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Population Services International (PSI) advances global health in developing countries by tackling family planning, HIV/AIDS, maternal health barriers, and common childhood illnesses like malaria, diarrhea, and pneumonia. It delivers health products and services at the community level, paired with communications campaigns and distribution to ensure people know about and can use them correctly, working through local governments and community groups. PSI differs from others by partnering deeply with local institutions and combining multiple health areas with a strong focus on outreach and distribution to drive lasting adoption. Its goal is to reduce preventable illness and death by expanding access to essential health services and building sustainable health systems.
Industries
Consulting
Government & Public Sector
Social Impact
Healthcare
Company Size
1,001-5,000
Company Stage
Grant
Total Funding
$8.3M
Headquarters
null
Founded
1970
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Total Funding
$8.3M
Above
Industry Average
Funded Over
2 Rounds
Remote Work Options
Flexible Work Hours
Wellness Program
Smart Start Ethiopia: supporting couples to plan their futures together. * Posted August 11, 2026 * Impact Area Women's Health At 18 years old, Wube Belete wanted a different future. Living with her husband's family in rural Ethiopia, she had little control over household decisions and few opportunities to make money, dependent entirely on her husband's limited income. Like many young married women in the area, she faced pressure to focus on domestic responsibilities and begin having children early. Across Ethiopia, many adolescent girls and young women face similar challenges. Nearly half of girls marry before age 18, and most begin having children before age 20. In rural areas, limited access to contraception and restricted decision-making power can make it difficult for young women to plan their futures or space pregnancies safely. In fact, the unmet need for contraception is nearly three times higher in rural areas than it is in urban areas of Ethiopia. Many begin childbearing soon after marriage, facing heightened health risks, including complications during pregnancy and childbirth such as obstetric fistula, eclampsia, maternal mortality, and poor newborn health outcomes. To address these challenges, PSI's A360 program partnered with Ethiopia's Federal Ministry of Health to implement the Roadmap to Integrating Smart Start in Ethiopia (RISE) program across all regions in Ethiopia. Funded by the Gates Foundation, the program links financial planning with sexual and reproductive health counseling to support young couples planning their families to align with their economic goals. To date, over 120,000 adolescent girls and young women adopted modern contraceptive methods through the Smart Start model. Moreover, they have strengthened skills in household decision-making, financial planning, and communication. At its core, Smart Start reframes family planning conversations around financial planning and aspiration-setting. Rather than approaching contraception as a standalone health issue, Smart Start creates opportunities for couples to discuss their goals together: continuing education, starting businesses, building financial stability, and deciding when they want to have children. Through guided conversations led by trained health extension workers, couples map shared goals and explore how the timing of pregnancy can affect their economic plans and future opportunities. By engaging both partners, the program creates space for joint decision-making, shifting family planning from an individual responsibility to a shared priority. These conversations can reshape household dynamics and future planning for many young women. For Wube, Smart Start was transformative. When she first tried to participate in the Smart Start program, she faced resistance at home. "She didn't want me to join," Wube recalls of her mother-in-law. "She said there would be nobody to handle the household chores." Still, Wube persisted and joined, drawn by the opportunity to learn about financial planning and building a different future. As she began saving and exploring income-generating activities, her confidence grew. "The training sessions greatly helped me to get where I am now financially," she says. With these new insights, Wube initiated conversations with her husband about their future. "We need to move out of your parents' house if our lives are ever going to change." Together, they decided to move out and build a more independent future. Wube started a small vegetable business, using savings and small loans to grow her income. As financial pressures eased and communication improved, household dynamics also began to shift. "My husband encourages me to save," she explained. "Now he supports me at home." With greater financial