The Community Score Card

CARE's Community Score Card©

The Community Score Card©, originally developed by CARE Malawi in 2002, is a citizen-driven accountability approach for the assessment, planning, monitoring and evaluation of service delivery. The CSC can be used to gather feedback from service users and improve communication between communities and service providers. As such, it is designed to complement conventional supply-side mechanisms of accountability by bringing together service users and service providers first to identify the underlying obstacles to effective service delivery, and then develop a shared strategy for their improvement. The CSC is simple to use and can be adapted to any sector entailing service delivery. Interested in adopting the CSC approach? CARE’s CSC Consultants can help.
Watch this video to learn more about the Score Card process.


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CARE Community Score Card Toolkit

CARE Community Score Card Toolkit (French Version)
CSC Overview

CSC Consulting Services
Latest from the Maternal Health Alliance Project
Evidence of Impact: Stories from the field

Graphic of the CSC process

Community Score Card.ppt

Community Score Card Implementation Guidance Notes

Guidance for pairing Community Score Card with Social Analysis and Action

Women's VOICES and Health Worker VOICES: two survey tools for evaluating the impact of the CSC on governance processes and outcomes

The Community Score Card Community of Practice


Raising the Score is a collaborative storytelling project that documents the impact of CARE’s Community Score Card in improving maternal health service in Malawi. View the trailer here:

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CARE Malawi developed the CSC methodology in 2002 as part of a project aimed at developing innovative and sustainable models to improve health services. Since 2002, the CSC has become an internationally recognized tool for improving service delivery. CARE has utilized the CSC approach in a wide range of sectors and countries, including Rwanda, Tanzania, Malawi, Ethiopia and Egypt, taking on a variety of roles that range from direct implementation to providing technical training and support. Here are some examples of CARE's experience using the CSC in health:

Malawi: Maternal Health Project (MHAP)

Malawi Case Study: Local Initiatives for Health (LIFH)

Malawi Case Study: Supporting and Mitigating Impact of HIV/AIDS for Livelihood Enhancement (SMIHLE)

Rwanda Case Study: Public Policy Information, Monitoring and Advocacy project (CSC tool)

Ethiopia Case Study: Springboard Project

Ethiopia Case Study: Getting Ahead Project (GAP)

New Core Group publication featuring CARE CSC ApproachReport from ODI: CARE’s experience with community score cards: what works and why?CARE Hosts Woodrow Wilson Event on Social AccountabilityEnsuring CARE's Governance & Community Score Card (CSC) Work is Gender Sensitive

If you are interested in learning more about the CSC approach or in implementing the Community Score Card in your program or community please contact:
Sara Gullo
Technical Advisor
Sexual, Reproductive and Maternal Health

Thumbiko Msiska
MHAP Project Manager
CARE Malawi