and delivered essential women’s healthcare during conflict in places like Afghanistan and Myanmar. 

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women’s lives saved

Travelling across rivers, deserts, and mountains to deliver reproductive healthcare

In a single year, our teams travelled around 13 million kilometers—the same as going to the moon and back 15 times—to reach clients in some of the world’s most remote and under-resourced areas. 

Some people can’t reach a healthcare facility. That’s why our 400 outreach teams drive, fly, sail or trek to rural and hard-to-reach villages, providing life-changing reproductive options. 

We’re delivering equitable access at scale — over 70% of our contraceptive services last year were delivered in underserved communities. In the past five years we’ve reached more than 92 million people with our services, and that number rises each day, as our teams reach more and more remote places, transforming lives. 

A key part of our global strategy is to leave no one behind, and our outreach services are making that a reality. 

Watch the video below to see how we're reaching communities in Nigeria. 

Tackling systems for sustainable change

And while providing services is central to our work, we do so much more. We’re shifting the narrative and changing systems, breaking down legal and regulatory restrictions that make it hard for people to access the services they need.  

Since 2016, MSI’s advocacy efforts have contributed to more than 65 policy changes 

This has increased reproductive access and choice for millions of women around the world. For example, we helped expand access to abortion for unmarried women and survivors of rape in India, and we successfully advocated for contraception to be included in Ghana’s National Health Insurance Scheme, so cost is no longer a barrier to choice. 

MSI also partners with governments to strengthen national health systems. Last year we worked with Ministries of Health to train providers and increase the quality of care across more than 5,000 public sector delivery sites, reaching 5 million clients. Over 600,000 of those clients were young people.  

This work increases the quality and reach of services, and helps the public sector provide sustainable access to sexual and reproductive healthcare – including for those often left behind – into the future.  

Our lasting impact on the world...

1 We provide reproductive healthcare services to individuals

That might mean educating a girl on her choices of contraception so she can live without fear of unintended pregnancy, or providing an abortion to a woman who doesn’t want a child. These services are the difference between a girl becoming a mother when it’s not right for her, or having opportunities to finish school, learn a new trade, start a business, become a leader, or choose any future she wants.

2 Our services have ripple effects that support families

Women can delay their first pregnancy until they feel ready and space their children, so they have more time and resources to care for their existing family. And by providing safe services, including contraception and abortion care, we reduce the number of women losing their lives to maternal death, meaning fewer families face the devastation of losing a loved one to a preventable death.

3 MSI’s work transforms communities

We work in partnership with local communities to build awareness of the benefits of reproductive healthcare and deliver the right services to those who need them most. And with access to reproductive choice, women have the autonomy to help lead change in their own communities, like improving education and social services.

4 We help countries improve access to reproductive healthcare

We partner with governments to remove barriers, changing more than ten policies or laws on average every year to expand access to sexual and reproductive health and rights. We also partner with national governments to put these changes into action and improve reproductive healthcare services.

5 We’re building a more equal world

Our impact is bigger than the sum of its parts. By reducing the number of pregnancy-related deaths and supporting access to girls’ education and women’s economic empowerment, we’re building a more gender equal world, fast-tracking sustainable development goals, and shifting cultural norms to allow people to determine their own futures. Investing in reproductive healthcare is proven to be a development best-buy, with priceless outcomes. Our work is transforming lives one by one and transforming society day by day.

Since 2017, MSI's services have saved the lives of more than 170,000 women and girls

Help transform future lives with us

With more than 200 million people with no access to modern contraception, and 35 million women resorting to an unsafe abortion every year, our work is far from complete. 

We need partnership and action today to deliver choice to everyone, everywhere. 

It only costs £6 per year for us to provide someone with life-changing reproductive healthcare, giving them the power to decide if or when to become pregnant. Your donation can help girls stay in school, support women to lead, and help build a better world.     

More on MSI’s impact

We’re working towards a world where everyone can access reproductive choice. Keep reading for more information on our impact and how you can help support this work.

Read our blog on delivering impact

In 2021, amid disruption from COVID-19, uncertain donor funding, and cuts to existing support, our courageous providers rose to the challenge and delivered a record year of impact.

Read our blog

Showcasing five MSI women fighting for choice

With abortion rights under threat, read about five heroic abortion providers and advocates who go above and beyond to deliver reproductive choice in their communities.

Amazing women

Support future reproductive choice

Each and every one of us can invest in a better world. Your donation will help provide a woman or young person with the reproductive choices that are right for them.

Donate today