ABSTRACT

This chapter summarizes the potential for community-based distribution (CBD) programs to distribute a wide range of health services that have as a common denominator their relevance to primary health care. It discusses a number of specific interventions and a general framework for intervention selection. The basic rationale for combining health interventions with CBD of contraceptives can be considered from several somewhat different points of view. When individual health interventions are considered from these three integration perspectives, differing values may be assigned to the intervention's efficacy, community demand for the intervention, and its enhancement of family planning practice. Health interventions that might be combined with community-based contraceptive distribution can be categorized broadly into "specific" therapeutic interventions for a given condition or illness, and "combined" service interventions which simultaneously provide a number of services for a specific group, such as women or children.