Community Score Card© (CSC) - CARE
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Community Score Card© (CSC)

A woman sitting down smiles and hugs a young boy close to her. They are sitting in front of a small bamboo house with a bike parked outside.

CARE’s Community Score Card© (CSC) is a citizen-driven accountability approach for the assessment, planning, monitoring, and evaluation of public services.

It enables community members, health providers, and government officials to work together to identify and overcome health coverage quality and equity obstacles. The approach is simple, can be adapted for varied contexts, and can systematically pinpoint and address the specific challenges women face in health services.

CARE Malawi pioneered the CSC methodology in 2002, and since then, it has become an internationally recognized social accountability tool, spreading within CARE and beyond. CARE now has over a decade of experience implementing CSC across a range of sectors, including health, food security, water and sanitation, education, and governance, and in countries such as Cambodia, Rwanda, Tanzania, Malawi, Ethiopia, Nepal, and Egypt.

CARE's Community Score Card

The Community Score Card is a citizen-driven accountability approach created by CARE for the assessment, planning, monitoring, and evaluation of service delivery.

Key impacts

  • An evaluation of a CSC project in the Ntcheu district of Malawi showed significantly greater improvements in the proportion of women receiving a home visit during pregnancy, those receiving a postnatal visit, and overall service satisfaction in intervention compared to control areas.
  • A review of a decade of CARE’s projects using CSC found CSC-related improvements in service provider and power-holder effectiveness, accountability, and responsiveness. Several projects also reported CSC-related increases in health provider openness and transparency.