Despite this guidance from leading UN agencies, safe abortion as a means for women living with HIV to deal with unwanted pregnancies has remained the most neglected area of reproductive health within HIV/AIDS-related policies and programming. This publication calls upon our colleagues in the HIV/AIDS and reproductive health communities - researchers; policy-makers; advocates; staff of governmental, multilateral and civil society organizations; people living with HIV; programme and intervention implementers; and donors - to ensure that our work enables women living with HIV to prevent unwanted pregnancies and deal safely with those that occur, including through safe abortion care.