Induced abortion is a global concern commonly experienced by women of reproductive age due to unintended pregnancy. Nepal legalised abortion in 2002 and started providing safe abortion services (SAS) free of cost, since 2016 from the certified government health facilities. But, more than half (58%) of the total induced abortion were reported to be done clandestinely in 2015. Young women and adolescent girls are at high risk of unwanted pregnancies that they often resort to unsafe abortion when they cannot have access to safe abortion. Lack of availability, accessibility, acceptability and quality services hinders those women to exercise safe abortion. The objective of this study was to assess the barriers to accessibility and availability of safe abortion services among young women in Makawanpur district. A mixed method comprising both qualitative and quantitative was adopted. The qualitative information has been collected through focus group discussions (FGDs) and in-depth interviews (IDIs) whereas quantitative information has been collected through a survey. The study population for both types of study included young women aged between 18 and 34 years. Secondary data regarding the availability of the safe abortion was collected from the District Health Office, Makawanpur using a standard format developed by BBC.