(1) What is the evidence of impact of community score cards in general, and what are the key lessons for making them work? Are there published examples of where they have been used to improve access and quality of nutrition services?
(2) What evidence is there for using SMS to report data on nutrition outcomes? Could you briefly summarise the literature, and also contact UNICEF for their experience. Are there 'stand out' examples in other sectors of development for using SMS technology and linking this to instant mapping?
(3) What strategies have been used in the health and agriculture sectors to empowering communities to use information / data to drive greater accountability?
This report includes the following sections:
Use of community scorecards (CSCs) to improve nutrition services:
- A World Bank pilot project in Maharashtra, India measured improvements
in child malnutrition as a result of CSCs.
- An IDS paper concludes that it is unknown if social audits improve
nutrition status, but can reasonably infer improvements from
improvements in delivery and uptake.
Impact of CSCs in general:
- Use of CSCs in primary healthcare services in Andhra Pradesh resulted
in increased user satisfaction levels and better understanding of the
constraints providers face.
- A decrease in teacher absenteeism and increase in child enrolment.
- The use of a citizen scorecard survey in China has helped influence
urban service provision design and implementation, helping
policymakers to 'reveal weaknesses and monitor progress in public
- Other examples are presented from Malawi and Uganda
- Key lessons for CSCs are also included in the report.
- Relatively new but increasingly pertinent method of addressing the
burden of under-nutrition as well as other health related development
- Evidence from Malawi and Kenya is presented.
- Evidence exists that both support and refute that mobile technology
assists healthcare in developing countries.
- As many people in low income countries share mobile phones, privacy
and stigma may be a disadvantage.
- Evidence from India suggests voice messages were more accurate
compared to SMS or electronic forms.
This report also includes strategies for empowering communities to use information to drive greater accountability.
Bolton, L.; Thompson, S. Helpdesk Report: Nutrition Data and Accountability. Human Development Resource Centre, UK (2012) 12 pp.
Helpdesk Report: Nutrition Data and Accountability