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


Theory of Change

Policy & Insititutional Change
Better Institutional Processes
Behaviour Change
Community Action


The Community and Provider-driven Social Accountability Intervention (CaPSAI) study is an intervention initiated in partnership with the UNDP, UNFPA, UNICEF, WHO and the World Bank Special Training in Human Reproduction (HRP Research), which is the main instrument and leading research agency within the United Nations system concerned with sexual and reproductive health and rights.

It is being implemented by Ghana Integrity Initiative (GII) and Population Council, with the aim of assessing how social accountability mechanisms can influence contraceptive uptake and use in family planning programmes/uptake.

The project is implemented in three district and in eight health sites (communities) in the Central region of Ghana.

The methodology adopted to implement this social accountability, is the use of community scorecard and eight steps has been designed to follow:

• Introduction of the intervention to the community.
• Mobilization of participants for the intervention.
• Health, rights and civic education with community participants.
• Prioritization meeting with community.
• Prioritization meeting with duty bearers.
• Interface meeting and joint action planning.
• First follow-up meeting with community and duty bearers at three months.
• Second follow-up meeting with community duty bearers at six months.


  1. Health, Rights and Civic Education in the communities.
    Awareness raising
  2. Prioritisation of accountability issues with community members and health Providers.
  3. Interface meetings and development of Action Plans (with community members and service providers).
    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).