security and stronger communication between partners, Wubeis now able to play a leading role in decisions about when to have another child - aligning her reproductive choices with the future she wants to build. Wube's story reflects broader changes happening through the Smart Start program in Ethiopia. In 2025 alone: * 121,256 adolescent girls and young women aged 15-24 years adopted contraceptive methods through the Smart Start model. * 364,975 received counseling through Smart Start pathways. * Through program support, 47,109 girls attended their first antenatal care visits, while 124,690 attended postnatal care services. * Additionally, 37,957 pregnant girls and young women benefited from skilled delivery services, with 77% of those who delivered adopting immediate postpartum family planning methods. But beyond the numbers, Smart Start is helping shift how couples approach decision-making, communication, and future planning. Wube's story reflects the power of centering couples' lived realities, economic aspirations, relationship dynamics, and social pressures in health programming. By connecting reproductive health to the economic realities and aspirations of young families, the program demonstrates that meaningful and sustained change happens when women and couples are supported to plan their futures on their own terms. Donate to support its work. By Karin Hatzold, Senior Advisor II, Infectious Diseases Lenacapavir (LEN) represents one of... By Betty Abera, Project Director, Pharmacy-Based Immunization Delivery Across Africa, pharmacies... By Malcolm Quigley, Director of Strategic Partnerships, PSI Across sub-Saharan Africa, many people walk... By Malcolm Quigley, Director of Strategic Partnerships, PSI The world does not have an innovation... The past year challenged the global health community in unprecedented ways - and one in which PSI and... In August 2025, health officials in Xepon District noticed something unusual: malaria cases were rising... The fight against HIV has reached a pivotal moment. Scientific breakthroughs are creating new opportunities... In Garowe and Burtinle, many families had long relied on untreated borehole water for drinking, cooking,... Every woman deserves the ability to make informed decisions about her reproductive health and the contraceptive... At 18 years old, Wube Belete wanted a different future. Living with her husband's family... By Karin Hatzold, Senior Advisor II, Infectious Diseases Lenacapavir (LEN) represents one of... By Betty Abera, Project Director, Pharmacy-Based Immunization Delivery Across Africa, pharmacies... By Malcolm Quigley, Director of Strategic Partnerships, PSI Across sub-Saharan Africa, many people walk... By Malcolm Quigley, Director of Strategic Partnerships, PSI The world does not have an innovation... The past year challenged the global health community in unprecedented ways - and one in which PSI and... In August 2025, health officials in Xepon District noticed something unusual: malaria cases were rising... The fight against HIV has reached a pivotal moment. Scientific breakthroughs are creating new opportunities... In Garowe and Burtinle, many families had long relied on untreated borehole water for drinking, cooking,... Every woman deserves the ability to make informed decisions about her reproductive health and the contraceptive... At 18 years old, Wube Belete wanted a different future. Living with her husband's family...
How a former goalkeeper is closing South Africa's HIV treatment gap for men. June 8, 2026 In South Africa, men are less likely than women to start and stay on HIV treatment. Coach Mpilo, founded by a former football goalkeeper and funded by the Gates Foundation, pairs HIV-positive "coaches" with "players" to turn that around. South Africa carries the world's largest HIV burden, with roughly eight million people living with the virus, close to one in five adults. Treatment coverage reveals a stubborn gender gap: by UNAIDS figures, about 80 percent of women living with HIV are on antiretroviral therapy, compared with only 68 percent of men. Men test later, start treatment later, interrupt it more often, and die of HIV-related causes at higher rates than women. Coach Mpilo was built to address that specific failure. The program grew out of the work of Silver Shabalala, a former goalkeeper for Durban's AmaZulu Football Club, who became an HIV advocate after his brother was diagnosed while imprisoned in Pretoria. When Shabalala and his colleagues asked men directly why so many avoided treatment, the answer was about trust rather than logistics. The men wanted proof that someone like them could live openly and well with HIV. As Shabalala put it, in an interview with the Gates Foundation, men wanted proof that someone like them could live openly and well with HIV. "A man needs a friend he can speak to, a friend who has walked that journey and has accepted himself." That