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REPRODUCTIVE HEALTH Community-based Distribution of Contraceptives Requiring clients to visit family planning clinics is not always the best way to distribute contraceptives. Some people cannot reach the clinic, while others fear community or family disapproval of contraception and consequently shun public clinics. Population Council research in Asia and Latin America has demonstrated that contraceptives can be distributed effectively in the community through nontraditional, nonclinical means. Based on this evidence, the Council has expanded community-based distribution (CBD) research to Africa. In 2002 a pilot study to test the first public-sector CBD program in Senegal was underway. The study, implemented by the Council's Frontiers in Reproductive Health Program in collaboration with Management Sciences for Health and the Senegal Ministry of Health, aims to demonstrate the acceptability, cost, and effectiveness of two CBD models versus a clinic-strengthening model. This research also explores how the models affect the knowledge and use of basic reproductive health services among rural women. The results will be used to recommend a cost-effective, community-based reproductive health service model for Senegal. Projects
Publications/Resources on this issue See Also
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