A review of Care’s Community Score Card experience and evidence
Bibliographic Data
| ID | 14668124 |
|---|---|
| Authors | Sara Gullo (0000-0002-9192-5695, CARE USA), Christine Galavotti (CARE USA), Lara Altman |
| Year | 2016 |
| Volume | 31 |
| Issue | 10 |
| Pages | 1467-1478 |
| Publication date | 2016-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czw064 |
| PMID | 27190223 |
| OpenAlex | W2405740302 |
| Language | EN |
| Citations received | 20 |
| References cited | 17 |
The global community's growing enthusiasm for the potential of social accountability approaches to improve health system performance and accelerate health progress makes it imperative that we learn from social accountability intervention implementation experience and results. To this end, we carried out a review of Cooperative for Assistance and Relief Everywhere, Inc. (CARE)'s experience with the Community Score Card© (CSC)-a social accountability approach CARE developed in Malawi. We reviewed projects that CARE implemented between 2002 and 2013 that employed the CSC and that had at least one evaluation in English. We systematically collected and synthesized information from evaluations on the projects' characteristics, CSC-related outcomes and challenges. Eight projects, spanning five countries, met our inclusion criteria. The projects applied the CSC to various focus areas, mostly health. We identified one to three evaluations, mostly qualitative, for each project. While the evaluations had many limitations, consistency of the results, as well as the range of outcomes, suggests that the CSC is contributing to significant changes. All projects reported CSC-related governance outcomes and service outcomes. There is promising evidence that the CSC can contribute to citizen empowerment, service provider and power-holder effectiveness, accountability and responsiveness and spaces for negotiation between the two that are expanded, effective and inclusive. There is also evidence that the CSC may contribute to improvements in service availability, access, utilization and quality. The CSC seems particularly suited to building trust and strengthening relationships between the community and service providers and to improving the user-centred dimension of quality. All of the projects reported challenges, with ensuring national responsiveness and inclusion of marginalized groups in the CSC process proving to be the most intractable. To improve health system performance and accelerate health progress we recommend further CSC use, enhancements and research.
Accountability · Business · Community engagement · Economic growth · Economics · Empowerment · Health care · Political science · Public relations · Service (business) · Service provider · Social accounting · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Marketing · Medicine · Nursing
We all have the same right to have health services’
High-quality health systems in the Sustainable Development Goals era
Our fear is finished,” but nothing changes
Evaluating the feasibility of the Community Score Card and subsequent contraceptive behavior in Kisumu, Kenya
Social participation in health – case studies from primary health care in Kosovo
Community leaders as intermediaries
Do community scorecards improve utilisation of health services in community clinics
Gendered norms of responsibility
The impact of community and provider-driven social accountability interventions on contraceptive use
Influence of community scorecards on maternal and newborn health service delivery and utilization
Impact of community and provider-driven social accountability interventions on contraceptive uptake in Ghana and Tanzania
Maternal health challenges experienced by adolescents; could community score cards address them? A case study of Kibuku District– Uganda
Designing for Scale and taking scale to account
Feasibility, acceptability and initial outcome of implementing community scorecard to monitor community level public health facilities
Multi-level change strategies for health
Improving access to health services through health reform in Lesotho
Rethinking integrated service delivery for malaria
Can social accountability improve access to free public health care for the poor? Analysis of three Health Equity Fund configurations in Cambodia, 2015–17
Developing more participatory and accountable institutions for health
From favours to entitlements
Human resources for health
Power to the People
The Impact of Transparency and Accountability Initiatives
Accountability and health systems
Service accountability and community participation in the context of health sector reforms in Asia
Community accountability at peripheral health facilities
The Effects of Participatory Budgeting on Municipal Expenditures and Infant Mortality in Brazil
Social Accountability
Mapping the Outcomes of Citizen Engagement
Holding health providers in developing countries accountable to consumers
Women's Preferences for Place of Delivery in Rural Tanzania
Improving Social Well-Being Through New Democratic Institutions
Using Accountability to Improve Reproductive Health Care
| Unique citing works | 20 |
|---|---|
| Citations per year | 2.22 |
| Citation span | 2017 - 2024 (8) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 20 |