Karl Jays Consulting is leading an independent assessment of UNFPA-supported Community-Based Distribution (CBD) models for family planning commodities and services in Yambio and Maridi, South Sudan. The assignment is generating evidence on the relevance, effectiveness, and sustainability of CBD interventions in addressing the unmet need for family planning, particularly among women and adolescents in hard-to-reach and underserved communities.
Through the CBD model, trained Boma Health Workers (BHWs) and community distributors are delivering contraceptives, counselling, and information directly to households, helping overcome access barriers rooted in geography, conflict, and sociocultural norms.
The evaluation is examining how community-based delivery systems contribute to increased uptake of family planning, reduced unmet need, and improved reproductive health outcomes. Key areas of focus include:
Karl Jays is applying a mixed-methods and participatory approach, combining quantitative and qualitative techniques to capture diverse perspectives. The study involves:
The evaluation is producing actionable recommendations to guide future UNFPA and Amref programming, strengthen local ownership, and support integration of CBD models into national reproductive health strategies.
South Sudan continues to face one of the highest unmet needs for family planning in sub-Saharan Africa, estimated at nearly 29% among women aged 15–49. Strengthening community-based distribution is critical to expanding equitable access, reducing unintended pregnancies, and promoting reproductive autonomy.
This evaluation will provide practical insights for scaling sustainable FP delivery systems, empowering communities to make informed choices, supporting resilient health systems, and advancing gender equality.