Nonclinical delivery systems have been developed primarily because of the need to provide greater access to a majority of the people, particularly in rural areas and urban poor neighborhoods. Poor distribution of appropriately trained health personnel and physical limitations have prevented the clinic-based system to expand. Nonclinical delivery systems are designed to minimize service delivery costs and such barriers to clients as distance, costs to clients, administrative difficulties, and ignorance of contraception. Personnel with limited family planning training have been utilized, and community involvement has been increasingly encouraged. The belief that there is an unmet need for family planning services, and that if services were made available in these areas they would be used, underlies the development of nonclinical services. This report provides an overview on community-based and commercial distribution projects--describing projects, the services they provide, their evaluation design, and their results, in 36 countries in Asia, Latin America, and Africa. It also discusses the intermediate effectiveness (volume of contraceptives distributed, number of acceptors, continuation, and prevalence), the impact on fertility decline, the cost effectiveness, and the replicability of such efforts. A case study of the Indonesian experience is offered.