The Intervention

Community RepresentativesHow can we empower citizens and help facilitate communities to take actions to improve health and other outcomes? This is the question that we sought to answer in co-designing an effective, citizen-led ntervention for the T4D program with implementing partners CHAI (Tanzania) and Pattiro (Indonesia).

For the design, we built on the experience of CSOs working on transparency, accountability and health issues, as well as a growing literature on what works – and what does not work – with community-led transparency, participation, and accountability. The intervention involved facilitators from T4D implementing partners leading the four key activities.


The Intervention

Community Meeting
First, implementing partners select community representatives to spearhead the design and implementation of social actions. Secondly, after selecting representatives, CSO facilitators collect and share a community scorecard on maternal and newborn health factors (including birth in a facility, birth preparedness planning, and proper prenatal and postnatal care) and the barriers related to these factors.

Third, facilitators aid the design of social action plans by the community representatives to address these barriers. Finally, the facilitators return to the village at key moments to facilitate follow-up meetings with the community representatives to assess successes and challenges in implementing the social actions, and adopt changes to the social action plans.

Social Action PlanThe intervention was built on a set of key design principles developed to ensure that the intervention responded to the needs, and relied on the knowledge of, local communities. These design principles and a more detailed overview of the intervention design are described in the working paper Citizen Voices, Community Solutions.


Intervention Materials