Endalkachew MekonnenBethel Degefa2025-08-072025-08-072024-10-05https://etd.aau.edu.et/handle/123456789/6219Chronic diseases, including heart disease, hypertension, diabetes, cancer, and chronic respiratory conditions, are the leading causes of mortality and morbidity worldwide. Women, who make up 60% of the global poor, face even greater challenges in surviving these conditions due to the impact of poverty. For women with chronic illnesses, unintended pregnancies carry a high risk of severe maternal and perinatal complications, such as congenital abnormalities, preterm labor, spontaneous abortion, premature birth, and fetal death. Ensuring access to contraceptives, especially modern methods, is crucial to enabling these women to have safe pregnancies and avoid pregnancy-related complications.en-UScontraceptive usechronic medical illnessThesis