25 years inside the reproductive health movement. AI strategy built for it. I help SRH organizations use AI that protects patient access, fights misinformation, and doesn't compromise the communities they exist to serve.
Your staff is already using AI. Your board is already asking about it. And the tools being built by the tech industry weren't designed with your patients, your politics, or your risk profile in mind.
The question isn't whether AI is coming to SRH. It's whether you'll be led through it by someone who actually knows what's at stake — or left to figure it out alone.
An AI-powered misinformation detection system built for sexual and reproductive health organizations. It scrapes TikTok and YouTube for SRH content, transcribes video audio, scores claims against medical sources, clusters trends semantically, and delivers provider-ready intelligence digests — with talking points and viral post links — every 1–2 weeks.
Built for Power to Decide's Bedsider Provider Plus. Hybrid human-AI validation at every stage.
Before you adopt anything new, understand what's already in your org. I map where AI is showing up — officially and unofficially — and what risks it carries in your specific context.
One-on-one strategic advising to build a values-aligned AI roadmap. I identify the right use cases, flag the real risks, and help you move forward with clarity and confidence.
Custom training for SRH teams navigating AI — from "what is this?" to "how do we govern it?" I meet your team where they are and build real capability.
I don't build the tools — I make sure they get built right. I sit alongside your technical teams as the SRH expert, translating movement knowledge into product requirements and keeping equity at the center.
If you're already using AI tools, I review them for bias, privacy risk, and ethical alignment — then help you build internal policies that hold your technology accountable.
Strategic advising for EDs, senior leaders, and board members — building the confidence and frameworks to lead AI conversations with authority — with the board, with funders, and across the organization.
Conferences, convenings, board retreats, funder briefings. I bring 25 years of SRH experience and hands-on AI implementation to every stage — a combination you won't find elsewhere.
Every engagement starts with a free 30-minute call. No pitch deck. No pressure. Just a direct conversation about where you are and what's actually possible.
A justice-driven exploration of how artificial intelligence is reshaping sexual and reproductive health — and what it means to design digital systems that center care, autonomy, and equity from the start.
I didn't come to reproductive health from tech. I came to tech from 25 years inside the SRH movement — running coalitions, shaping Medicaid and HRSA policy, training clinicians, and watching how systems either protect or fail the communities I care about most.
Most recently, I led AI strategy, enablement, and tool design at Power to Decide — building tools at the intersection of misinformation, patient access, and responsible technology. When I saw AI being built for health contexts by people who had never been in a clinic, never navigated a post-Dobbs landscape, never sat with the stakes — I didn't look away. I got to work.
Frame + Forge exists because this moment is too important to leave to technologists who don't know this work, or to advocates who've been told technology isn't theirs to understand. Someone has to hold both. That's what I do.
Twenty-five years in the SRH movement. Hands-on AI implementation. A rare combination that makes for talks that are technically grounded, movement-rooted, and impossible to find anywhere else on the conference circuit.
I speak at conferences, affiliate convenings, board retreats, funder briefings, and leadership summits — tailoring every session to the room I'm in.
AI is not politically neutral. The communities most affected by reproductive health policy are the same ones most vulnerable to algorithmic harm. I don't add equity as a layer — I start there.
SRH is complicated. Post-Dobbs risk is complicated. I don't flatten that complexity to move faster — I help organizations hold it clearly and make defensible decisions inside it.
You can't govern what you can't see. Before I recommend anything, I help organizations understand what's already happening — in their vendor stack, in their staff's browser tabs, in the data moving without anyone's knowledge.
I don't arrive with answers. I arrive with 25 years of context and the discipline to understand your specific situation before I suggest anything. The best solutions come from the room — not from a slide deck.
Nothing should change without visibility. Nothing should ship without ownership. I build systems and advise on systems where humans stay in the loop and the audit trail never disappears.
The people most affected by reproductive health decisions are the ones who should shape the technology that serves them. Not as an afterthought. Not as a focus group. As the authority.
I started in this work at 14 — as a peer educator at a Title X family planning clinic in New Hampshire. That's where I first understood what it means to have access to care, and what it costs when you don't. I've never left this work since.
New England is home. I ski it, kayak it, hike it, and sit with it in the quiet. I paint in watercolor — mostly landscapes — and I knit, slowly and intentionally, which I've decided is good for the soul. Whether I'm reading a river or reading a workflow, I bring the same thing: patience, attention, and a genuine need to understand what's actually going on before I touch anything.
Every engagement starts with a free 30-minute conversation. No pitch deck. No pressure. Just a real conversation about your work and what's possible.
Now I Help You Navigate What's Coming.
Patients. Staff. Community. Mission. That's what's actually at stake when your organization meets AI — and most consultants have never been in the room where that matters most.
I'm not here to sell you on technology. I'm here to help you understand it, govern it, and use it in ways that keep the people you serve safe — and keep your organization true to why it exists. That's a different kind of work. It requires someone who knows both worlds from the inside.
