This evaluation assesses the factors that influence contraceptive uptake among adolescents and young women seeking abortion care in health facilities. We analyzed client log book data from 921,918 abortion care cases in 4,881 health facilities in 10 countries from July 2011 through June 2015, and found that programmatic support to health systems, including provider training in contraceptive counseling and provision, was associated with women’s higher acceptance of postabortion contraception.
Numerous instances have been reported where women have been denied termination of pregnancy services for pregnancies arising out of rape, incest and sexual violence. There is also the rising issue of women and girls being forced by the police to keep the pregnancy in cases of incest or rape to preserve the infant to be used to retrieve DNA for evidence while prosecuting the perpetrator.
During last year’s national exams, media reported alarming cases of girls who sat the papers in delivery rooms or went into labour in the exam room. These statistics show the need for urgent action and awareness to enable the youth to manage their own sexual and reproductive health. Estimates from developing countries indicate that pregnancy and delivery complications, including unsafe abortions, are the second leading causes of death for girls below 20 years.

This fact sheet describes the impact of unsafe abortion in Sierra Leone as evidenced by three studies.

This is an advocacy tool for implementing authorities, service providers and NGOs on safe abortion and sex selection.

Advocating for abortion access is unlike advocacy on any other global health-care issue. This publication shares insights and lessons learned by Ipas staff and our partners around the world through decades of advocacy work to expand abortion access. The content outlines key obstacles and opportunities that advocates encounter, plus strategies for overcoming common challenges.

This publication highlights the work in Nepal since legal reform a decade ago and puts a spotlight on the key ingredients for successful scale-up of abortion care, including partnerships with government and NGOs and integration of abortion within the country’s Safe Motherhood program.


This 12-page job aid supports efficient inventory management of misoprostol (and mifepristone, depending on the setting) and other maternal-health medicines. It defines sound inventory management practices that can help reduce stock-outs and oversupply situations, and is for use by staff in public health facilities, nongovernmental organizations (civil society organizations) and private for-profit clinics and hospitals.


This is a fact sheet highlighting women’s perspectives on abortion care as part of operations research in Zambia.
Ipas works around the world every day to strengthen girls’ voices and their ability to choose the path that’s right for them.

This trainer’s manual is intended for use in training-of-trainers courses, along with its companion document, Effective training in reproductive health: Course design and delivery – Reference manual. The trainer’s manual comes with a CD-ROM that includes PowerPoint® presentations and additional exercises for the trainer.
This guide focuses on ways to plan, implement, use and finalize an assessment of how young women and their communities relate to abortion, through locally relevant, community and/or youth-led processes. It is designed to gain insights into the local context surrounding abortion care for young women to inform program design and to support meaningful youth participation in project design. It is a global resource for community groups, youth groups, peer educators, trainers, administrators, program managers and technical advisors of abortion care programs.

Sexual violence can have devastating effects on individuals, families, communities and societies. The findings from the study presented in this report are part of a regional collaboration in Central America to prevent sexual violence and to ensure that victims and survivors have access to all the services provided by the health and justice systems that they may need.

Abortion stigma plays a critical role in the social, medical and legal marginalization of abortion care around the world—and it leads to negative health outcomes for women, girls, trans people and our communities. It drives the high number of preventable deaths and injuries around the world due to unsafe abortion.


Advocating for abortion access is unlike advocacy on any other global health-care issue. This publication shares insights and lessons learned by Ipas staff and our partners around the world through decades of advocacy work to expand abortion access. The content outlines key obstacles and opportunities that advocates encounter, plus strategies for overcoming common challenges.