Organizational support to msi reproductive choices for expanding delivery of global family planning services. . In 2021 msi United States supported msi's programs in over 37 countries and contributed significantly to the following organizational impact: 34.3 million people were using a method of contraception provided by msi; 14.1 million unintended pregnancies were prevented; 6.6 million unsafe abortions avoided; and over 39,500 maternal deaths averted. Msi's bold service providers climbed mountains, forged rivers, and traveled millions of miles on dusty roads to give rural women and girls access to dependable, modern contraceptive methods. Msi partnered with public health systems in 23 countries, providing training and support for the service 4.8 million people in 2021, and advocates for our clients for increased access and choice in reproductive healthcare.

Africa: msi's programs in Africa provided increased support for women of all ages, with a focus on adolescents and young people, and ensured sustainability of services and availability of medical and surgical abortion. Our clinical staff continued to work closely with the public sector in supporting the delivery of services through public sites, improving quality of care, and transferring control of high-performing public sector sites to governments. Programs expanding our capacity for client services included the transition of clinic-oriented centers to facilities offering high quality maternity care, including emergency obstetric, newborn care, and other women's health services. Several new sexual and reproductive health products, developed and marketed by msi, were launched in Africa, including emergency contraceptive medication. Msi continues to be an innovative and dynamic provider across Africa through our work with telemedicine, a working clinic and pharmacy model, call center support for women to access information and get guidance on where to get services, and an active voice with health ministry departments efforts to improve services provided and paid for thought government programs.

Asia: 2021 was a year of innovation for programs in the asia region. Programs were piloted expanding services for menstrual regulation and postabortion care by our outreach teams, pushing the boundaries of what is possible in hard-to-reach, underserved areas of bangladesh. In nepal, we embedded three msi ladies, our program for traveling clinical staff, in partnership with local municipalities, building a pathway to a self-sustaining program that can move beyond the donor-funded model of financing. Asia country programs also moved the needle on sustainability and made strides in improving the quality and safety of our programs. Our clinical teams in myanmar continue to play a critical role in filling the in public sector capacity by providing family planning and postabortion care services to women otherwise unable to access services. Our advocacy efforts in asia on behalf of women helped to bring about the reforms of restrictive bans to access reduce the risk of penalty in obtaining services for both our clients and clinical staff.