Across Europe, women and pregnant people requiring second-trimester uterine evacuation face significant inequities in care. Although the World Health Organization (WHO) recommends access to both medical and surgical methods at all gestations, surgical techniques such as dilatation and evacuation (D&E) remain inconsistently available, limiting timely, evidence-based care for miscarriage, pregnancy termination, and urgent pregnancy complications. The EQUIP COST Action is the first pan-European initiative to address these gaps by bringing together healthcare professionals, researchers, patients, advocates, and policymakers to strengthen evidence, training, research capacity, and policy. Through coordinated collaboration, EQUIP will expand access to skilled providers, reduce disparities, support WHO-aligned practice, and improve equitable, high-quality uterine evacuation care across Europe.

EQUIP provides a platform for clinicians, researchers, educators, policymakers, patient representatives, and professional organisations across Europe to actively contribute through:

• Cross-border skills transfer: Experts in countries where second trimester surgical evacuation is routinely practised, such as England, the Netherlands and Spain, can mentor peers in settings where it is absent through short-term scientific missions (STSMs) and training schools.

• Shared curriculum development: pooling curricula, defining essential competencies, and adapting training toolkits to diverse regulatory and cultural contexts.

• Coordinated research capacity: mapping national practices, compiling existing datasets, defining research outcomes and identifying priority questions for collaborative investigation.

• Policy, institutional and professional engagement: aligning with European professional societies, organisations, as well as health professions education, universities and training programs to ensure recommendations feed into training standards and guidelines.

• Development of country-level leadership: supporting local champions to integrate curriculum change, skill development and context-specific research within national structures, linked to peers across Europe.