Understand where AI is already showing up in your org, what risks exist, and what's actually possible.
Build a values-aligned roadmap. Train your team. Govern what you already have before adding anything new.
Build the acumen, skills, policy, and governance your organization needs to work with AI — and against it — with clarity, confidence, and mission intact.
Most clients start with a diagnostic. Every engagement is scoped to where you actually are.
Before you adopt anything new, you need to understand what's already in your organization — officially and unofficially. Staff are using AI in patient messages, grant narratives, and clinical summaries right now. This assessment maps where AI is showing up, what risks it carries in your specific context, and what a responsible path forward looks like.
This is where most clients start. It gives you the clarity to lead the conversation with your board, your funders, and your team — and a foundation for every decision that follows.
You're not exploring AI for innovation's sake. You're trying to reach more people, protect sensitive data, and make limited resources go further — in an environment where the wrong tool can expose your patients to real harm. I build a clear, values-driven strategy tailored to your organization's specific context, risk profile, and community.
I identify your highest-value use cases, name the risks your communities face that generic consultants won't know to ask about, and give you a plan you can actually execute with your current team and budget.
Your staff is already navigating AI — most of them without guidance, policy, or support. I design custom training that meets your team where they are: from foundational AI literacy for clinical staff to advanced sessions on equity, bias, data privacy, and governance for leadership.
The goal isn't just to teach skills. It's to help your team understand the stakes, ask the right questions, and feel genuinely confident making decisions in a fast-moving landscape.
The SRH movement needs AI tools designed with deep understanding of reproductive health — the clinical realities, the political context, the communities at stake. What it rarely has is someone who can bridge the gap between that knowledge and the engineers doing the building.
I work alongside your technical teams or vendor partners as the SRH expert in the room — translating movement knowledge into product requirements, flagging equity and safety issues before they're baked into the architecture, and ensuring what gets built actually serves the communities it's meant to reach.
In a post-Dobbs, high-surveillance environment, the AI tools your organization uses carry real legal and safety risk for the communities you serve. "HIPAA-compliant" is not the same as safe. I assess your existing tools for bias, privacy risk, and ethical alignment — then help you build internal policies that are simple enough for staff to actually follow and strong enough to protect the people you serve.
Your ED is fielding questions about AI from the board. Your board is fielding questions from funders. And nobody in the room has a framework for answering them responsibly — or confidently. I work directly with executive directors, senior leadership, and board members to build that confidence and close that gap.
This isn't generic coaching. It's strategic advising grounded in 25 years of SRH movement experience — helping leaders understand what AI means for their mission, their risk profile, and the communities they serve, and preparing them to lead internal and external conversations with authority.
Conference stages, affiliate convenings, funder briefings, board retreats — the SRH field needs speakers who can talk about AI without losing the thread of what this work is actually about. I bring 25 years of movement experience and hands-on AI implementation into every room I'm in.
I speak on topics where I can offer genuine insight — not just talking points — because I've done the work and lived in this field. Every session is tailored to your audience, whether that's clinical staff, executive leaders, policy advocates, or funders.
Most clients begin with a diagnostic. It's the fastest way to understand where you are, what you need, and what's actually possible.
Nonprofit and mission-driven pricing available. Every engagement begins with a free 30-minute call.
Real organizations. Real stakes. Real results. Every project on this page was built from inside the movement — not handed down from a tech company that found SRH interesting for a quarter.
Reproductive health misinformation doesn't wait for business hours. It spreads on TikTok and YouTube while your team is offline — and by the time someone flags a viral post, thousands of patients have already seen it. Social Signal was built to close that gap.
The system continuously scrapes TikTok and YouTube for SRH-related content using Apify agents, transcribes video audio with OpenAI Whisper, analyzes claims against trusted medical sources using a custom rubric-scoring model (0–14 scale), clusters trends semantically, and delivers a curated intelligence digest to Bedsider Provider Plus members every 1–2 weeks — with provider-ready talking points, viral post links, and suggested responses.
A hybrid human-AI review loop validates every flagged item before it reaches providers, maintaining accuracy and accountability at scale.
"During our time working together to build a tool that helped our organization better understand how young people were talking about birth control on social media, I saw firsthand her ability to navigate nuance. She brought a strong equity-centered lens to the work, ensuring that insights were grounded in the lived experiences of the communities we serve."
Most AI governance guides are written for tech companies. This one is written for the ED who just found out a staff member has been pasting patient summaries into ChatGPT — and doesn't know what to do next. It's a 28-page governance guide for leaders who want clarity, confidence, and defensibility without a law degree or a technical team.
