BACKGROUND: Women with Abnormal Uterine bleeding (AUB) experience barriers to accessing health care services. OBJECTIVES: To identify and describe the evidence on interventions to improve health care access of women with AUB. SEARCH STRATEGY: A systematic search of databases including Medline, Cinahl, EMBASE, Scopus and Cochrane register for clinical trials on 26 February 2021. SELECTION CRITERIA: Studies including women with AUB and investigating an intervention to improve access at the level of individual patient, community, organization, health system or medical education. DATA COLLECTION AND ANALYSIS: Data extraction and descriptive analysis of the country, study design, settings, participant characteristics, intervention, outcome measures, and key findings. MAIN RESULTS: We identified 20 studies and most interventions (13 studies) targeted organizational changes. Creating a multidisciplinary team, bringing services together and developing a care pathway all improved the availability of services. Management of AUB in an outpatient setting improved the affordability. The use of decision aids improved patient engagement in consultations. There is a lack of interventions at an individual or community level targeting health literacy, health beliefs, social acceptability, opportunity to reach and pay for services. CONCLUSIONS: Community-based culturally adapted interventions focusing on access to women with different socio-economic and cultural backgrounds should be investigated.