Learning from CARE Rwanda programming on women's empowerment.

This report explores the use of the community scorecard (CsC) model in two projects within CARE Rwanda’s vulnerable women’s programme. It examines how the model was implemented in each of the projects; the key outcomes of the initiatives; and how these have contributed to improving the quality of gender-based violence service delivery and enhancing women’s role in local governance processes.

ODI 2016 Report - Enhancing women's voice and influence in local governance and service delivery in Rwanda

Six months after convening an expert working group on Community Score Cards (CSCs), in June 2013 CARE International commenced research with the Overseas Development Institute (ODI) in order to gain a better understanding of the influence of context on the implementation of CSCs. Comparing four cases (Malawi, Rwanda, Tanzania and Ethiopia), the research particularly aims to draw out lessons on 1) which contexts may be most conducive for scorecard effectiveness/impact and 2) how programmes can be effectively adapted to differing contexts.

CARE’s experience with community score cards: what works and why?

Leni Wild and Joseph Wales, with Victoria Chambers

report_digi.pdf

Briefing Paper

odi_csc_project_briefing_1.pdf

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CARE’s experience has shown that participatory governance is a key strategy to addressing important barriers to service delivery, including socio-cultural barriers as well as issues of coverage, quality, and equity. To build evidence in support of this, the Maternal Health Alliance Project in Malawi, has collaborated with others to test the effectiveness of CARE's social accountability tool, the Community Score Card (CSC), for improving health service implementation and health outcomes.

The evaluation included 10 intervention and 10 comparison clusters, and it consists of a women’s survey, a health worker survey and a medical chart review at baseline (2012) and endline (2015). Outcomes of interest include: 1) Women’s and communities’ empowerment to participate in quality improvement efforts, as well as, access and utilize RMNH services; 2) Health workers’ empowerment and their responsiveness, effectiveness, and accountability to communities’ needs; and 3) RMNH coverage, quality and equity.

Please see here for paper published May 17, 2016 in Health Policy and Planning Journal, 1-2, titled:A review of CARE's Community Score Card experience and evidence

For further details and summaries of projects using CSC see CSC Initiative Overviews