We describe the implementation of a youth-focused condom distribution initiative in Omaha, Nebraska, developed by the Women's Fund of Omaha. During a 2.5-year period, initiative partners distributed nearly 1.4 million free condoms to community members via outreach events and 197 condom distribution boxes. The Women's Fund of Omaha also implemented seven media campaigns encouraging condom use. The number of condoms distributed per month increased from 9840 in September 2015 to 71 220 in February 2018. Condom distribution initiatives can play an important role in increasing condom access.