insight drives the model. Coaches are men living openly with HIV, stable on treatment, and trained over about a week in interpersonal communication, mentorship, and problem-solving. They take referrals from clinics and community testing sites, field calls prompted by posters, accompany men to appointments, and ease the disclosure conversations that many men dread. The framing borrows from sport, with "coaches" mentoring "players." "Mpilo" means life or health in Zulu. Coaches lean on simple teaching tools, including bottles of colored beads to show how treatment suppresses the virus, and on the U=U message, short for Undetectable = Untransmittable. This means that once treatment suppresses the virus to undetectable levels, it cannot be sexually transmitted. The approach is led by Population Services International with Matchboxology and partners including BroadReach Healthcare and Right to Care, with funding from the Gates Foundation. A 2020 pilot across three districts produced strong early retention, and an independent evaluation in KwaZulu-Natal, run by the University of Cape Town's SALDRU with J-PAL Africa, is now measuring longer-term effects on viral suppression, mental health, and stigma. The Gates Foundation reports that 96 percent of the 41,000 men reached so far have started or resumed treatment. Coaches are recruited locally, trained in about a week, and work close to home, which makes the program quick to set up and deploy. That makes the current threat to it striking. Recent cuts to public health funding have cost some coaches their paid positions, yet many keep showing up, escorting men to clinics without reimbursement. As Shabalala sees it, the program built brotherhood. That may be the clearest measure of whether peer support can outlast the budgets that started it. This summary is based on the following sources:
What PSI is looking forward to in 2026. The past year challenged the global health community in unprecedented ways - and one in which PSI and its partners rose to meet those challenges head-on. Thanks to the dedication of colleagues, governments, partners, communities, and supporters around the world, Population Services International continued advancing equitable access to quality healthcare, strengthening systems, and reaching the people who need it most. As the first month of 2026 comes to an end, Population Services International is choosing to lead with optimism. Because even in difficult moments, this community continues to persevere, adapt, and deliver impact - and there is a great deal to be excited about this year. Across PSI, some of the exciting activities and partnerships Population Services International is looking forward to in 2026: * Drones supporting health system resilience in Madagascar: Population Services International has partnered with Aerial Metric to use drones to more effectively reach people with quality health products. * The distribution of Lenacapavir across Africa: PSI and partners are supporting nine early-adopter African countries to introduce the twice-yearly injectable to prevent HIV. * Market-based sanitation (MBS) in Mozambique: Population Services International partnered with UNICEF to revitalize the sanitation market and strengthen climate resilience. * Engaging men as partners, not bystanders: Population Services International has joined the Gates Foundation in creating spaces where men and women can co-advocate for better health outcomes. * Pharmacy-based immunization delivery (PBID): With Takeda and national partners, Population Services International is unlocking the full potential of pharmacies to deliver life-saving vaccines. * Scaling digital health workforce development and integration: Population Services International is partnering with governments to integrate public and private digital health systems and build the workforce capacity to turn digital tools into real-world impact. * Powering health systems strengthening in Sierra Leone: Population Services International is partnering with the Government to strengthen health systems from the ground up - improving community-based care, enhancing disease surveillance, and advancing One Health coordination. * The institutionalization of PMC: Perennial malaria chemoprevention (PMC) is an effective method to prevent malaria and PMC strategies are being implemented in global health guidelines and national health strategies. * Supporting evidence-based global health research: In 2025, PSI contributed to 57 peer-reviewed publications and Population Services International look forward to continuing research that lays the groundwork for effective health interventions. There's power in positivity and partnership. Join Population Services International in starting the year on an optimistic note - and share what you're looking forward to in 2026 in the comments. Donate to support its work. Related. In the remote village of Saniyani Moryani, Sindh, lives