The goal of the Options for Pregnancy Termination Innovation Initiative (OPTions Initiative) is to support Bold Ideas with Big Impact® for women’s and girls’ access to safe abortion in low- and middle-income countries. We seek innovative and transformative approaches that put women and girls in control of where, when and how they terminate their pregnancy. The focus of this call is therefore to support the development and testing of: 1) new approaches to increasing early access to existing abortion products and services, and 2) new methods of pregnancy termination.