This report looks at initiatives in four countries—Nigeria, Nepal, Ghana and Zambia—where Ipas is working with governments, communities and other partners to provide clinical and programmatic support to providers and health-care facilities. The goal is to optimize services and quality of care. Support ranges from clinical mentoring to ensuring that services are youth-friendly and that facilities have adequate supplies of abortion and contraceptive supplies and equipment. Community outreach is also often a part of these initiatives.