
2024 IMPACT
Note from the CEO
While we witness seismic changes in global health and development with the dismantling of USAID, it is more important than ever that we recognise and honour the commitment of healthcare workers worldwide.

In the face of attacks on reproductive health and rights, I’m incredibly proud of our frontline teams and what they achieved in 2024. Around the world, MSI’s providers and partners showed tremendous grit and determination, remaining steadfast in their commitment to deliver reproductive choice.
Whether going the extra mile to protect abortion services, working in remote communities to provide a choice of contraceptive, or advocating for reproductive freedom, our teams across 36 countries reached more people than ever in a single year, transforming access to reproductive healthcare for this generation and the next.
We won’t compromise our mission, and we’ll stop at nothing until every woman and girl has true choice. We can do this due to the unwavering support of our diverse global donors and partners, and the fact that, as a social business, we are often able to continue services where others cannot.
This year, these partnerships will be more important than ever as we aim to sustain services impacted by cuts to foreign aid, and fight for reproductive choice even when the odds are against us. Please stand with us, with MSI providers everywhere, and with the millions of women and girls who deserve a better life.
Simon Cooke
CEO, MSI Reproductive Choices

23,800,000
people accessed MSI reproductive healthcare in 2024
(that’s 94,000 people each day)

2024 IN NUMBERS
What was our estimated impact?
23.8M
people accessed MSI
reproductive healthcare
17.1M
unintended pregnancies
prevented
25M
DALYs averted
8.8M
unsafe abortions
prevented
46M
couple years of
protection (CYPs)
38,700
women’s and girls’
lives saved

Learn how we did it
Explore below, or download our 2024 Impact Brief
1. LEAVING NO ONE BEHIND
Last year, our local teams drove, sailed and trekked to rural places, reaching thousands of communities who haven’t had access to services like contraception and abortion care.
With a range of choices to avoid or space their pregnancies, we can bring healthcare, hope and opportunities.


14 million people
with little or no prior access to reproductive healthcare were supported by MSI teams in 2024

14 million people
with little or no prior access to reproductive healthcare were supported by MSI teams in 2024

10 million kilometres travelled
by MSI’s mobile outreach teams, to reach the most marginalised people and remote communities with life-changing care

10 million kilometres travelled
by MSI’s mobile outreach teams, to reach the most marginalised people and remote communities with life-changing care

4.6 million vulnerable or displaced people
supported by MSI in countries affected by climate disasters and humanitarian crises

4.6 million vulnerable or displaced people
supported by MSI in countries affected by climate disasters and humanitarian crises

2. WORKING WITH PARTNERS
In 2024, we partnered on long-term solutions, so that a client accessing a service today can expect high-quality care in the years to come.
By working with governments and private health networks, investing in digital and expanding safe health products, we’re building health systems that are more sustainable and resistant to changes in the global funding environment.


12,800 government health workers
trained by MSI to provide quality reproductive choices in their communities, across 22 countries

12,800 government health workers
trained by MSI to provide quality reproductive choices in their communities, across 22 countries

8.2 million people
accessed contraception or abortion services from government health facilities supported by MSI with training and supplies

8.2 million people
accessed contraception or abortion services from government health facilities supported by MSI with training and supplies

11 advocacy wins
achieved by MSI and our partners, across policy, law and finance, helping to secure reproductive rights

11 advocacy wins
achieved by MSI and our partners, across policy, law and finance, helping to secure reproductive rights

500+ partnerships
helped us to expand services, strengthen health systems, advocate for change, share expertise and deliver impact – from grassroots to global

500+ partnerships
helped us to expand services, strengthen health systems, advocate for change, share expertise and deliver impact – from grassroots to global
In partnership with the public sector, we are increasing access to quality reproductive care.
The number of public health facilities supported by MSI has increased by 60% in the last five years:

3. SUPPORTING YOUNG PEOPLE
In 2024, we proudly supported millions of young people’s futures and their ability to access education and opportunities.
Every young woman should have agency over her body and choices. Reproductive healthcare gives girls the ability to finish their education, embark on careers, and ultimately decide their own futures – helping to advance gender equality across the world.


2.6 million adolescents
supported with reproductive choice, so they were able to pursue their own futures

2.6 million adolescents
supported with reproductive choice, so they were able to pursue their own futures

Nearly one in five clients
served by MSI in 2024 was under 20 years old

Nearly one in five clients
served by MSI in 2024 was under 20 years old

600,000 adolescents supported to continue their education
with access to reproductive choice

600,000 adolescents supported to continue their education
with access to reproductive choice
We focus on young people, who face more barriers when accessing reproductive choice
Since launching our adolescent strategy in 2017, we have more than tripled the number of adolescents we support in a year with reproductive choice:


4. CHANGING LIVES AND FUTURE GENERATIONS
Our impact won’t stay in 2024. The benefits of sexual and reproductive health and rights will ripple out for years, changing lives and generations.
A person’s choice to access contraception or an abortion service can change the course of their life, and in some cases, it can save their life. It gives them control – whether that’s to finish school, start a business, take on a leadership role, space their children, gain financial independence, or simply have agency to do whatever they choose.


Every $1 invested in contraception generates over $120
in health and socio-economic gains

Every $1 invested in contraception generates over $120
in health and socio-economic gains

Pregnancy related deaths would be 15% higher
without MSI’s programmes, in the countries where we work

Pregnancy related deaths would be 15% higher
without MSI’s programmes, in the countries where we work

Beyond abortion and contraception
MSI supported 2.5 million people with other types of reproductive healthcare like cervical cancer screening

Beyond abortion and contraception
MSI supported 2.5 million people with other types of reproductive healthcare like cervical cancer screening

13,400 health providers were quality-assured by MSI in 2024
so they have the skills to provide excellent care for years to come

13,400 health providers were quality-assured by MSI in 2024
so they have the skills to provide excellent care for years to come

CHOOSE CHOICE WITH MSI
In 2024, our local teams in 36 countries across the globe delivered choice at scale for women and girls.
As a social business, we generated around half of our income by selling health products and services. And our committed donors fuelled our programmes to reach marginalised and remote communities with no alternative access to care.
But the reality is hundreds of millions of women are still left behind, without the life-changing reproductive rights and choices they need, and recent cuts to international aid risk dragging them back further.
We know from our work around the world that the demand for reproductive choice has never been higher. Access to contraception and abortion will always be needed, and we are determined to be there for women, no matter what.
Help us protect access to life-saving reproductive healthcare in 2025.
£5 or $6.50
That’s the amount it takes for MSI to give someone their choice of contraception for a year. At scale, the impact is transformational.
