For SRH Leaders, Clinicians & Advocates

Reproductive HealthHealth EquitySocial Justice Insider. AI Strategist.

25 years inside the reproductive health movement. AI strategy built for it. I help mission-driven organizations use AI that protects patient access, fights misinformation, and doesn't compromise the communities they exist to serve.

25+

Years SRH Leadership

MIT

xPRO Certified

55+

Orgs Served

Partners Across the Movement

Power to Decide Bedsider Provider Plus Planned Parenthood NAF Upstream USA Health HIV Society of Family Planning Healthy Teen Network SisterSong Reproductive Freedom for All HRSA CMS APHA

The Stakes Are Real

Most AI
Wasn't Built
For This Work.

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.

→ AI is already in your org — and leadership doesn't know. Staff are using it in patient messages, grant narratives, and clinical summaries right now. That's not a future risk. It's a present liability with no policy, no oversight, and no paper trail.
→ Every vendor claims to be ethical. None of them know your context. HIPAA-compliant doesn't mean safe in a post-Dobbs, high-surveillance environment. Without a framework built for SRH specifically, you're evaluating tools blind.
→ You're being asked to lead on AI with zero support. Your board is asking. Your funders are asking. Your staff is asking. And you're googling "AI policy for nonprofits" at 11pm trying to figure out where to even start.
→ The equity and ethics questions are real — and they don't have easy answers. Who does this technology center? Who does it harm? What happens when an algorithm makes decisions about communities that have already been failed by systems? These aren't abstract concerns. They're the work.

Featured Work

Social Signal Pipeline.

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.

1,661

Videos Processed

94.4%

Clustering Accuracy

83.8%

High-Risk MDI Recall

0.83

Cohen's Kappa Agreement

What I Do

Built for
This Work.

AI Audit & Readiness Assessment

Start Here

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.

AI Strategy Consulting

Cut Through the Hype

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.

Workshops & Team Training

Confidence, Not Just Capacity

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.

SRH Tool Design & Technical Partnership

The Bridge Between Movement & Machine

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.

AI Governance & Ethical Policy

Protect Trust. Prevent Harm.

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.

Executive & Board Advising

Lead AI With Clarity

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.

Speaking & Keynotes

The Intersection of Movement & Machine

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.

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Ready to Talk?

Let's Build Something

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.

What Clients & Collaborators Say

From the People
Who've Seen the Work.

She knows how to nurture an idea without diluting it. Her values genuinely lead her work — which feels rare and honestly essential in this ever-changing tech space. Working with her feels aligned, safe, and principled, without ever losing ambition or vision.

Brit Jones Power to Decide

She approaches emerging challenges with both strategic clarity and deep intentionality — always asking not just what is possible, but what is responsible and equitable. She balances big-picture thinking with practical execution, which is a rare and valuable combination.

Cat McKay Power to Decide

I met with Lyndsay about her pioneering work in AI and health equity. I was impressed by her experience having already implemented a number of AI solutions, with an eye towards efficiency and ethics. She struck me as passionate, diligent, and extremely knowledgeable — and someone you would absolutely want to work with in this space.

Joanna Drew Hilo Consulting

Post-Dobbs, the urgency of data privacy advocacy has exploded. As a reproductive rights attorney, I had to learn an entirely new realm of policy at a time of legal, political, and technological flux. Thank goodness for Lyndsay's work!

Liz McCaman Taylor Senior Counsel, Center for Reproductive Rights

Free Publication

The Body Is
The Interface.

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.

✦ Powered by Frame + Forge Free to Subscribe SRH Leaders · Clinicians · Advocates

Subscribe Free →

The Body Is the Interface — Reproductive Health Insider. AI strategist. Finally, both.

Recent Issues — Live from Substack

About Lyndsay

Built From
Inside
The Work.

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.

Lyndsay Sanborn, MHPA

Founder & Principal Strategist

Education & Training

The Credentials
Behind the Work.

IWAI

Innovating with AI (IWAI) Certified Consultant

MIT

Executive Certificate in AI Strategy & Product Innovation

Stanford d.School

Designing for Social Systems — Hasso Plattner Institute

Univ. of Southern Maine

M.A., Health Policy & Administration

Simmons University

B.A., Women's Studies & Philosophy

Speaking & Keynotes

I Speak at the
Intersection.

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.

Topics

→ AI Strategy & Governance for SRH Orgs
What leaders need to know, decide, and do — right now.

→ Misinformation & Reproductive Health
How AI is reshaping what patients believe — and what you can do about it.

→ Ethics & Equity in Health AI
The hard questions the tech industry isn't asking — and why SRH leaders must.

→ AI Leadership for Nonprofit Executives
How to lead your organization through AI adoption without losing what matters most.

How I Work

Values That
Lead the Work.

Justice Is the Brief

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.

Ethics Before Speed

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.

Visibility Before Action

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.

Listen First, Lead Second

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.

Accountability at Every Step

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.

Community Voices at the Center

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.

Outside the Studio

Where I Come
From.

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.

→ Peer educator at a Title X clinic at 14 — this work has been personal from the start.

→ New England — skiing, kayaking, hiking. The landscape shapes how I think.

→ Watercolor painter and knitter — patience and attention are practices, not just principles.

Let's Talk About Your Work.

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.

What I Offer

25 Years Inside
This Work.

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.

How I Work With You

Diagnose

Understand where AI is already showing up in your org, what risks exist, and what's actually possible.

Strategize

Build a values-aligned roadmap. Train your team. Govern what you already have before adding anything new.

Build & Sustain

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.