Malawi’s Community Scorecard
In Malawi’s Ntcheu district, the international non-governmental organization (NGO) CARE implemented
community scorecards to improve the quality of maternal health services. Once health providers and clients identified the main challenges and gaps in health services, this information was presented in a simplified scorecard format. Community members and health facility staff discuss the contents of the scorecard and develop an action plan to identify solutions. Community members then monitor whether the solutions are being implemented. After a specific period of time, a follow-up review assesses progress. This collaborative approach in Malawi has opened up opportunities for dialogue between health service providers and patients, supported collective responsibility to address barriers to care, and promoted a “culture of accountability” among health service providers.