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Although The Gambia Family Planning Association (GFPA) has always been interested in promoting contraceptive use in the Greater Banjul Area (GBA), insufficient funds and the need to prioritize program expansion in rural areas hindered this. The GFPA operates two clinics in GBA, open to few workers. The government has three Family Planning and Maternal and Child Health clinics in Banjul, also used by few workers. Factory managers, trade union leaders, and the GFPA believe that a well-organized family planning (FP) education and service delivery program could benefit employees and employers. This operations research study tested the feasibility of a work-based FP and STD education program and experimented with the most effective service delivery approach. Three approaches were identified that could be used to provide workers in urban areas with FP services—take services to workers, establish a service delivery outlet at each workplace, rely on workers obtaining services outside their workplaces. As stated in this report, the first two approaches had never been tried in GBA, hence this study tested these two systems of service delivery in terms of cost-effectiveness, client satisfaction, and contraceptive knowledge and use.






Africa OR/TA Project II