The long-term humanitarian crisis inside eastern Burma has created a perfect storm for reproductive health. Maternal mortality and other reproductive health indicators for populations inside eastern Burma are among the worst in the world. Undocumented migrants living in Thailand also face poor reproductive health outcomes because they cannot safely access the Thai health care system and suffer from a lack of access to family planning services, safe legal abortion care, prenatal care, and skilled birth attendants. Our work on the Thailand-Burma border included original social science and health policy research, trainings and educational materials development, and programmatic interventions. We focused on improving adolescent reproductive health services, expanding access to safe(r) abortion care, and fostering high-quality, evidence-based family planning service delivery.