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Case Study 1: Andhra Pradesh, India: Improving Health Services through Community Score Cards

Social accountability refers to a broad range of actions and mechanisms that citizens, communities, independent media, and civil society organizations use to hold public officials and public servants accountable.    Social accountability tools include participatory budgeting, public expenditure tracking, citizen report cards, community score cards, social audits, citizen charters, people’s estimates, and so forth.  These mechanisms are being increasingly recognized world-wide as a means of enhancing democratic governance, improving service delivery, and creating empowerment.

The state government of Andhra Pradesh provides primary,  secondary, and tertiary level health care services to a rural population of 5.5 million through a chain of institutions under allopathic and other systems of medicine.  The Center of Good Governance, Hyderabad, in partnership with the World Bank-sponsored Andhra Pradesh RuralPoverty Reduction Project (APRPRP), undertook a pilot project in which the community score card (CSC) was applied to assess the performance of two primary health centers (PHCs) in two Mandals of Visakhapatnam District, Andhra Pradesh, in the context of primary health care service delivery.

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Uploaded on: Nov 30, 2015
Last Updated: Dec 04, 2015
Year Published: 2007


Resource Tags

Resource Type: Impact Evidence Issues: Community Organizing, Governance, Accountability & Transparency, Health Tool Type: Reports / Research Method: Improving Governance, Accountability and Transparency Languages: English Regions: South Asia Nature of Impact: Acquisition of Remedy / Entitlement / Information, Change in institutional / government practice, Change in law or policy, Citizen Action & Participation Institutions Engaged: NGOs, Service Delivery Agencies Evaluation Method: Anecdotal Evidence, Case Studies