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Your body, your choice, your future

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

MSI’s vision 

We’re striving to ensure everyone is supported to make decisions about their bodies and their futures. This can be achieved with the right partnerships, funding, policies and political prioritisation. So, alongside providing services, this is where MSI’s focus is.  

Our new 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 is only one contact or one hour away from accessing safe 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 determine 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


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


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


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 over 45 years, 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, including to adolescents and low-income clients, 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 London 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? 

Want to learn more about us 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

MSI 2030 Strategy

Our MSI 2030 strategy commits us to confront the challenges we face with courage and innovation, and to closing the gap so that no one is left behind. Read our full strategy.  

MSI Reproductive choices logo

New Strategy, New Name

As we launch our new vision, we are changing our name from Marie Stopes International to MSI Reproductive Choices, reflecting our fundamental commitment to choice. 

MSI employee talking to a group of women

Who we are

From contraception to safe abortions, and life-saving services following unsafe procedures, we are committed to delivering compassionate, high-quality services for all. With absolutely no stigma attached. 

MSI Partners in the field.

Our impact

Every day we support over 80,000 women and girls with their reproductive choices. Learn about the impact of reproductive choice on their lives, and see how you can have an impact, too.