Adolescents who seek PAC services often have very different needs and experiences than their adult counterparts. Young women and girls are vulnerable to unwanted pregnancy and unsafe abortion because of social and economic circumstances, lack of comprehensive sexual education, and reproductive health services that do not meet their needs. They are more likely to experience coerced or forced sex and to have inadequate knowledge of, and access to, contraception.

At a PAC Consortium meeting in November 2002, a Task Force was formed to specifically address the needs of adolescents by developing guidance on youth-friendly PAC services. This group shares and reviews resources and programs that aim to prevent unsafe abortion and provide sensitive and appropriate postabortion care for adolescent clients. In addition, the working group identifies training and programmatic needs and has developed a model for youth-friendly PAC services.  For more information on the Task Force please contact Callie Simon, Pathfinder International, and Catherine Packer, FHI360,

PAC Consortium | General Resources | Training Resources | Studies & Assessments

PAC Consortium Materials

The Potential Role of mHealth in Meeting the Needs of Young PAC Clients
C. Packer; D. McCarraher; G. Hainsworth; C. Simon; PAC Consortium Youth-Friendly Task Force Technical Update, 2013
This presentation highlights how mobile health (mHealth) can support the Five Essential Elements of PAC via one-way communications (SMS, MobiSite) and two-way communication (interactive voice response, hotlines). In particular, mHealth presents a useful way to meet the PAC, contraception, and reproductive health needs of youth. 27% of the 5.9 billion mobile phone subscriptions are to people under 30, and mHealth presents a possible confidential method for sharing health messages with youth.

Youth-Friendly Postabortion Care Supplemental Training Module
Youth-Friendly PAC Task Force, PAC Consortium, 2012
This is a supplemental training to be added to a comprehensive PAC Health Provider Training or used as a refresher training for practicing PAC providers.  The goal is to improve providers’ ability to provide high quality PAC services to adolescent clients aged 10-19. The training module is organized around the 5 essential elements of PAC: community and service provider partnerships, counseling, treatment of incomplete and unsafe abortion, contraceptive and family planning services, and reproductive and other health services. Training module includes a trainer’s manual, trainer’s tools, participant handouts, and PowerPoint slides.

Youth-Friendly Postabortion Care
Callie Simon, PAC Consortium Presentation, 2011
This powerpoint presentation outlines the importance of tailoring comprehensive PAC services to meet the needs of youth.  It provides an overview of the Youth-Friendly PAC (YFPAC) Task Force and an introduction to their newly developed YFPAC Supplemental Training Module.

Frequently Asked Questions about Adolescents and Postabortion Care
Youth-Friendly PAC Task Force, PAC Consortium, 2009

Technical Guidance on Youth-friendly PAC
PAC Consortium Youth-friendly Working Group, 2006
This technical guidance was developed to improve the quality and access to PAC services for young people, as a way to improve the overall quality of PAC services to meet the needs of all clients.  The guidelines are organized by the five elements of the PAC Consortium’s Essential Elements of PAC model.

Youth-Friendly PAC: Meeting the Needs of Young PAC Clients
G. Hainsworth in collaboration with the Youth-Friendly PAC Working Group, 2005
This resource provides technical guidance on the following youth-friendly PAC issues: community and service provider partnerships, counseling, contraceptive and family planning services, and reproductive and other health services.  Youth-focused PAC research and intervention activities from the Dominican Republic, Malawi, and Mozambique are also reviewed.

General Resources

Saving Young Lives: Pathfinder International’s Youth-Friendly Postabortion Care Project
M. Burket; G. Hainsworth; C. Boyce, 2008
This report shares Pathfinder’s recent experience implementing the Youth-Friendly Postabortion Care (YFPAC) project in eight African countries; it contains program descriptions, an overview of the process of making PAC services youth-friendly, key results, challenges, lessons learned, and recommendations.

Pathfinder Ghana Youth-Friendly PAC
Pathfinder International, 2008
In 2007, Pathfinder International administered a one-year Youth-Friendly Postabortion Care (YFPAC) project in eight sub-Saharan African countries. This brief document reviews the challenges, results, and lessons learned in Ghana.

