Every year in Pakistan, half of 8 million pregnancies are unintended; 25% (2.2 million) end in induced abortion. Midwives with limited training perform half the abortions. Quality Post-Abortion Care (PAC) is lacking. 700,000 women experience complications contributing 12% of maternal deaths. Midwives need improved knowledge and skills to improve access to family planning, safe abortion and improved PAC, which in turn will improve lives of women and decrease demands on the health system.