What money cannot buy: Transforming relationships to transform health

A district government official recently told CARE that at first they were not happy that ‘hardware’, like medical equipment was not part of the project; however, they have since seen that the Score Card has brought other benefits that ‘money cannot buy’ – it has improved relationships at all levels

Our efforts in testing the Community Score Card approach have paid off: we have solid evidence that the Score Card has improved the lives of women and health workers in Ntcheu, Malawi.

At the start of the project, the community and health providers identified 13 BARRIERS that put women’s lives at risk. The graph below shows the scores the community and health providers assigned to these issues during the first round of the Score Card compared with the last round. At the start, the community and health providers gave the indicators low scores – even failing scores – but after two short years of implementation, all the scores rose significantly. For example, the relationship between providers and the community rose by 36 percent and the availability of transportation by 21 percent. The improvement in these scores indicates important progress in health access, use and quality.

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