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This Policy Brief stems from key findings and recommendations of a strategic assessment on unintended pregnancy, contraception and unsafe abortion in Botswana. The Strategic Assessment was completed in 2020 as the first of three stages in the WHO-sponsored Strategic Approach to Strengthening Reproductive Health Policies and Programmes. The main aim of the Strategic Assessment was to identify and prioritise needs and potential follow-up actions related to critical sexual and reproductive health issues, specifically: the reduction of unintended and unwanted pregnancies; the unmet need for contraception; morbidity and mortality related to the unsafe termination of pregnancy; and the integration of HIV and Sexual and Gender-Based Violence.