Participants sing during a wedding ceremony at Bole Medhane Alem (Savior of the World) Cathedral in Addis Ababa, Ethiopia. It's Africa's largest Orthodox church, and its message on contraceptive devices is clear: not permitted. Allison Shelley for NPR hide caption

itoggle caption Allison Shelley for NPR

Health plans are required to pay for contraceptives, but the clinics that are common sources of family planning services aren't used to dealing with insurers. iStockphoto.com hide caption

itoggle caption iStockphoto.com