ABSTRACT

In this chapter, the author examines the health and family planning activities employed in experimental and demonstration field projects in less developed countries. But before proceeding in depth into the complexities of these interventions, it is important that he have a shared understanding of the type of field structure implied in the phrase, Community-Based Distribution (CBD). CBD systems are non-clinical family planning delivery systems. Whereas there was general agreement as to the structure and function of clinic-based services, there is no similar agreement as to the nature of non-clinical family planning systems. Non-clinical delivery systems are designed to minimize costs and remove barriers to use for the rural and urban poor, who compose a high proportion of the population of most of the less developed countries. The strong emphasis given to the supply-side approach is due in large measure to the efforts of the U. S. Agency for International Development.