Artwork adapted from PATH and The Population
Community-based distribution (CBD) programs are used to increase
accessibility of products, particularly to people in remote
rural locations or urban slums. CBD programs have been used
widely in distributing oral contraceptives and many other products,
including barrier methods.
When sponsored by family planning programs, CBD workers are
usually women, going door-to-door in villages and urban slums.
They counsel women and sometimes couples on family planning
options. They learn to screen for potential problems using a
checklist so that women can be referred if necessary to the
appropriate provider. Most CBD workers distribute condoms, spermicides
and pills. Usually, a nurse, nurse-midwife or physician supervises
Family planning programs are beginning to emphasize male condom
distribution in new types of CBD programs. These new programs
are often prompted by efforts to integrate family planning services
with STD prevention. The Jamaica Family Planning Association,
for example, has emphasized condom distribution in its outreach
program into communities, workplaces and rural areas. Even the
programs staff drivers have been trained to promote and
distribute condoms. In one year, about half of the new family
planning acceptors in this outreach project were men.
AIDS prevention projects have also used many types of community-based
approaches to promote and distribute condoms. These are usually
targeted to particular populations, including men at the workplace,
youth at schools or community locations, people at marketplaces,
and individuals in other outlets.