MSI US
Make Reproductive Choice Possible
Programs and results
What we aim to solve
For many women and girls, not being able to choose if and when they have children can be a matter of life or death. Right now, in 2022, there are 218 million women around the world who want to use contraception but don’t have access. 111 million pregnancies in low and middle-income countries (LMICs) are unintended every year. 35 million women who don’t have access to safe abortion resort to unsafe and life-threatening methods in a desperate attempt to end a pregnancy. 9 million women don't receive necessary care after an unsafe abortion 22,800 women die every year from causes related to unsafe abortions . Many leave behind families who will face additional economic burden. For others, an unintended pregnancy means the end of education and financial opportunity. The impact of the lack of contraceptive and safe abortion services is far-reaching – not just for the women concerned, but the communities in which they live and society as a whole.
Our programs
What are the organization's current programs, how do they measure success, and who do the programs serve?
Organizational Support to MSI for Expanding Delivery of Global Family Planning Services
MSI sees over 35,000 clients daily across all programs in the 37 countries where we operate. Our program is recognized for its financial health, accountability and transparency and includes:
310 reproductive health centers recognized worldwide by their blue doors.
An extensive outreach program coordinated with governments and local communities that includes over 1,050 midwives who bring services to people living in the most remote areas of the globe.
Partnerships with more than 2,300 existing private health providers to deliver high quality contraception and safe abortion services on our behalf.
Distribution of our own brand of high quality and affordable condoms, contraceptive pills and other contraceptive products through pharmacies, community-based distributors and other private providers.
Cooperation with governments to strengthen health systems and influence policy, ensuring people have sustainable access to vital services.
Expert research and monitoring teams to gather data, evaluate services and spread best practice globally.
Expanding Delivery of Family Planning Services in Africa
In 2020 , MSI continued to strengthen its impact in Africa, particularly in the Sahel, a region with unmet need for contraception. MSI deployed 35 outreach teams, operated 9 centers and 63 social franchisees and employed over 4,600 staff members in the region. MSI continued to build its newest service delivery channel in Africa. MS Ladies, which empowers midwives and nurses as entrepreneurs to deliver high-quality family planning services in their communities. Access to services continued to expand though the training of public and private providers.
Expanding Delivery of Family Planning Services in Asia
In 2020, MSI continued to expand access to reproductive health information and services in Asia, and worked with governments to develop community-based health financing solutions. MSI programs include training and empowering maternal and reproductive health providers, and delivering onsite family planning programs and contraceptive services in factories where women work. MSI works with religious leaders and country staff to expand access to services in challenging environments.
Where we work
External reviews
Photos
Videos
Our results
How does this organization measure their results? It's a hard question but an important one.
Number of Couple Years Protection (CYP) delivered.
This metric is no longer tracked.Totals By Year
Population(s) Served
Women and girls, Men and boys, Adolescents
Related Program
Organizational Support to MSI for Expanding Delivery of Global Family Planning Services
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Context Notes
A Couple Year of Protection is the contraception needed for a couple to prevent pregnancy for one year. We experienced a decline in 2020 due to Covid-related program closures in India and Bangladesh.
Number of pregancy-related deaths averted.
This metric is no longer tracked.Totals By Year
Population(s) Served
Women and girls, Adolescents, Adults
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Context Notes
Pregnancy-related death: deaths of women while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, not from accidental or incidental causes.
Amount saved in direct healthcare costs.
This metric is no longer tracked.Totals By Year
Population(s) Served
Adults, Women and girls
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Number of unsafe abortions averted.
This metric is no longer tracked.Totals By Year
Population(s) Served
Women and girls, Adolescents, Adults
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Context Notes
An unsafe abortion is defined as the procedure to terminate an unintended pregnancy either by individuals lacking the necessary skills or in an environment that does not meet basic medical standards.
Number of clients using an MSI method of contraception.
This metric is no longer tracked.Totals By Year
Population(s) Served
Women and girls, Men and boys, Adolescents
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Context Notes
The number of clients using an MSI contraceptive in a specific year. A user may have been provided with a long-acting method in a previous year and continue to use it in subsequent years.
Number of unintended pregnancies prevented.
This metric is no longer tracked.Totals By Year
Population(s) Served
Women and girls, Adolescents, Adults
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Our Sustainable Development Goals
Learn more about Sustainable Development Goals.
Goals & Strategy
Reports and documents
Download strategic planLearn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
Our approach to delivering global impact is built on the strategies and goals contained in our 10-year strategic plan. By 2030, our aim is for every woman and girl to be only one contact away from a safe provider. Whether a woman or girl is living far from a health facility, or in the heart of a city, our aim is to connect her to a safe provider of services and guide her to find the right solution to meet her needs. Where possible, MSI will provide these services via our network of centers, outreach teams and community-based services. Where not, we will help her find a safe alternative. Meeting these needs requires funding; from national governments, donors and private investors, but also, in some cases, the client herself. Whatever her ability to pay, we believe there must be a solution available, and to fulfill our vision, we will need the resources and partnerships to make this happen
We aim to:
-Serve at least 120 million women and girls with voluntary high-quality SRH services, guaranteeing that 80% will be those with the greatest need.
-Ensure 1 in 4 women have their demand met for contraception by MSI or an MSI-supported service in the countries where we work.
Support the elimination of unsafe abortion by ensuring 1 in 3 women who have an abortion will access it from a safe MSI or MSI-supported product or service, whilst enabling others to provide safer services.
- Continue to extend our services to high impact clients, including adolescents aged 15-19 years and the poor;
-100% of MSI country programmes will achieve “gold standard” in MSI’s three quality indices: Clinical Quality Score (CQS), MSI Abortion Quality Index (MSAQI), and Client-Centred Care (CCC) by 2025.
