• Integrating services into your practice setting will help to normalize abortion as a part of your patients’ regular health care.
  • Finding and working with additional champions in your organization will spread the mission and maximize your efforts.
  • Involving various stakeholders is critical to the service’s success and sustainability.
  • Providing a safe, respectful opportunity for staff to voice feelings (positive as well as concerning) about participating in abortion care will help support their involvement.
  • Using and infusing huddles, debriefs, and staff meetings with an emphasis on problem solving over blame can help facilitate gradual change in clinic culture.
  • Achieving rapid appointment access, staff courtesy, and ready information to patient questions are the most commonly reported factors affecting patient’s satisfaction with their abortion experience (Tilles 2016).


  • Preparing for medical and security-related emergencies, while rarely needed, is important for making staff feel secure, and should be carried out on a recurrent basis.
  • Maintaining necessary medications and equipment for abortion related emergencies, as well as hospital back-up arrangements, will prepare for patients’ rare needs.


  • Being patient and persistent with the process of integrating services is critical, as it may take some time.
  • Being familiar with practice improvement methodologies used in other parts of your practice, such as small tests of change, or readiness to scale and spread.
  • Using your the local and national networks will build a sense of collaborative community, help answer your medical and administrative questions, and challenge you to learn best practices.


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