Persistent disparities in abortion access across Australia continue to expose gendered inequities within the health system. Despite significant recent reforms targeted at improving access to contraception and supporting menstrual health services, many people still face high costs, inconsistent standards and geographic barriers when seeking abortion care. 

This policy brief calls for a nationally coordinated approach to abortion access, positioning reproductive autonomy as central to gender equality and health equity in Australia. Drawing on expert input from healthcare providers, researchers and community representatives, it argues that abortion must be recognised and funded as essential healthcare, and that federal leadership is critical to overcoming the jurisdictional fragmentation that limits timely and affordable access. 

By aligning with broader national gender equality and health equity objectives, the brief highlights a clear pathway for the Government to ensure equitable, person centred and culturally safe abortion care across all jurisdictions. Building on existing reproductive and public health reforms, the paper outlines five key areas for policy action.

1. Develop national standards for abortion provision.
2. Collect data and monitor service provision and access.
3. Reduce cost of abortion services.
4. Improve workforce development and training.
5. Improve access for marginalised communities.