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Our strategy

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    Your body, your choice, your future


    MSI’s vision 

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

    We’re striving to ensure everyone is supported to make decisions about their bodies and their futures. This is only possible with the right partnerships, funding, policies and political prioritisation. So, alongside providing services, MSI focuses on improving the environment in which we operate and building support for reproductive autonomy. 

    Our strategy brings to life our bold vision, how we will get there, and what we’re committed to achieving for women and girls. It commits us to being a good partner, to confronting the challenges we face with courage and innovation, and to closing the gap – once and for all – so that everyone can access safe, quality reproductive healthcare. 

    “Reproductive choice is a key pillar in the drive for gender equality and a future where women and girls take their rightful place in all aspects of society. We invite you to join us in making this future a reality.” 

    Simon Cooke, CEO of MSI Reproductive Choices 

    We will deliver reproductive choice to millions more during this decade 

    As this decade continues to present us with many challenges and uncertainties, what we can be sure of is that the need for reproductive healthcare and rights will remain universal and urgent.  

    Today, there are over 257 million women and girls across the world who want access to contraception but don’t have it. Unsafe abortion is a public health crisis. Over 9 million women and girls will face injuries this year from a lack of access to safe abortion care. An estimated 22,000 women will die.  

    A lack of access to reproductive healthcare not only denies women autonomy over their bodies, it also restricts their opportunities to pursue education, forge careers and contribute to building a better world. In Niger, half of all girls give birth before their 18th birthday, while only 1 in 100 will finish secondary education. 

    Enough is enough. Everyone should have reproductive choices to make decisions about their bodies and futures.  

    At MSI, we are proud of the impact we’ve made so far, providing reproductive choice and healthcare to over 200 million women worldwide since we began in 1976. But our job is far from done. 

    Our commitment to choice

    With access to high-quality contraception and abortion services, no one would need to risk their health or their life to choose their own future.  

    By enabling girls to stay in school, supporting women to pursue careers, and better equipping communities to be resilient in the face of global challenges like the climate crisis, reproductive choice is foundational to building a better, more sustainable world for all.  

    As Damaless, a nurse from our Zambia programme, shared: 

    “If you empower a woman or a girl, then you’ve empowered a home, you’ve empowered a country and you’ve empowered the world.”


    Meet our providers 

    Our healthcare providers around the world are key to us being able to achieve our ambitions goals for 2030. Meet three of MSI’s bold providers who are working tirelessly to make choice a reality for women everywhere. 

    MSI employee, Rosalia

    Rosalia

    In the remote communities of Bolivia, where contraception isn’t readily available, Rosalia Ajnota travels for days at a time to bring choice to women. 

    MSI employee, Sajjan

    Sajjan

    For over ten years, Sajjan has climbed out of bed at dawn to ensure women in her community are able to exercise their right to reproductive choice. 

    MSI employee, Damaless

    Damaless

    From the crowded streets of Lusaka to the most remote villages, Damaless knows how to connect with women and girls. 

    Our approach: 6 pillars for delivering choice 

    Leave no one behind

    We will reach further than ever before, delivering services to the most rural communities in the world who have no other access to this healthcare. We will build sustainability by partnering with the public sector to strengthen health systems and support a shift to national ownership of reproductive healthcare and rights. 

    Strengthen private sector healthcare 

    We will connect private sector providers through sustainable, collaborative and integrated women’s referral networks, ensuring every client is only one contact away from a safe service. We will achieve financial sustainability in our centres, diversifying the services we provide and setting the bar for what quality client-centred care looks like. 

    Deliver client-centred sexual and reproductive healthcare 

    For five decades, MSI has been a pioneer in de-medicalising reproductive healthcare – trusting women, rather than providers, to make the choices that are right for them. We will continue to trust women, listen to our clients, expand choices, and ensure safe healthcare at scale. 

    Forge new partnerships to fund services 

    It costs around three cents per day to protect a young woman from an unintended pregnancy, giving her a chance to finish school or even saving her life. To ensure our services remain accessible to all, we will build strong partnerships based on a shared vision for expanding reproductive choice to build a better, more equal world.  

    Partner with grassroots organisations and governments to remove barriers 

    We will work closely with local, national and global groups and coalitions to be an influential advocate for change. We will collaborate to remove the unnecessary legal, medical and regulatory restrictions that prevent access to timely and life-saving reproductive healthcare. 

    Transform our organisation to be client-centred and community-driven 

    We will listen, design with, and be fully responsive to our clients and providers, transforming our use of digital technologies to deliver world-class, client-centred care. We will shift decision making away from our global support office, harnessing local and national connections to guide our organisation and deliver community-driven programmes.  

    Want to know how we got here? 

    Our MSI 2030 strategy was designed in consultation with our organisation and sector. Our priorities and direction were decided based on evidence and insights from our programmes, our frontline providers, our partners and beyond.  

    We would like to take this opportunity to warmly thank our colleagues, partners and researchers who contributed to this strategy and brought MSI 2030 into existence. 

    Want to join our vision and help us make choice a reality for everyone? 


    Learn more about MSI and the work we do 

    Our vision for the next decade is bold but simple: By 2030, no abortion will be unsafe and every individual who wants access to contraception will have it. Read more about who we are, our vision and how we plan to get there. 

    MSI staff

    Read our strategy

    MSI’s 2030 strategy commits us to confronting challenges with courage and innovation, and to closing the gap so that no one is left behind. 

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    Our impact

    Every day we support tens of thousands of women and girls with their reproductive choices. Learn about the impact of reproductive choice.

    Nigeria 2025 May Ifeoma 075

    Who we are

    MSI fights for everyone to make their own decisions about their body, life, and future. ​