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Table 2 Summary of the two social accountability projects

From: Implementing social accountability for contraceptive services: lessons from Uganda

  Case A: (2014–2017) (A1 and A2) Case B: (2014–2017)
(B1 and B2)
Sites 26 sub-counties, two districts in Western Region Six sub-counties, two districts, Central Region
Description of Approach Community Scorecard Community Dialogue
Expected outcomes Goal: Improved quality, accessibility and availability of health and social services
Result 1: Citizens demand improved quality of services
Result 2: Civil Society Organizations (CSOs) effectively advocate for issues of citizens’ concern in health and social sectors
Result 3: Institutional capacity of CSOs strengthened
Goal: Contribute to the strengthening of women’s reproductive health and rights in Uganda
Outcome: By 2017, the demand for quality family planning services has increased by at least 4% in two districts
Outcome: By 2017, Reproductive Health Uganda has increased participation in and influence on strategically selected local and national policy processes for the promotion of family planning
Theory of change If citizens are empowered to act on their choices and take lead in advocating for change,
THEN, they would believe and have confidence that they can hold their leaders accountable and influence them to change policies in their favor. This would motivate citizens to demand better services from their duty bearers. The persistent collective voice and actions from citizens and community structures would compel duty-bearers to respond by changing the necessary policies and taking other actions that lead to improvements in the accessibility, availability and quality of health and social services.
Empowered beneficiaries will take responsibility in advocating for sustainable change. Sustainable change will be attained through the rights holders knowing their rights and how to address these to achieve influence; creation of demand for FP in the community; advocacy involving women to hold duty bearers accountable; and, in time, improved access to reproductive health services.
Key project actors at sub-district and village levels • CSOs
• Fora for citizen engagement
• Village-level women only Pressure Groups (PG), Female Champions, Male Role Models (MRM) and women’s groups
Social accountability approach Combined social audits and citizen report cards. Compiled service information from both service users and providers who are then supported to jointly identify priority issues and develop action plans to address them. The community scorecard activities were implemented alongside activities to strengthen wider health sector accountability, such as improving human resources for health and district-wide strengthening of health facility committees. Interactive participatory communication. Participatory process of sharing information between people to help reach a mutual understanding and a workable solution.