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MSI Reproductive Choices works with women and girls all over the world, empowering them to choose when or whether to have children.

Globally, there are 218 million women without access to contraception, this has led to a healthcare crisis.

Every year, millions of women are faced with an unintended pregnancy.

Of this figure, 35 million resorted to unsafe abortions to end their pregnancy, leading to up to 22,800 women dying from complications and millions more left seriously ill or long-term disabled.

The numbers themselves are shocking, but they don’t tell the whole story. For behind every number is the story of an individual woman being denied the right to control her body and her future. 


We serve women and girls all over the world who are at a stage in their lives when they feel an unintended pregnancy would be too high a price to pay.

We change lives, one woman at a time

At MSI we provide women and girls with contraception, safe abortion and post-abortion care services, so they can choose when or whether to have children and have a better chance to reach their full potential. 

Our services aren't simply about preventing women from getting pregnant - we believe it’s also about empowering women through choice. Having a choice about the number of children she has, and when she has them, can truly transform a woman’s life. It means being able to continue with education, pursue a career, care for the children she already has, or simply space her pregnancies to improve her own health.

And those benefits won’t stop there - when a woman has access to this vital healthcare she and her children are usually healthier, better educated and have better economic prospects. This in turn can transform whole societies as women are freed up to participate more fully in their communities and contribute to the economy.

Reaching those most in need

We want to make sure that as many women as possible can get hold of our services, so we work particularly hard to reach those who are most marginalised and under-served.

Almost 80% of the women we reach can be defined as 'high impact', meaning they fall into at least one of the following groups, those:

  • Living in extreme poverty.
  • Aged 15-24 and facing added challenges such as teenage marriage or age discrimination.
  • Not currently using any form of contraception.
  • Living in under-served areas without access to services, such as rural villages or urban slums.

Women who belong to these groups often face multiple obstacles when it comes to accessing contraception and reproductive healthcare. So when we’re able to reach them we see the highest impact, the ripples of which extend to every corner of society.

In 2020, 15% of the clients we reached were aged under 20, but we know we must do more to reach young women and girls.

How we serve young people
If you empower a woman, life becomes well for the whole family
Dr Peter
Tanzania outreach doctor

Tailoring our services to women

To make our services truly effective we listen to women and understand the realities of their lives. In some of the countries we work, women defer to their husbands to make decisions about contraception. In others, religious or cultural restrictions may confine them to the home. In situations like these the way we reach women will differ – we don’t do one-size fits all approaches.

Our services

We’ve been providing life-changing reproductive health services for over 40 years. We work hard to make sure these services are high quality, affordable and accessible to as many people as possible.

Our services

Our approach

At MSI Reproductive Choices, we don’t do one-size-fits-all approaches. We work hard to understand our clients and their unique challenges, tailoring our services and solutions accordingly.

Our approach

Our impact

Our mission is life-changing for millions of women around the world, and in 2020 we continued to expand our reach.

0 million

unintended pregnancies averted

0 million

unsafe abortions averted


maternal deaths averted

See who else we're reaching

We serve women, young people, communities and those living in fragile states, empowering them with the freedom to choose when or if they have children.

Young people

We empower young people to choose when or whether they have children, giving them the greatest chance of fulfilling their potential.

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Our teams belong to the communities they serve, building meaningful relationships that help them break down barriers and reach as many people as possible.

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Fragile states and humanitarian situations

Sexual and reproductive healthcare is a life-saving component of any humanitarian response. We work in partnership to reach women in fragile states, conflict zones, and during natural disasters.

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Empower millions of women globally to take control of their fertility and futures.

Your donation will help us to provide contraception, safe abortion and family planning services to millions of women and communities worldwide.