-100% of the countries where we work will have improved access to SRHR by MSI actively influencing laws, policies and the enabling environment.
-Build greater sustainability by generating at least 35% of all MSI programme revenue from product sales or service income
What are the organization's key strategies for making this happen?
MSI's ten-year strategic plan is designed around three ‘Access’ pillars (the ‘what’) for sustainable service provision, and three ‘Enabling’ pillars (‘the how’) that ensure we have the funding, partnerships and organizational transformation necessary to deliver not only our goals, but to eliminate systemic gaps.
Access Pillar 1: Leave no one behind. By 2030, we will have supported a game-changing shift in national ownership of SRHR whilst filling gaps in provision, to reach those who have no alternative access to care. We will place a strong focus on reaching adolescents, those living in extreme poverty and marginalised communities who have no effective access to public SRH services. These activities will be primarily donor-funded and will deliver excellent value for money, serving clients who would otherwise be left behind.
Access Pillar 2: Strengthen Private Sector Provision. By 2030, we will have significantly contributed to strengthening the private sector, ensuring choice of medical and surgical abortion is widely available. Our fee-paying center and maternity network will be fully sustainable, operating as the quality “backbone” for diversified SRHR service delivery. Private sector providers will be connected through sustainable, collaborative and integrated women’s referral networks, ensuring that every woman and girl is only “one contact away” from quality, safe providers who meet her needs across her lifetime.
Access Pillar 3: Client-powered SRHR. By 2030, women and girls will never feel alone in making their reproductive choices. We will provide contraceptives and medical abortion/post-abortion care products via social marketing, making essential products available where women need them. This expansion in sustainable safe access will be accompanied by MSI follow-up/referral support through our contact center and other digital technologies ensuring all social marketing provision is “gold-standard” for quality.
What are the organization's capabilities for doing this?
By the end of 2020, a year in which our ability to provide service was challenged by the pandemic, mandated closures and travel restrictions, our teams had served 12.8 million people – 35,000 every day - with high-quality sexual and reproductive health services. 32.6 million women and girls worldwide currently use a method of contraception provided by MSI. Every day, our 10,000 team members around the world focus on one aim: delivering contraception and reproductive health services to women who need them. Their passion, drive and commitment is paying off. Our services have given millions of women in the 37 countries where we work the ability to live healthier lives and pursue their ambitions by having children by choice, not chance.
MSI started providing services in 1976, from static centers within towns and cities. Since then, we have expanded our service delivery model so that we now offer our services in many different places and ways:
- Servicing key catchment areas and setting the high standards in clinical quality that we are well known for, our centers still form the backbone of our operations in many countries.
- Our social franchise networks of private providers extend our reach further, mainly within urban and surrounding areas.
- Outreach teams scale-up our services across wide geographical regions and in the poorest communities.
- Our community-based channels - MS Ladies, community health workers and social marketing - bring our services and products even closer to our clients, increasing our coverage and our impact further.
Each of our channels serves different geographical catchment areas or demographic groups, so that we can make the best use of our resources and funding, and reach out to as many women as possible.
What have they accomplished so far and what's next?
In 2020 alone, our services prevented more than 13.4 million unintended pregnancies, averted 5.6 million unsafe abortions, prevented more than 35,000 maternal deaths, and saved families and health systems over 569 million dollars. At the end of 2020, more than 32 million people were using a modern method of contraception provided by MSI.
However, we still have millions more to reach worldwide. Our mission of "children by choice, not chance" has never been more critical. The human cost of not accelerating universal access to contraception and safe abortion is staggering. Every year in the developing world, an estimated 74 million unintended pregnancies occur due to lack of contraceptive access or method failure.
While the combined efforts of our sector have dramatically changed the landscape of contraception and safe abortion across the countries where we work, the need for our services is growing every day. Today, an estimated 225 million women in developing countries want to use contraception but cannot do so. This demand will continue to increase as unprecedented numbers of young women come of age and more women become aware that they have the ability to control their fertility. This means that we must reach more additional users every year to keep pace, while remaining committed to our existing clients.
How we listen
Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.
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How is your organization using feedback from the people you serve?
To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals
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Which of the following feedback practices does your organization routinely carry out?
We collect feedback from the people we serve at least annually, We take steps to get feedback from marginalized or under-represented people, We aim to collect feedback from as many people we serve as possible, We take steps to ensure people feel comfortable being honest with us, We look for patterns in feedback based on demographics (e.g., race, age, gender, etc.), We look for patterns in feedback based on people’s interactions with us (e.g., site, frequency of service, etc.), We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive
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What challenges does the organization face when collecting feedback?
It is difficult to find the ongoing funding to support feedback collection
Financials
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Operations
The people, governance practices, and partners that make the organization tick.
Connect with nonprofit leaders
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- Analyze a variety of pre-calculated financial metrics
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Connect with nonprofit leaders
SubscribeBuild relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
MSI US
Board of directorsas of 06/14/2023
Ms. Jess Search
Doc Society
Term: 2018 - 2022
SImon Cooke
MSI Reproductive Choices
Susan Rich
Fidelity Investments
Alexis Meredith
Owen Rogers
IDEO
Jim Klein
MSI United States
Glenda Burkhart
MSI
Mohsina Bilgrami
MSI
Vanessa Evans
Red Butterfly Foundation
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
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Board orientation and education
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes -
CEO oversight
Has the board conducted a formal, written assessment of the chief executive within the past year ? No -
Ethics and transparency
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes -
Board composition
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes -
Board performance
Has the board conducted a formal, written self-assessment of its performance within the past three years? No
Organizational demographics
Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.
Leadership
The organization's leader identifies as: