50 Years of Impact — 2025 Impact Report

MSI United States is the US donor arm of MSI Reproductive Choices, which has provided reproductive healthcare globally since 1976. In 2025 — MSI's 50th anniversary year — 27.8 million people accessed reproductive healthcare (100,000 per working day); 18.6 million unintended pregnancies were prevented; 9.7 million unsafe abortions were prevented; 42,000 women's lives were saved; 17.6 million people with little or no prior access were supported; and 620,000 adolescents were able to remain in school. 14,700 government health workers were trained. Over 50 years, 290+ million people have used MSI's services. Total direct healthcare costs saved in 2025: $1.3bn.

Report snapshot
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📋About

Contraception provision (including to remote communities); abortion care; adolescent reproductive health; government health worker training and support; community outreach in 36 countries; advocacy for reproductive rights; humanitarian response (filling gaps left by US government aid withdrawal); clinic-based services; product distribution; GoodWorks partnerships Custom geography from upload: Global (36 countries) / USA HQ

📊Key Metrics

27.8 million people accessed reproductive healthcare in 2025; 100,000 people supported every working day; 17.6 million had little or no prior access to contraception Key Metric 1
18.6 million unintended pregnancies prevented; 9.7 million unsafe abortions prevented; 42,000 women's and girls' lives saved; $1.3bn in direct healthcare costs saved Key Metric 2
52.6 million couple years of protection provided; 28.2 million DALYs averted; 620,000 adolescents able to remain in school; 14,700 government health workers trained; 50+ countries supported over 50-year history Key Metric 3

Key Outcomes

  • In 2025, MSI teams adapted to fill gaps after US government withdrew billions from global health programmes — more women and girls supported than ever before; 50% of global unmet need for contraception concentrated in 36 countries where MSI works
  • 22 million adolescents supported over 50 years; MSI built government partnerships and trained public sector providers in 20+ countries; 50,000+ communities supported globally each year; founded in a single UK clinic in 1976; US fundraising arm supports global frontline operations
  • 50th anniversary year; over 290 million people have accessed MSI services since 1976; $14.3bn in direct healthcare costs saved over 50 years; 200 million unintended pregnancies prevented over 50 years; MSI generates around half of its income through clinics and product distribution making it financially sustainable; US tax ID EIN 54-1901882

📍Geography

International

2025 Enhanced

Annual Review April 2024 to March 2025

Social care services provided to thousands of people with learning disabilities; information and advice service caseloads growing in complexity; financial resilience rebuilt ahead of NI cost pressures
Key Metric 1
Omaze Yorkshire House Draw partnership raised £3.9m in 6 weeks with Jodie Whittaker as ambassador; awareness of people with learning disability significantly boosted through campaign
Key Metric 2
Voices Council (led by people with learning disabilities) challenged decisions on service handbacks, agency staffing and benefits access; new strategy to 2030 under development; new CEO Jon Sparkes OBE joined June 2024
Key Metric 3
Rebuilt financial resilience ahead of NI cost increases — 'more fortunate than many in the sector'; 80th anniversary approaching; new CEO appointed to lead strategy development
2024 Enhanced

Annual Report and Accounts 2024

518 new guide dog partnerships created in 2024 — 10% increase beating projections; 1,379 new puppies from breeding programme; 400th buddy dog partnership matched
Key Metric 1
17,500+ volunteers giving 12 million+ volunteer hours collectively; 2,400+ volunteers looked after dogs; 7,000+ training sessions on tech, travel and life skills delivered by Vision Rehabilitation Specialists
Key Metric 2
£47m raised through Sponsor a Puppy; £3.1m from raffles; £8.3m increased income from gifts in Wills; 3.45 million clicks to digital information and advice content; 5,900 visits to new Tech Selector assistive tech review tool
Key Metric 3
1,864 children and family members attended My Time to Play sessions; 6,852 large-print books delivered; 5,991 habilitation sessions completed to help children learn essential skills; 432,817 online learners accessing digital content
2025 Enhanced

Annual Report 2024-25

202,694 people supported across 270 locations; 74,070 in drug and alcohol; 102,531 in mental health; 1,035 in learning disability; turnover £191.9m
Key Metric 1
96% of regulated services rated Good or Outstanding by CQC; 12,456 naloxone kits dispensed (5.6% increase); 11,405 Hepatitis C tests (59% increase); 7,448 FibroScans (300% increase)
Key Metric 2
234 peer mentors; 82 volunteers; 5,194 colleagues (60% with lived experience); £7.79m invested in local VCSE organisations; £131.87m social value from local employment
Key Metric 3
87% of people supported have overall positive experience; 90% feel safe; 774/1,063 (72%) in Birmingham social prescribing service achieved goals across health, community, emotional and employment domains; new Lincolnshire Recovery Partnership reached over 160 staff in year one