Arbab Khatoon Tunio, a determined woman who has... By Betty Abera, Project Director, Pharmacy-Based Immunization As the world continues to analyze the aftermath... By Dr. Karin Hatzold, Director of Global HIV, TB and Viral Hepatitis Programs The consequences... Tuberculosis (TB) remains one of the leading causes of infectious disease death globally. In 2023, over... Like many in its global community, PSI has received termination notices for the vast majority of its... The past year challenged the global health community in unprecedented ways - and one in which PSI and... By Dr. Karin Hatzold, Global Infectious Diseases Lead, PSI World AIDS Day 2025 marks a landmark moment... By Susan Davis, Philanthropy Advisor and Global WASH Professional, Dain Hansen, Executive Vice President... "I have chosen the implant. I need to make sure I finish my school without any disruptions." Chimwemwe... In northwest Nigeria, nearly one in three girls becomes a mother by age 19. These young girls, still... In the remote village of Saniyani Moryani, Sindh, lives Arbab Khatoon Tunio, a determined woman who has... By Betty Abera, Project Director, Pharmacy-Based Immunization As the world continues to analyze the aftermath... By Dr. Karin Hatzold, Director of Global HIV, TB and Viral Hepatitis Programs The consequences... Tuberculosis (TB) remains one of the leading causes of infectious disease death globally. In 2023, over... Like many in its global community, PSI has received termination notices for the vast majority of its... The past year challenged the global health community in unprecedented ways - and one in which PSI and... By Dr. Karin Hatzold, Global Infectious Diseases Lead, PSI World AIDS Day 2025 marks a landmark moment... By Susan Davis, Philanthropy Advisor and Global WASH Professional, Dain Hansen, Executive Vice President... "I have chosen the implant. I need to make sure I finish my school without any disruptions." Chimwemwe... In northwest Nigeria, nearly one in three girls becomes a mother by age 19. These young girls, still...
VUT partners with PSI to promote menstrual health and student well-being. "Population Services International (PSI) donated sanitary pads to Vaal University of Technology, which were distributed across student residences. The initiative supports the health and well-being of young women." On 7 November 2025, the Vaal University of Technology (VUT) received a generous donation of sanitary pads, along with Trust condoms, from Population Services International (PSI). The initiative aimed to promote menstrual health, restore dignity, and support young women from diverse backgrounds within the university community. PSI, a globally recognised nonprofit organisation, is dedicated to improving public health with a strong focus on sexual and reproductive health, HIV prevention, and gender equality. Through this donation, PSI reaffirmed its commitment to empowering women and ensuring that female students have the resources to manage their health with confidence and dignity. Following the donation, VUT, through its Institutional HIV and AIDS Unit (IHAU), led the distribution of sanitary pads to various student residences, ensuring that young women in need were reached. Peer educators played a pivotal role in this process, assisting with the distribution across residences such as Nkandla and others on campus. Their involvement ensured that the process was well coordinated and that students received both products and guidance. During the handover event, Mr Vincent Mdluli, HIV Assistant Coordinator at VUT, delivered a heartfelt message on the impact of such contributions. He noted that access to sanitary towels and other donated items would greatly assist students, particularly those facing financial hardship. "These pads will bring back women's pride," he said, emphasising that many young women come from challenging backgrounds and that this gesture would help restore their confidence and self-worth. Mrs Maureen Motsukunyane, Director of IHAU, expressed sincere gratitude to PSI for recognising and responding to the needs of students. She highlighted that the initiative would make a tangible difference in many lives. "These sanitary towels will help most of our needy students," she said, urging young women to use the resources wisely and remain focused on their education. Students also shared heartfelt messages of appreciation. Ms Nkosazana Ntado from Nkandla residence said, "This kind of gesture should be done often, as it helps other girls who really need it." Likewise, Ms Lesego Ramothibe added, "Thanks to PSI and VUT, because this will really help one lady, I don't want to lie." Through this initiative, PSI, VUT, and its peer educators have demonstrated the transformative power of partnership in advancing menstrual health and supporting student well-being, ensuring that no woman's education is disrupted by a lack of essential resources.