The roadmap introduces three original frameworks developed by Frame + Forge: the CLEAR Control Center (a five-gate decision framework for every AI use case), the AI Governance Readiness Gate (a pause-first screen for new adoption), and a 90-Day Visibility and Governance Plan that moves organizations from uncertainty to defensibility. It includes a board briefing summary designed to be extracted and handed directly to board members, an AI inventory worksheet, a vendor accountability checklist, and a glossary written for leaders, not engineers.
Designed to be shared across the organization — from frontline staff to the board chair. Because the more people who see the same picture, the faster governance takes hold.
Custom AI literacy curriculum designed specifically for sexual and reproductive health nonprofit leadership — covering AI capabilities, risk frameworks for sensitive data environments, and practical governance approaches. Delivered across organizations of varying size, budget, and technical capacity.
Real people asking real questions about reproductive health don't always do it in clinical settings or on official platforms. They do it on Reddit — anonymously, candidly, and at scale. This autonomous monitoring system tracked SRH-related Reddit communities continuously, surfacing what patients and the public were actually asking, worrying about, and getting wrong — in their own words, without requiring manual review or human-initiated searches.
Running without intervention, the system identified trending questions and concerns, flagged emerging misinformation themes, and delivered structured digests to the Bedsider, AbortionFinder, and Power to Decide teams on a regular cadence. Content strategists, educators, and communications leads received a direct, ongoing line to the real-world information needs of the communities they serve — allowing content strategy and educational material development to be shaped by what the data revealed, not assumptions about what audiences needed to hear.
A fully custom analytics platform that monitors over 75 Reddit subreddits in real time, tracking public conversations about STIs using keyword-based aggregation. The dashboard surfaces sentiment analysis, emerging trends, condition-specific discussion volumes, service gaps, and public health event correlations — all updated continuously without manual intervention.
Communications teams, content strategists, and program leads can generate on-demand reports directly from the dashboard to inform content development, messaging strategy, and program design based on what communities are actually asking and feeling — not what organizations assume they need.
Title X clinic directories go stale constantly — and a patient who follows bad data to a clinic that no longer provides services faces real consequences for their care and access. This isn't a data hygiene problem. It's a patient safety problem.
I built a custom autonomous Python agent to verify all 86 Title X-funded family planning clinics against official sources only — 48 data fields per clinic covering birth control methods, STI testing capabilities, financial assistance options, and funding status. The system used network-based batch processing to reduce verification time by 60–70%, a color-coded change tracking system for immediate status identification, and a human-in-the-loop review process ensuring nothing was overwritten without confirmation. Complete audit trail at every step.
An 18-slide leadership framework making the case that AI governance is a leadership responsibility — not a compliance exercise. Introduces three original frameworks: the AI Inventory, the AI Fit Test, and the AI Leadership Test. Presented to Planned Parenthood affiliates with real case study proof points and a practical roadmap for moving from diagnostic to safe implementation.
Every project on this page started with a 30-minute conversation. Let's have one about yours.
Analysis, frameworks, and honest takes on AI for SRH — written for leaders who need to understand what's happening and what to do about it.
What happened in Texas is not an edge case. It's a preview. AI-powered surveillance is already being used against the patients we serve — and most SRH organizations aren't ready.
Read on Substack →Opting out of AI is only available to organizations with enough resources to absorb the cost. For most SRH leaders, the question isn't whether to engage — it's how to do it without losing what matters.
Read on Substack →The policy landscape is shifting fast. Here's what's actually in effect, what's coming, and what SRH organizations need to understand before their next vendor renewal or tool adoption decision.
Read on Substack →My weekly publication for SRH leaders, clinicians, and advocates — honest analysis of what AI is doing to reproductive health, and how to use it to fight back.
Every engagement starts with a free 30-minute strategy call. No pitch deck, no pressure. Just a real conversation about your organization, your work, and what's actually possible with AI right now.
Whether you're exploring where to start, have a specific project in mind, or just want to pressure-test an idea — this is where that starts.
Pick a time that works for you. No prep required — just show up ready to talk about your work and where AI fits in.
Book a Time →Tell me about your organization and what you're working on. I respond within 24 hours.
lyndsay@frameandforge.comFollow the work, reach out directly, or just see what I'm thinking about this week.
linkedin.com/in/lyndsay-sanbornA justice-driven exploration of how artificial intelligence is reshaping sexual and reproductive health — and what it means to design digital systems that center care, autonomy, and equity from the start.
The Body Is the Interface isn't an AI newsletter. It's an SRH newsletter that takes AI seriously — written by someone who has spent 25 years inside the reproductive health movement, not just observing it from the outside.
Every issue is written for clinic directors, policy advocates, program managers, and clinicians who need to make real decisions about AI — without the hype, without the jargon, and without losing sight of who this work is actually for.
Free analysis delivered to your inbox. For SRH leaders who need to understand what AI is doing to their patients — and how to use it to fight back.
Subscribe Free → No spam. No paywalls. Just signal.If you're ready to move from reading about AI to actually building responsible AI systems for your organization — Frame + Forge is where that work happens.
