Community Score Cards have been recognized as an important mechanism for accountability, transparency and quality adherence. Community Score Cards engage communities to assess the quality of services provided and as a tool for advocacy. They can be used to collect feedback form service users and improve communication between service providers and the communities.
In both Uganda and Bangladesh, it is well established that access to health is inequitable, with exclusions occurring along various social strata: gender, age, socio-economic status, rural/urban residence and migrancy. While Community Score Cards have been used to improve quality, equity and accountability in health services, their appropriateness for particular categories of people remains untested. This means that more work needs to be done exploring how Community Score Cards might work for particular marginalised people within communities.
We are supporting Future Health Systems to explore the value of Community Score Cards as a mechanism to contribute to accountability for particular marginalised constituents of a community, using an intersectionality lens. This research will explore how gender intersects with categories, such as disability and socioeconomic status, to understand: a) their health service delivery needs, b) their experience of service delivery; and to influence: c) their use of and engagement with community score cards and ongoing community integration.