Medical termination of pregnancy (MTOP) involves the use of approved medications to terminate a pregnancy of up to 9 weeks gestation. Although the government has taken steps to increase availability of this method to women in need, there is still poor uptake in primary care.

Currently, only 703 out of 34,000 practising GPs are certified to deliver MTOP.  It is also unclear how many of these GPs are actually delivering this service.

Barriers to provision of MTOP in general practice include a sense of stigma and isolation amongst GPs who feel they need better peer support and referral pathways to confidently provide this service.


SPHERE is developing strategies to overcome these barriers and improve the quality of care, availability, and accessability of medical terminations for women. This work will integrate perspectives from primary care providers, stakeholders, and women themselves. Our focus is on new approaches that are cost-effective and community-based, with the aim of building the skill and confidence amongst service providers who can then deliver high quality, safe, and equitable medical termination services to all Australian women.

The Australian Contraception and Abortion Primary Care Practitioner Support (AusCAPPS) Network


Factors associated with induced abortion over time: secondary data analysis of five waves of the Australian Longitudinal Study on Women’s Health

Angela J. Taft, Rhonda L. Powell, Lyndsey F. Watson, Jayne C. Lucke, Danielle Mazza, Kathleen McNamee

Unintended and unwanted pregnancy in Australia: a cross-sectional, national random telephone survey of prevalence and outcomes

Angela J Taft, Mridula Shankar, Kirsten I Black, Danielle Mazza, Safeera Hussainy, Jayne C Lucke

Socioeconomic outcomes of women who receive and women who are denied wanted abortions in the United States

Diana Greene Foster, M. Antonia Biggs, Lauren Ralph, Caitlin Gerdts, Sarah Roberts, M. Maria Glymour

Medical abortion: it is time to lift restrictions

Caroline M de Costa, Kirsten I Black, Darren B Russell

Access, equity and costs of induced abortion services in Australia: a cross-sectional study

Mridula Shankar, Kirsten I. Black, Philip Goldstone, Safeera Hussainy, Danielle Mazza, Kerry Petersen, Jayne Lucke, Angela Taft

Providing accessible medical abortion services in a Victorian rural community: A description and audit of service delivery and contraception follow up

Jane E. Tomnay, Lauren Coelli, Ange Davidson, Alana Hulme-Chambers, Catherine Orr, Jane S. Hocking

Could implementation of mifepristone address Canada's urban-rural abortion access disparity: a mixed-methods implementation study protocol

Wendy V Norman, Sarah Munro, Melissa Brooks, Courtney Devane, Edith Guilbert, Regina Renner, Tamil Kendall, Judith A Soon, Ashley Waddington, Marie-Soleil Wagner, Sheila Dunn

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