TY - JOUR T1 - Time to Evolve Beyond Prototypical Community-Based Distribution (CBD) of Contraception? JF - Global Health: Science and Practice JO - GLOB HEALTH SCI PRACT SP - 624 LP - 625 DO - 10.9745/GHSP-D-18-00462 VL - 6 IS - 4 A2 - , Y1 - 2018/12/27 UR - http://www.ghspjournal.org/content/6/4/624.abstract N2 - CBD efforts have a definite role in a variety of country programming contexts. However, contemporary efforts need to strive for an expanded method mix, strong support and motivation of CBD agents, and robust integration with existing health systems.See related article by Hernandez.In this issue of GHSP, Hernandez and colleagues present a notable description of how their process evaluation of a large community-based distribution (CBD) program in the capital city of the Democratic Republic of the Congo (DRC), Kinshasa, led to major improvements in that program.1 We compliment the authors for forthrightly detailing the weaknesses they observed in the original design of the AcQual program and the reasonable changes they subsequently have made. Nevertheless, the experience offers the opportunity to ask what might be the proper role for similar CBD efforts in the future.Community-based distribution of contraception has had a number of variations, including: Whether agents are volunteers or paid (or retain proceeds from sales of the contraceptives),Which contraceptive methods they provide,Whether agents are expected to actually visit clients in their homes, andWhether … ER -