PSI Nigeria uses storytelling, local languages to promote menstrual health. Population Services International (PSI) Nigeria, a non-profit organisation, has launched two audiovisual materials that uses storytelling in local languages to promote menstrual health, challenge stigma, and spark open conversations among adolescents and their communities. In a statement issued on Friday, the organisation noted that the materials are part of an ongoing effort to promote menstrual health and hygiene. Developed under the Menstrual Health and Hygiene-No Wahala (MH-NoW) project, the audiovisuals- My Red Flower and Menstruation with Dignity, are produced in local languages, Pidgin English and Hausa to resonate with diverse audiences across the country. The short films are provided with English subtitles to ensure inclusivity for national and global audiences, enabling broader understanding and engagement beyond linguistic boundaries. Telling real stories in local voices. The organisation said the films were inspired by real-life experiences of Nigerian girls and women to make discussions about menstruation simple and relatable. According to PSI Nigeria, the goal is to use culturally relevant narratives to improve menstrual health awareness and understanding menstrual hygiene practice among adolescent girls and young women. "They make menstrual health conversations simple, relatable, and community driven. Through storytelling and imagery, they challenge taboos, spark dialogue, and encourage collective action toward menstrual equity and dignity for all," the organisation said. Screenings in nassarawa and Akwa Ibom. The audiovisuals were launched in Government Secondary School, Akwanga, Nasarawa State and Goretti Girls College, Akwa Ibom State, where students, teachers, menstrual health champions and other stakeholders watched and discussed the videos. The session demonstrated practical way to use the materials to aid dialogue sessions, while also gathering valuable feedback on their cultural relevance and user- friendliness. A student in Akwanga, after watching one of the videos, My Red Flower, said "The video helped me overcome the fear and shame around menstruation." In Akwa Ibom, the principal of Goretti Girls College, Eno Ekpo, said she was inspired by how openly menstruation was discussed. Ms Ekpo said, "This is my first time, at my age and as a principal, seeing menstruation talked about so freely. It should no longer be treated as a taboo." She added that unlike in her early days when menstruation was treated as a taboo, the girls in her school are now equipped with the right knowledge to talk about it openly, courtesy of MH-NoW programme. Beyond schools. PSI noted that the campaign is not limited to schools as they also introduced the audiovisuals to community health champions, parents, and teachers to demonstrate how the materials can be used to guide conversations at home and in communities. A male teacher who attended the launch described the project as timely and beneficial, noting that it has value for both boys and girls. "As a man, I have a wife and a daughter, and I'm thinking about how to get this video for my seven-year-old," he said. In Akwa Ibom, community health advocate Idoreyin, a menstrual health champion, said the videos have equipped her to better educate girls even when teachers or parents are unavailable. "They help girls understand their bodies and practice good hygiene with confidence," she added. Aligning with Nigeria's menstrual health policy. The federal government recently validated Nigeria's first-ever National Policy on Menstrual Health and Hygiene Management (MHHM), a framework that seeks to create a stigma-free society by 2030. The policy, endorsed in August 2025 by the Federal Ministry of Women Affairs, recognises that menstruation is not only a health matter but also a gender, education, and development issue. It highlights that millions of Nigerian women and girls between the ages of 15 and 49, representing nearly 30 per cent of the population, continue to face barriers to safe and dignified menstrual management due to stigma, poor infrastructure, and limited access to information. At the policy validation event, Minister of Women Affairs, Imaan Sulaiman-Ibrahim, stressed that menstrual health must be treated as a human right and a public health priority. Ms Sulaiman-Ibrahim called for "coordinated action that ensures every girl can manage her menstruation safely, confidently, and without shame." READ ALSO: NPHCDA equips FMC gusau with n300m medical equipment. PSI Nigeria said it views the audiovisuals as strategic tools for continuous health education, stigma reduction, and community engagement, helping adolescents and young women learn, speak up, and manage their menstruation with dignity and confidence. "I felt joyful seeing how the mother in the video educated her daughter. Not all mothers, like my mother, have time to teach their daughters," one of the students said.
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Industries
Consulting
Government & Public Sector
Social Impact
Healthcare
Company Size
1,001-5,000
Company Stage
Grant
Total Funding
$8.3M
Headquarters
null
Founded
1970
Find jobs on Simplify and start your career today