This situational assessment, conducted by Ipas in collaboration with international and in-country agencies in March-May 2015, looks at comprehensive abortion care (CAC) needs and opportunities in francophone West Africa. It concludes there are clear and promising opportunities to expand CAC services to the women who need them and are entitled to them by law, despite the cultural, religious and political opposition to CAC that remains strong in some settings. It also offers specific recommendations in support of implementing CAC programs in francophone West Africa.