Document Type

Report

Publication Date

2002

Abstract

Community-based distribution (CBD) is the use of nonprofessional local distributors or agents to provide family planning (FP) methods—typically condoms, pills, and spermicides—and referral for other services. FP programs in Africa, Asia, and Latin America have implemented CBD programs for the past 30 years. There is a large body of evidence on the effectiveness, cost, and sustainability of CBD models. Most evidence supports using CBD where appropriate conditions exist. However, major changes have taken place in the context in which programs operate, including the onset of the HIV/AIDS pandemic, enhanced access to FP services, and increased demand for related reproductive health care. These changes call for a review of CBD’s relevance—particularly in sub-Saharan Africa. This seminar was organized by the Population Council’s Frontiers in Reproductive Health Program, Family Health International, and Advance Africa and attended by participants of the U.S. Agency for International Development and collaborating agencies. Key issues reviewed are detailed in this document.

DOI

10.31899/rh2002.1006

Language

English

Project

Frontiers in Reproductive Health

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