CBFP Strategies

Community health workers (CHWs) are an effective means to bring FP information and services to women and men in the communities where they live. CHWs have an affinity and understanding of the clients they serve because CHWs are known in their community and come from the same or a similar cultural background. Historically, CHWs have been trained to safely provide pills, condoms, and spermicides. More recently, global technical experts agree that CHWs can safely offer injectable contraceptives and educate women and couples to use fertility awareness methods, such as LAM and the Standard Days Method (SDM). CHWs are discussed in more detail in the CBFP Challenges section below.

Traditional Birth Attendants (TBAs) can be trained to work as CHWs or otherwise brought formally into health systems/programs to provide and promote FP methods.

Community depots are useful for resupplying existing FP users with their method of choice. The depot strategy is a convenient solution for following up with a client when the only other option is a distant health facility, thereby helping to prevent method discontinuation.

Drug shops (e.g., privately accredited drug dispensing outlets) are an effective means to expand the FP method mix, including Depo-Provera/Depot medroxyprogesterone acetate (DMPA), in underserved communities, thereby increasing access to FP.

Mobile services are a way to link clinical, provider-dependent methods to communities whose access to a full range of FP methods, especially LAPMs, is limited. This strategy can greatly improve method choice at the community level.

Private sector actors can provide access to resources and techniques that increase FP uptake through media outlets, development of job aids and communication materials, and transportation. Social marketing of FP commodities is an example of engaging the private sector to increase contraceptive use.

Please also see the below sections on CBFP in this toolkit: