From 2012 to 2014, Ipas Zambia implemented the Comprehensive Abortion Care for Young Women pilot project in Lusaka Province to improve young women’s access to, use of and involvement in youth-appropriate, high-quality abortion care. This brief focuses on the first two objectives of the pilot project, which sought to address young women’s rights and needs related to abortion care and to document how comprehensive abortion care services can be made more appropriate for young women through youth participation in all aspects of the project design, implementation, monitoring and evaluation.