A multidimensional, quantitative survey tool that builds upon and adapts the WE-MEASR tool [see above] to evaluate the impact of CARE's Community Score Card (CSC)© social accountability approach to governance and health service delivery. Measures changes in two domains: 1) women & community members empowered, 2) negotiated spaces, expanded, inclusive, effective [i.e. "safe space" to productively interact]
Developed by:
Cooperative for Assistance and Relief Everywhere (CARE)
Measure domains:
Women & Community Members Empowered
1. Knowledge & Awareness of their Rights
2. Rejection of intimate partner violence
3. Belief in woman's right to refuse sex
4. Decision-making
5. Self-efficacy for participation in community meetings
6. Self-efficacy for service utilization
7. Perception of Service Quality
8. Communiy support in times of crisis
9. Social Cohesion
10. Collective Efficacy
11. Social Participation and Collective Action
12. Help from Community Groups
13. Participation in Community Groups
14. Participation in Collective Action
Negoiated Space Expanded, Inclusive & Effective
1. Mutual responsibility for and Support of Services
2. Participation in Negotiated Spaces
3. Joint Monitoring and Accountability of Services
4. Transparency (of Negotiated Spaces)
5. Equity (of Negotiated Spaces)
6. Quality (of Negotiated Spaces)
1. Knowledge & Awareness of their Rights
2. Rejection of intimate partner violence
3. Belief in woman's right to refuse sex
4. Decision-making
5. Self-efficacy for participation in community meetings
6. Self-efficacy for service utilization
7. Perception of Service Quality
8. Communiy support in times of crisis
9. Social Cohesion
10. Collective Efficacy
11. Social Participation and Collective Action
12. Help from Community Groups
13. Participation in Community Groups
14. Participation in Collective Action
Negoiated Space Expanded, Inclusive & Effective
1. Mutual responsibility for and Support of Services
2. Participation in Negotiated Spaces
3. Joint Monitoring and Accountability of Services
4. Transparency (of Negotiated Spaces)
5. Equity (of Negotiated Spaces)
6. Quality (of Negotiated Spaces)
Items and subscales:
109 items
25 sub-scales
25 sub-scales
Outcomes predicted:
Improved uptake, quality, and effectiveness of health care services
Cronbach's alpha:
Reported by subscale
subscales range from 0.57 to 0.91.
subscales range from 0.57 to 0.91.
Study population(s):
Women in Malawi ages 15-49 who gave birth in the last 12 months and whose baby was still alive
Baseline data drawn from a cluster-randomized trial of CARE's Community Score Card (CSC) in 20 catchment areas in Malawi.
Baseline data drawn from a cluster-randomized trial of CARE's Community Score Card (CSC) in 20 catchment areas in Malawi.
Additional information:
Tool citation: CARE USA. (2014). Women’s Voices in Open, Inclusive Communities and Effective Spaces (Women’s VOICES): A tool to measure governance outcomes in sexual, reproductive and maternal health programs. Atlanta, GA: CARE USA Headquarters.
Measure validated?:
Y
Link(s) to Validation Study and/or Measure:
Citation of original article
Get citation"Sebert Kuhlmann, A. K., Gullo, S., Galavotti, C., Grant, C., Cavatore, M., & Posnock, S. (2017). Women’s and health workers’ Voices in Open, Inclusive Communities and Effective Spaces (VOICES): Measuring governance outcomes in reproductive and maternal health programmes. Development Policy Review, 35(2), 289-311. doi:10.1111/dpr.12209
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