The Conference was organized by Kazakh Association of Family Planning (KMPA) and RHTC on the 7-8^th April 2023, in hybrid format, on-line and in-person, with more then 400 participants attending. Caron Kim from HRP Head Quarter WHO, Geneva spoke at the start of the conference about the most recent WHO recommendations, specifically regarding self-managed MA and use of Telemedicine for MA, as recommended alternative for service delivery. Copies (50) of the WHO Abortion Care Guideline were distributed to the participants.

A Master-class on MA was organized in the same day afternoon, which covered the aspects of safety, effectiveness and recommended by WHO regimens for MA, including the use of Telemedicine, conducted by Dr Rodica Comendant and dr Galina Grebennicova, KMPA Director, the country coordinator for GCC and SAAF project. Numerous questions have been answered by the speakers and many misunderstandings were clarified.

On the next day, the 8^th of April, in a morning session, the presentation on Moldova’s experience using Telemedicine was presented by Dr Rodica Comendant, the results of the Pilot-study conducted with Gynuity Health projects in Uzbekistan, presented by dr Dilfuza Kurbanbekova and the results of the Formative Research on the feasibility of MA via Telemedicine in Kazakhstan were presented by Dr Grebennicova. The formative Research showed the following:

14% of women consider that the access to abortion services is very poor and mentioned in 42% that is very expensive, 37% consider there are too many visits. 43% said women need to stay in the clinics for MA and only ob/gyns can provide the MA services. 70% of women have the knowledge about Telemedicine, 33 % are sure they can manage MA themselves. 57% of them are very interested in Telemedicine MA and 78% consider it should be available in the country. The advantages they mentioned would be: the confidentiality, commodity, especially for rural area women and adolescents. They consider an information campaign should be carried out for better implementation.

Providers mentioned in their answers that in 86% they want women to come personally, and in 90% they would like pregnancy confirmation with ultrasound exam. In 60% they mentioned barriers to MA like cost, low awareness of the method among women, 25% consider the insufficient knowledge of providers as a barrier.

In 60% they think women can manage themselves MA and 40% – all the aspects of MA. 73% of providers know about telemedicine, the potential is very high in 65% and in 34% they think it can be introduced in the country.

As next steps for MA via Telemedicine introduction participants of the round d table agreed that a piloting is necessary. A pilot study can be conducted in the capital city and in one of the regions and should enroll about 100 women. Awareness raising Campaign for community and capacity building of providers on MA via telemedicine have been named as other components of the action plan.