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Which contextual factors facilitate successful implementation of Community Score Cards in Uganda?

Future Health Systems

This issue brief describes the factors that facilitate the CSC implementation process, based on the lessons learnt from a CSC project on maternal and newborn health service delivery and utilization in six sub-counties of Kibuku district in Uganda. District and sub-county stakeholders led the implementation of the CSC, with support from Makerere University School of Public Health (MakSPH). Four rounds of scoring were undertaken between November 2017 and September 2018.

The Issue Brief identifies the following priority actions:

  1. Districts and other implementers should budget and plan for initial and refresher training of the CSC facilitators as well as continuous support during the implementation of CSCs to build adequate capacity for implementation
  2. National governments and non-governmental organizations should engage with key stakeholders and allow them to lead the CSC implementation. This will generate local ownership and increase chances of sustained implementation
  3. National governments and districts should adapt existing CSC models to develop models that are simple to implement and suitable given their local environment.