Helpdesk Report: Nutrition data and accountability

Helpdesk Report: Nutrition data and 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 service delivery’
  • other examples are presented from Malawi and Uganda
  • key lessons for CSCs are also included in the report

Mobile technology

  • relatively new but increasingly pertinent method of addressing the burden of under-nutrition as well as other health related development work
  • 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.

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