Abstract
To support the Government of Ghana’s plan to expand community-based distribution (CBD) programs, the Planned Parenthood Association of Ghana (PPAG) and the Population Council conducted a study in 1999 of the CBD programs of 13 nongovernmental agencies. The study also assessed in depth PPAG’s CBD program, which is the country’s largest and oldest. Data sources included interviews with 301 CBD agents, 27 supervisors, and 20 clinicians in rural and urban areas in 16 districts; observations of 51 PPAG agents interacting with 6 clients each; and 15 focus group discussions with community members, former CBD agents, and CBD clients. CBD programs in Ghana indicate that contraceptive distributors can also provide education on sexually transmitted infections, including HIV/AIDS, and maternal and child health. As stated in this brief, performance of CBD agents remains low, and CBD programs can be improved by establishment of national standards and guidelines, better recordkeeping, and more compensation for agents.
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