Contraceptive Technology and Reproductive Health Series: Home Page Contraceptive Technology and Reproductive Health Series Back to FHI Website
Barrier Methods
Introduction Contents Post-Test References Go To Presenter Info


Section 1
Section 2
Section 3

- Health
- Objectives
- How to Obtain
- One Method
- Dual-Method
- Choices
- Services
- Marketing
> Distribution
- Management
- Logistics


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Section 3 - Barrier Methods and Reproductive Health:
Programmatic Concerns

Promotion and Distribution:
Community-based Distribution (CBD)

Provider educating client

Artwork adapted from PATH and The Population Council.
Slide 44

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 CBD workers.

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 program’s 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.



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