CARE Malawi first developed the Community Score Card methodology in 2002 as part of a project aimed at developing innovative and sustainable models to improve health services. Since then, the methodology and accompanying tools, such as the Community Score Card Toolkit, have been taken up and adapted in various CARE offices. In 2003, the World Bank adapted the CSC tool for use in the education and health sectors of the Gambia and in India for water and sanitation programs. The Community Score Card approach has since become an internationally recognized tool for improving service delivery and has been adopted by other organizations, including UNICEF, World Vision, Plan International and Action Aid. In 2013, CARE set up Inclusive Governance as one of its three cross cutting programmes and CARE established a global community of practice to promote the use of scorecards and consolidate the growing body of evidence and learnings.