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“We cannot insist only on issues related to abortion, gay marriage and the use of contraceptive methods. This is not possible,” he said, then alluded to the consternation he was causing conservative Catholics.

This includes treatments such as hormonal contraceptives and intrauterine delivery systems.

She said she was offered a contraceptive pill if she was really struggling, but she did not feel comfortable with this option while not sexually active.

All the couple's medicines and contraceptives were supplied thanks to funding from the US government's main overseas aid agency USAID.

The US has, in the past, provided contraceptives to countries around the world as part of family planning programmes.