Training Resources

Assessment of Youth-Friendly Postabortion Care Services: A Global Tool for Assessing and Improving Postabortion Care for Youth
G. Hainsworth; C. Boyce; E. Israel, 2008
This tool is designed to help assessment teams, project managers, supervisors, and providers collect detailed information on the quality of postabortion care (PAC) services provided to adolescents at specific facilities in order to make those services more youth friendly.

Postabortion Care: Counseling Adolescent Clients
USAID: Extending Service Delivery (ESD), 2008
This informational pamphlet provides key information and messages to convey to young people during postabortion care counseling.

Youth-Friendly Postabortion (YFPAC) Cue Cards
USAID: Extending Service Delivery (ESD), 2008
Youth Friendly Postabortion Care Cue Cards 1-6, providing information for clinicians before, during, and after postabortion care.

Youth-Friendly (YFPAC) Counseling Techniques
USAID: Extending Service Delivery (ESD), 2008
These counseling techniques help assure good communication with young people during the counseling session.

YFPAC Counseling Principles
USAID: Extending Service Delivery (ESD), 2008
These principles of effective counseling help assure effective counseling of youth or young people.

YFPAC Pain Management
USAID: Extending Service Delivery (ESD), 2008
This document gives suggestions for providing supportive treatment that can help youth client mange pain better.

Comprehensive Reproductive Health and Family Planning Training Curriculum: Module 16: Reproductive Health Services for Adolescents
J. Senderowitz; C. Solter, G. Hainsworth, 2002, 2004
This module explains the necessity of special training for adolescent reproductive health. Providers are sensitized to the needs of adolescents and are prepared to tailor reproductive health services so that they are youth-friendly. The module puts particular emphasis on dual protection against STI/HIV and pregnancy, safer sex, counseling, providing care to the pregnant adolescent, and dealing with issues of gender, sexual abuse, and sexual orientation. Participant’s manual in English is available here. Trainer’s manual in Amharic is available here.  Participant’s manual in Amharic is available here.

A Rapid Assessment of Youth Friendly Reproductive Health Services
J. Senderowitz; G. Hainsworth; C. Solter, 2003
This tool was developed to facilitate the rapid assessment of youth-friendly characteristics, providing the basis for developing and implementing a comprehensive action plan.  The tool is implemented through a variety of methods, and can be used to establish a baseline, prepare a plan for training and service quality improvement, and measure changes in youth-friendliness by conducting periodic reassessments.  It also allows for management and staff to become more involved in program operations and provides a means to get input from adolescent clients.

Studies & Assessments

Operations Research Study to Improve Postabortion Care (PAC) Services among Adolescents in the Dominican Republic
Family Health International, USAID, YouthNet, Interagency Youth Working Group, 2007
This paper summarizes an operations research study to improve the PAC counseling and contraceptive uptake among adolescent PAC patients seeking services in the Dominican Republic. Before the study and intervention, few patients left with contraception; after the intervention, 40 percent of patients who wished to delay pregnancy left with a contraceptive method, with no significant differences found between the adolescents and older women in terms of contraceptive uptake.

Postabortion Care for Adolescents: Results from research in the Dominican Republic and Malawi
EngenderHealth, 2004
In this study PAC service providers and adolescents who accessed PAC at hospitals in the Dominican Republic and Malawi were interviewed. The main objectives of this assessment were to identify barriers adolescents experience in accessing PAC services, to evaluate current service delivery, and to gain insight into how PAC services can be improved to meet the needs of young women. The key findings of this study showcase the necessity of youth-friendly PAC and can inform effective scale-up of PAC services.

FOCUS on Young Adults: a Guide to Monitoring and Evaluating Adolescent Reproductive Health Programs  Part 1   Part 2
S. Adamchak; K. Bond; L. MacLaren; R. Magnani; K. Nelson; J. Seltzer, 2000
Tool Series 5: A guide to Monitoring and Evaluating Adolescent Reproductive Health Programs is designed for program managers who monitor and evaluate adolescent reproductive health programs addressing such issues as postabortion care.