Contraceptive social marketing and community-based distribution systems in Colombia
Vernon, R.; Ojeda, G.; Townsend, M.C.
Studies in Family Planning 19(6 Pt 1): 354-360
1988
ISSN/ISBN: 0039-3665 PMID: 3232165 DOI: 10.2307/1966629Document Number: 335921
Two main alternatives to clinic-based service delivery are frequently used in developing countries to increase contraceptive use: community-based distribution (CBD) aimed at promoting contraceptive use in rural and semi-rural areas, and contraceptive social marketing (CSM). Three operations research experiments were carried out in three provinces of Colombia to improve the cost-effectiveness of Profamilia's non clinic-based programmes. The experiments tested: (a) whether a CSM strategy can replace a CBD programme in a high contraceptive use area; (b) if wage incentives for salaried CBD instructors will increase contraceptive sales; and (c) whether a specially equipped information, education, and communication team can replace a cadre of rural promoters to expand family planning coverage. All three strategies proved to be effective, but only the CSM system yielded a profit. Despite this, Profamilia discontinued its CSM programme soon after the experiment was completed. Unexpected government controls regulating the price and sale of contraceptives in Colombia made the programme unprofitable. As a result, family planning agencies are cautioned against replacing CBD programmes with CSM. Instead, CBD programmes might adopt a more commercial approach to become more efficient.