Through active co-design with targeted women and health care professionals we designed and commissioned a service to improve access to contraception. As a New Zealand based government owned healthcare organisation, this is an example of re-orientating health service design by stretching traditional models of commissioning to authentically placing the user in the center. I would like to share the story of how we listened and drew upon womens’ voices and developed a workforce and service delivery model to improve contraception access for low income, indigenous (Maori) and rural women. By June 2020 I will be able to share the outcomes of 8 months of service delivery in addition to service establishment and co-design insights.