The study aimed to inform clinical practice, strengthen health system responses and support advocacy for improved access to contraception, safe abortion and post‑abortion care. Revealed widespread use of unsafe abortion methods and long delays in reaching care. Informed refinements to WHO’s near‑miss methodology for abortion in fragile settings and contributed to global evidence on unsafe abortion in humanitarian contexts. Inspired further organisational change within MSF to expand access to safe abortion care. The case study methodology and full version of this summary case study including references are available on request.