Government-led Community Score Card for family planning services

One persistent challenge with social accountability approaches is that, while they can and do bring meaningful change at the individual and community-level, they often struggle to maintain momentum without significant external support and thus fail to unlock regional and national resources. In 2015, CARE partnered with Malawi’s Ntcheu district government to explore new approaches for institutionalising social accountability efforts in family planning (FP) service delivery.

The result was an innovative approach that supported a government-led Community Score Card© (CSC) process across five health facilities in the district. This report highlights the challenges, success, and lessons of integrating the CSC into district government systems and processes.

  • Countries: Malawi, Global
  • Published: July 2020

Related Publications

A journey through the Community Score Card in Malawi: From innovation to sustainability

CARE has a long history of applying social accountability approaches across multiple sectors. One of CARE’s most effective tools for social accountability is the Community Score Card© (CSC). This briefing paper outlines CARE’s history in... Read more...


Where are the women? The conspicuous absence of women in COVID-19 response teams and plans, and why we need them

The COVID-19 crisis is disproportionately affecting women and girls. This makes it all the more important that their voices are equally included in the decision-making spaces and processes where responses are formed. CARE’s research has found... Read more...


Listen carefully. Tread lightly. Adapt quickly. – Approaching Adaptive Management: Examples from our Somalia education programming

Adaptive management approaches potentially offer us opportunities to deliver high quality results in circumstances where change is complex, including in fragile, unstable or conflict affected places. However, building adaptive programming... Read more...


Inclusive Governance Progress Report 2018

Promoting inclusive governance for CARE means that women, men, girls and boys should have the opportunity and ability to participate meaningfully in public decisions that affect their lives, hold decision-makers to account and provide feedback on... Read more...


Doing Development Differently in the Global South – Workshop Report

On 4 December 2018 CARE International and the British Council convened a workshop in Nairobi with the title “Doing Development Differently in the Global South” to consider how the Doing Development Differently global community can better... Read more...


Advancing towards promoting inclusive governance in fragile settings - A learning brief

This learning brief is developed to document and share key learnings of the 5-year programme, Every Voice Counts (EVC), which aims to contribute to effective and inclusive governance processes in fragile... Read more...


The why and how of women’s political influence in fragile contexts

This publication provides a literature review and policy brief on the political participation and influence of marginalized women in fragile and conflict affected states... Read more...


The political participation and influence of marginalised women in fragile and conflict affected settings - Global study report

This report offers an overview of existing evidence and lessons from the literature on women’s political participation and influence in fragile and conflict affected... Read more...


Inclusive Governance Guidance Note

The purpose of this guidance document is to provide direction for integrating inclusive governance in international development programming... Read more...