This manual is designed to prepare health-care workers to provide women with high-quality postabortion care services.  It is useful for a broad audience—including clinicians, trainers, program managers and outreach workers. It provides in-depth clinical information on safe, effective options for first-trimester uterine evacuation and addresses broader service delivery and access issues, including the rights of young women, client-provider communication, and monitoring to improve services. It may be used for countries where there are no legal indications for induced abortion or where there are significant restrictions on induced abortion.