ABSTRACT

The number of community-based distribution (CBD) projects that include both family planning and other health components has steadily increased in many countries. The selection of interventions for CBD projects should reflect the fact that such projects differ from clinic-based family planning or primary health care services in a number of significant ways. The short duration of many programs makes it difficult to analyze and rectify problems during the project's life span. The chapter presents an overview of the type of analysis needed in choosing a health intervention for a given project, and elements to be considered in selecting a mix of family planning and health services. Program planning becomes more complex once a decision is made to deliver multiple family planning and health interventions, There are no specific models or formulae to help determine the number and types of interventions that will provide the greatest health effects without overwhelming workers, clients, and logistics.