Background: Sexual and reproductive healthcare policies play a crucial role by shaping the landscape of disability inclusion and support. However, the extent to which these recommendations translate into actionable policies varies widely, influenced by political and socioeconomic factors. This study aims to explore the extent to which Ethiopia’s reproductive health policies and related documents are inclusive of women with disabilities.

Method: Policy documents were identified through online search and collaboration with individuals from the Federal Ministry of Health of Ethiopia. Health policy documents were selected if they were related to reproductive health or its element and developed by the government for domestic use. The EquiFrame framework was employed as a tool to systematically analyze the content of documents against 21 core concepts.

Result: A total of eleven policy and policy-related documents were included: guidelines (n = 6, 54.5%), strategies (n = 2, 18.2%), plans (n = 2, 18.2%), and policies (n = 1, 9.1%). Most policies and related documents (7, 63.6%) have a core concept coverage of below fifty percent. None of the policies included in this review demonstrated core concept quality above 50%. Additionally, 10 (47.6%) of the core concepts have an average score of two or above out of four.

Conclusion: Although Ethiopia's constitution guarantees disability rights, the implicit low inclusion of women with disabilities in reproductive health documents is concerning and requires action. Comprehensive strategies, action plans and monitoring mechanisms are needed to ensure meaningful inclusion of people with disabilities in reproductive health policies.