Community and Health Provider-driven Social Accountability Intervention (CaPSAI)

Chapter: Ghana | Project range: Local | Year: 2018

Chapter details

About the chapter:
Ghana Integrity Initiative (GII) is the local chapter of Transparency International (TI), Launched in 1999, GII is a non-partisan, non-profit civil empowerment organisation focused on the delivery of a National Integrity System. GII’s mission is to fight corruption and promote good governance in the daily lives of people and institutions by forging strong, trusting and effective partnerships with government, business and civil society and engagement with the people.

CPI Score: 41

CPI Rank: 78

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Access to medicines, vaccines and other products

Governance & leadership

Information systems



National Partners:
Ministry of Health NGO or Civil Society Organisation Population Council

Theory of Change

Policy & Insititutional Change
Better Institutional Processes
Behaviour Change
Community Action


The aim of the CaPSAI project is 2-fold:
- Describe and examine how social accountability processes are implemented and operationalized with a focus on understanding behaviours, decision-making processes, and the barriers and facilitators of change, with a view to generalizability;
- Develop more responsive quantitative measures for social accountability and show the relationship between social accountability and uptake of contraceptives and use and other family planning behaviours.


The continuing burden of unmet need for family planning and contraceptives (FP/C) services and information remains a challenge. Often, contraceptive services and supplies remain inaccessible for many women and girls, and men and boys because they are simply not available and they are not affordable. For women and girls who do have access to FP/C services, they can face informal fees, disrespectful staff, few methods offered, and may lack knowledge and information about contraception. The research project builds on and contributes to a growing, but limited work that aims to better understand how social accountability and participatory processes in the context of FP/C programmes/services contributes to the greater achievement of sexual and reproductive health and improves quality of care and contraceptive uptake in FP/C services.


  1. Sessions on health, rights and civic education were conducted in communities.
    Awareness raising
  2. Accountability issues were prioritised with community members and health providers.
  3. Interface meetings were held with community members and service providers alongside the development of action plans.
    Improvement plans
  4. Continuous follow-up of issues in the action plans.


  1. Cost of family planning services has been standardised to wave out illicit charges by the health providers from the clients.
  2. Health goods have been regulated by the Department of Health.
  3. Community members are more enlightened to hold healthcare duty bearers accountable.
  4. Dissatisfied client or patient can channel grievances to health authorities authorities.
  5. Community Steering Committees have been instituted to liaise between communities and health facilities to ensure effective flow of information (e.g. on healthcare rights).