prevención de la violencia
PSI believes all people can and should have control of their sexuality, sexual health and fertility. That this is best achieved when people have greater voice, choice and agency over the processes and services that most affect them. Our mission is clear: every woman and girl—and every man and boy—should have access to the products, information and services they need to plan for the families and lives that they desire. Access to quality-assured contraception and safe abortion where it is legal is a part of that package.
But for too long, consumers in lower- and middle-income countries have faced disproportionate social and structural barriers in making their own reproductive health choices. There are still more than 214 million women and girls who want, but don’t have access to modern contraception, and each year women face 98 million unintended pregnancies. At the current rate, an estimated 470 million women will continue to lack access to sexual and reproductive healthcare in 2030.
Change is in order.
We envision a world in which consumers can move seamlessly through a marketplace with the widest range of options and opportunities available to them in an environment that supports them on the health journeys that shape their lives.
That’s why across the 50+ countries in which we work, PSI’s global goals drive toward ensuring universal access to sexual and reproductive health services. Our approach is grounded in ensuring that the rights of the consumer are protected and promoted so that everyone has access to quality care and comprehensive information without discrimination of any kind. We know that access to contraception isn’t just about preventing an unplanned pregnancy—it’s about paving pathways out of poverty for a better future for all. Across our sexual and reproductive health programming, we’re committed to getting bold—to reimagine what it takes to put the consumer at the center and, whenever possible, bring healthcare to the front door.
We work to ensure consumers have reliable access to the full range of reproductive health products and services, from condoms and emergency contraceptives to long-acting reversible contraceptive methods and medical abortion products. We are at the forefront of market shaping and service delivery efforts for the injectable contraceptive DMPA-SC, LNG-IUS (intra-uterine system) and on-demand emergency contraception to expand consumers options for voluntary contraception where, when and how she wants it.
Making choices is a complex process, especially when there are a large number of options. PSI wants to help clients see how different methods will impact their lives, not just how they are administered. Counseling for Choice (C4C) is a PSI initiative that contributes to a positive narrative around the choices clients have. Providers engage each client in a conversation about the things that matter most to her: pregnancy prevention, future pregnancy, privacy, prevention of HIV, changes to periods, and other topics. After matching her with a method that suits her lifestyle and preferred product attributes, providers work with the client on a plan for method use and what to do if she experiences the most common side effects of the method chosen. We believe engaging the client as a partner in the decision process has the potential to revolutionize the way we think about contraceptive counseling and improve the quality of care she receives.
We work with networks of public and private providers at different levels of the health system, including over 12,000 locally managed social franchise clinics in 26 countries, mobile outreach teams, community-based health workers and distribution agents. PSI provides training and ongoing support to providers across a range of reproductive health and related services including contraception, abortion and post-abortion care, gender-based violence screening and referral, cervical cancer screening and HIV and sexually transmitted infection testing and treatment. Our approach is centered around empathetic, client-centered care, quality assurance and ongoing quality improvement in both counseling and service provision.
PSI works to de-medicalize abortion so that products and information are placed directly in our consumers’ hands; develop sustainable medical abortion and misoprostol markets that maximize access and ensure affordability; and destigmatize abortion providers and society so that supply and demand are unencumbered.
We are committed to delivering a youth-powered platform, with and for young people, to better understand their lives, needs and experiences and authentically deliver what matters to them most today, allowing us to position contraception in service of their self-expressed desires and dreams. Together, we co-design, implement and evaluate programs with more than 680 young people across the PSI network to ensure they both desire and can access all sexual and reproductive health needs, including access to safe abortion for those who want it.
PSI’s commitment to ethics in youth-powered design recognizes the diversity of youth, ages 10-24 years, and the need for deeper reflection on who adolescents are and the life experiences that often define them. We apply the latest evidence and adaptively implement, to stay nimble to the changing needs of young people and build out our learnings to deepen the adolescent and youth sexual and reproductive health evidence base. Our aim is a system that delivers trust and value to the young people we serve.
In countries where cervical cancer rates are highest, informed access to contraception also remains a critical need. By integrating cervical cancer screening services and preventive treatment and referrals within existing voluntary reproductive health service delivery platforms, PSI is working to better meet women’s health needs across her life cycle and increase the health impact of our sexual and reproductive health interventions. In Mozambique, under the PEER project, PSI is systematically designing, testing and refining integrated reproductive health and cervical cancer service delivery models that can meet consumer needs, while improving health outcomes.