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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

Key Metric 1 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 2 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 3 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 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

Impact Snapshot
Key Metric 1
Total income £18,180,000 and total expenditure £18,560,000 (year ended 31 December 2024, charity no. 1084958 England/Wales and SC039654 Scotland); in 2024 spent £3.8m on...
Key Metric 2
700+ members supported through in-person visits and support calls in 2025; 697 support grants allocated in 2025 for essential items including specialist clothing, cooling...
Key Metric 3
Largest global investment in EB research to date: multi-million-pound drug repurposing trial provisionally agreed with LifeArc partner at Guy's and St Thomas' NHS Foundation...
£34,000 raised in 2025 winter appeal supporting families like Darcie's with specialist items, emotional support and research; 697 support grants delivered in 2025; first Members Connect event in Northern Ireland; EB Priorities Setting Partnership study completed providing global research roadmap
Impact Snapshot
Key Metric 1
22,507 households helped through RBL casework and specialist support services across 66 countries
Key Metric 2
22,600 grants given to those in need, totalling £11.8 million
Key Metric 3
733 beneficiaries represented at tribunals, resulting in £24.5 million in War Pensions awards
1,548 new families living with dementia supported by RBL Admiral Nurses service
Impact Snapshot
Key Metric 1
3,600 blind veterans received support across the UK; 447 new blind veterans started receiving support in 2024/25
Key Metric 2
1,598 referrals to rehabilitation services completed; 313 veterans received assistive technology training
Key Metric 3
997 volunteers donated 26,824 hours of support; befriending service awarded Quality in Befriending Excellence — one of only 11 organisations in the UK to...
1,831 National Creative Wellbeing Project packs issued to help veterans reconnect with creativity and independence
Impact Snapshot
Key Metric 1
349,000+ people completed the Know Your Risk tool to assess their risk of type 2 diabetes in 2024
Key Metric 2
£4 million invested in 17 new research projects; total active grants portfolio worth over £45 million
Key Metric 3
32% of people completing NHS England's Path to Remission programme — which Diabetes UK campaigned for — put their type 2 diabetes into remission
Type 1 Diabetes Grand Challenge invested over £23 million in 19 projects across 161 experts from 47 institutions in 8 countries since 2022