The Power of Ten
A strategy to achieve greater results in family
planning and safe abortion: 2011-2015
© Marie Stopes International / Ina Sotirova
The Power of Ten
Marie Stopes International
Everywhere we work, Marie Stopes
International (MSI) aspires to reach
underserved women and couples
with voluntary family planning and
safe abortion services. Our clients
are the focus of our reproductive
health centres, our outreach teams
and BlueStar franchisees. We measure
our long term success in terms of our
ability to serve them. Many aspects
of our work will change going forward,
but one will not: the client remains
central to everything we do.
Despite a recent decline in the number of women dying
each year from pregnancy-related causes, progress
on Millennium Development Goal 5 (MDG5) to improve
maternal health has been slow. Our Power of Ten
strategy aims to make the biggest contribution possible
to achieving the MDG5 targets – reduce by three
quarters the maternal mortality ratio and universal
access to reproductive health – by 2015.
We recognise that MSI is one of many organisations
working to advance sexual and reproductive health
and rights (SRHR) globally. We have much to learn from
and much to offer others. Therefore, a key element in the
Power of Ten strategy is forging enduring connections
with governments and other key organisations who
influence policy, funding, and practice for family planning
and safe abortion at the country level and globally.
Through these partnerships, the Power of Ten will
position MSI programmes within overall health systems,
aligning our programmatic strategies with host
government and donor priorities while maintaining
MSI’s rigorous focus on results.
The Power of Ten
Goals
MISSION
Children by Choice,
not Chance
10 point increase in CPR
in 20 target countries
CLIENT
CHOICE AND CHANNEL
MSI Health Impact
CAPACITY
Organisational Development
CONNECTIONS
MISSION
LEVEL GOALS
10 million fewer unsafe abortions
by 2015 (to 9 million)
Global Health Impact
Increase market
share of FP
and safe abortion
by 10 points
All country programmes
meet minimum
standards of OD tool
Double MSI total income from 2010
to 2015, including 20% increase
in net earned income
10 million more
CYPs that
count / year
10 point increase
in overall employee
engagement (to 90%)
10 fold increase
in medical abortion
delivery from
2010 figures
10 per cent increase
in surplus achieved
by 2015
10 MSI developing country programmes
contracted by host governments for
over £100k a year
10 operationaL
GOALS
MSI leads the
industry in
clinical quality
Demonstrated reduction in restrictions
on family planning and safe abortion
service delivery in at least 10 countries
The Power of Ten
Marie Stopes International
Why are we adopting a new strategy?
To advance MSI’s mission of ‘Children by Choice, not
Chance’ and to meet the needs of the 200 million women
worldwide who lack access to quality family planning
services, we must accelerate our impact in family
planning and safe abortion programming globally.
This is the primary objective of our Power of Ten
strategy. It builds on our success in achieving many
of the goals of MSI’s 2006-2010 plan while seeking
to address areas where we fell short. It responds
to fundamental changes in our services and how
we deliver them – such as increased service delivery
outside MSI centres and the advent of medical abortion
– and prepares MSI for the long term impact of these
changes on our business model.
© Marie Stopes International
Who was involved in developing the strategy?
The Power of Ten strategy emerged from a rigorous
and inclusive process. More than 700 MSI team
members, Board members and external stakeholders
from around the world provided data and input. A Steering
Committee comprised of senior staff from MSI country
programmes and support offices shaped the final strategy
proposal for approval by the MSI Board of Directors.
What are we going to accomplish?
Our strategy sets ambitious five year goals in terms
of health impact, organisational capacity building and
expanded resources (see Power of Ten Goals diagram).
The strategy includes an aggressive growth target in
couple years of protection (CYP1): 10 million more CYPs
annually by 2015. This is balanced by a ‘family of goals’
to measure our broader health impact, encourage the
expansion of medical abortion (so more women have
access to safe options) and to strengthen MSI institutionally.
The Power of Ten
Marie Stopes International
How will we deliver results?
The plan focuses on three broad strategies for achieving
our ambitious health goals (see Power of Ten
Organisational Strategy).
It builds on our success in achieving
many of the goals of MSI’s 20062010 plan while seeking to address
areas where we fell short. It responds
to fundamental changes in our
services and how we deliver them.
First, we will dramatically expand the choices and
channels available to our clients, in particular
harnessing the potential of long-acting and permanent
contraceptive methods (LAPM) and medical abortion,
in order to deliver services as close to our clients
as possible.
Also, and for the first time, our strategy sets missionlevel goals. These goals capture the larger aspirations
to which our work contributes, and are what we will
ultimately measure our work against. They are also
the goals that will inspire our partnerships with others.
These goals are: a 10 point increase in country level
contraceptive prevalence rate (CPR) for 20 key
countries; and 10 million fewer unsafe abortions
globally by 2015.
1
Second, we will build our institutional capacity –
systems, standards, and people – to improve our
effectiveness and efficiency across the board.
And third, we will forge enduring connections with
governments and other institutions that influence policy,
funding and practice for family planning, both at the
country level and globally.
A CYP is the estimated protection afforded to a couple through the use of contraceptive methods during a one-year period
and an internationally accepted standard indicator for family planning services.
The Power of Ten
Organisational Strategy
Partnerships
CONNECTIONS
Where and with whom?
Operational
Excellence
CAPACITY
How?
Fundraising
and Financing
Innovation
One MSI
Systems and
Standards
Expand Family
Planning Closest
to Client
CHOICE
AND
CHANNEL
What?
CLIENT
Why?
Underserved Women
and Couples
Evolving Clinics
Market
Medical
Abortion
Catalysing
Delivery
People and
Leadership
Clinical
Quality
Integration with
Health Systems
Managing Risk
Transforming
Policy Environments
The Power of Ten: keeping the client at the centre of all that we do
© Marie Stopes International
Marie Stopes International
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Registered charity number: 265543
Company number: 1102208
Marie Stopes International delivers quality family planning and reproductive
healthcare to millions of the world’s poorest and most vulnerable women.