top of page


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.

Read more about the Australian Contraception and Abortion Primary Care Practitioner Support (AusCAPPS) Network

Read more about ORIENT project (imprOving Rural and regIonal accEss to long acting reversible contraceptioN and medical abortion through nurse-led models of care, Tasksharing and telehealth)


The impact of COVID-19 on contraception and abortion care policy and practice: experiences from selected countries (2020)

Deborah J BatesonPatricia A LohrWendy V NormanCaroline Moreau, Kristina Gemzell-Danielsson, Paul D BlumenthalLesley Hoggart, Hang-Wun Raymond Li, Abigail R A Aiken, Kirsten I Black

Could implementation of mifepristone address Canada's urban-rural abortion access disparity: a mixed-methods implementation study protocol (2019)

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

Factors associated with induced abortion over time: secondary data analysis of five waves of the Australian Longitudinal Study on Women’s Health (2019)

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 (2018)

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

Medical abortion: it is time to lift restrictions (2019)

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

Socioeconomic outcomes of women who receive and women who are denied wanted abortions in the United States (2018)

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

Access, equity and costs of induced abortion services in Australia: a cross-sectional study (2017)

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

bottom of page