Basics of CBFP

Community-based family planning (CBFP) brings family planning information and methods to women and men in the communities where they live rather than require them to visit health facilities.  Four CBFP strategies have been proven to extend services into the community: community-based distribution (CBD), community depots, mobile services, and engaging the private sector.  Several cross-cutting themes emerge with all four CBFP strategies, including involving the community in the CBFP program, building interest in the CBFP program and changing family planning behaviors, and ensuring reliable access to commodity supplies. These cross-cutting themes are addressed in the Community Mobilization, Behavior Change Communication, and Program Design & Management tabs, respectively.
 
One of the main objectives of CBFP programs is to increase access to and choice of family planning in underserved areas.  Community health workers provide access to a variety of methods, such as oral contraceptives, condoms, and increasingly, injectable contraceptives.  They also educate women and couples to use fertility awareness methods such as the Lactational Amenorrhea Method (LAM) and the Standard Days Method (SDM), and can make referrals for clinic-based methods.  This holistic approach ensures that clients in the community have access to a range of contraceptive choices to fit their needs. 
 
This section of the CBFP Toolkit is intended to provide users with resources that give overviews and distill lessons learned about CBFP programs, organized largely by the key CBFP strategies:

Overviews and Lessons Learned About CBFP

Community-Based Distribution

Community-Based Access to Injectables

Mobile Services

Community Depots

Private-Public Partnerships

Have a suggested resource or comment about this section? Please visit our discussion board. We especially welcome suggestions of resources that provide a succinct overview or lessons learned about community depots, mobile services, and private-sector strategies.

Overviews and Lessons Learned About CBFP

    No Date | GOOD
    This online transparency provides a graphical representation of the potential contribution of community health workers to improved maternal and child health in many parts of the world.
    2010 | U.S. Agency for International Development [USAID]
    This slide set includes panel presentations on the experiences of Afghanistan, Nepal, and Yemen in expanding community-based access to family planning, including injectables.
    2008 | U.S. Agency for International Development [USAID] Knowledge Services Center | 10 p
    This document is a focused bibliography of community-based family planning programs in sub-Saharan Africa. A literature search for peer-reviewed journal articles was conducted in multiple health databases, such as PubMed and Popline. In addition, this bibliography contains review articles on community-based family planning programs and is organized by region and country.
    2006 | Pathfinder International | 28 p
    This report describes Pathfinder's efforts at the grassroots level to expand access and knowledge, stimulate acceptance, and create awareness and ownership of reproductive health and family planning programs. It covers some of the lessons learned of what makes community-based programs thrive and provides examples of how these programmatic concepts are integrated into their work. Lessons learned include:
    2005 | Contraception | pp. 402-407
    Community-based distribution (CBD) programs are the optimum way of reaching people in rural areas of developing countries where conventional methods of delivery do not exist or fail. This paper reviews findings and experiences from over 30 years of efforts to implement CBD of family planning methods around the world. Although research suggests that community-based service delivery can contribute to contraceptive use, the magnitude of impact is often in doubt or its existence is questionable when compared to alternative family planning delivery services.
    2002 | Population Council/FRONTIERS | 14 p
    This seminar summarized evidence on the effectiveness, impact, cost, and sustainability of various CBD models; identified best practices in African CBD programs; and described how CBD programs can meet reproductive health needs in sub-Saharan Africa. Key issues reviewed included: effectiveness, cost, and sustainability of CBD programs; distributor selection, training, and supervision; products and services; integration of new services; evaluation of CBD programs; and mobilization of sustainable support. The seminar was  attended by participants of the U.S.
    1999 | Population Council | 105 p
    This paper reviews findings and experiences from efforts to implement community-based family planning services in sub-Saharan Africa. Although research suggests that community-based service delivery can contribute to contraceptive use, the magnitude of impact is often in doubt or is considerably less than was observed in similar projects in Asia in the 1970s and 1980s. Reasons for the constrained impact of community-based family planning in Africa are reviewed and assumptions about the efficacy and mechanism of community-based distribution (CBD) are discussed.
    1997/98 | The Manager from Management Sciences for Health | 22 p
    This issue of The Manager helps reproductive health managers develop solutions to bring services to hard to reach, underserved populations and discusses the kinds of groups that are hard to reach, how to select a group to serve, and methods for determining their reproductive health needs.  
    Global Health eLearning Center
    This e-learning course focuses on the community-based family planning (CBFP) aspect of a broader community health intervention. The course orients the learner to the major strategies, benefits, and challenges of CBFP and to essential concepts for successful, sustainable programs.  By the end of the course, the learner will be able to:

Community-Based Distribution

Community-Based Access to Injectables

Mobile Services

Community Depots

Private-Public Partnerships