ALMA is supporting Ghana’s Ministry of Health and Ghana Health Service in the implementation of the country’s malaria, community and Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH), and community scorecard management tools for accountability and action.
Ghana’s National Malaria Control Programme developed the Malaria scorecard management tool for accountability and action in 2017 with support from ALMA and partners. The scorecard tool is used to increase awareness about the malaria situation, support the identification of bottlenecks and drive action. Since the rollout, ALMA has supported the Ministry of Health in the decentralisation of the scorecard management tool.
Ghana’s RMNCAH scorecard management tool for action and accountability was first developed by the Ministry of Health in 2014 in collaboration with ALMA and partners. The scorecard is publicly shared at all levels within the ministry and with partners from national to community level. The action Tracker is extensively used at all levels. The scorecard is used for resource mobilization to address underperforming interventions, more timely initiation of procurement of commodities to enhance programme coverage and accelerated identification of programmatic challenges and relevant action leading to improved performance.
Developed in 2018 with ALMA and partner support, Ghana’s Community scorecard (CSC) is strengthening local health systems by empowering community members to play an active role in improving health services in their communities. The CSC consists of two components: 1) a quarterly scoring session during which community members vote on nine indicators related to the quality of services they receive at their health facility; and 2) the creation of community health action plans (CHAPS) which mobilize community members to take actions that address health system gaps identified during the scoring session.
The CSC is an innovative tool in public health, providing a mechanism for government to collect feedback from the demand side (consumers) of health services, to compliment supply-side data of government health service provision through the other scorecards for RMNCAH and malaria. In addition to catalyzing community level action, the CSC scores and action plans are used by national, regional, and district levels to systematically guide improvements in policies to address health systems gaps.