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Table 1 Construct Mean (SE) and Cronbach’s Alpha

From: Creating spaces for dialogue: a cluster-randomized evaluation of CARE’s Community Score Card on health governance outcomes

Construct

Mean (SE)

Cronbach’s α

Trust in health workers

4.65 (0.02)

.80

 I believe the health worker really cares about me

 The health worker is usually considerate of my needs

 I trust the health worker and follow his/her advice

 I trust the health worker’s judgment about my care

 Health workers ensure I get the best possible care

 I trust health workers will keep information private

Power sharing

4.03 (0.05)

.79

 Community & health worker have equal power in service delivery decisions

 Community and health workers have equal voice in deciding how to improve services for women and children

 Community can influence decisions that affect health care

Mutual responsibility

1.18 (0.01)

.65

 Impact on making sure that women are treated with respect by health workers

 Impact on making sure that pregnant women have transportation to the hospital during emergencies

 Impact on increasing the number of days a health worker visits your community

 Impact on making sure the poorest & most vulnerable women & children in the community receive care

 Impact on getting funding to improve health services in this community

Joint monitoring and transparency

0.76 (0.03)

.93

 Problems or other issues with health services were discussed

 Community members voiced their concerns about health services

 Health issues of concern to the most vulnerable & marginalized groups (i.e. youth, women) were discussed

 Plans for improving health services were made

 Health workers voiced their concerns about health services

 The District Health Management Team or local authorities shared concerns & provided information on health issues

Equity and quality (of negotiated spaces)

0.89 (0.02)

.84

 At least half of the community attend these meetings

 At least half of those from the community who attended these meetings were women and girls

 Been well run

 Been inclusive of broad participation from the community

 Been focused on important issues

Collective efficacy

4.57 (0.02)

.82

 Health workers and community members can work together to improve health services for women and children

 People in your community could work together to improve maternal and newborn health services in this community

 People in your community could work together to improve how women are treated at the health facility

 People in your community could work together to obtain government services and entitlements

 People in your community could work together to improve the health and well-being of women

Outcomes of collective action (direct)

0.87 (0.02)

.93

 Improved the quality of maternal and newborn health services

 Increased the availability of maternal and newborn health services provided in this community

 Improved the level of trust between community members and health workers

 Improved health seeking behaviour for reproductive, maternal and newborn health services

 Improved demand for reproductive, maternal and newborn health services

 Improved referral system for maternity care

 Improved the community access to health-related information

Perceived health outcomes of collective action

0.62 (0.03)

.92

 Do you think the Scorecard process has had an impact on the provision and/or quality of ANC services

 Do you think the Scorecard process has had an impact on the provision and /or quality of Maternity services

 Do you think the Scorecard process has had an impact on the provision and /or quality of PMTCT services

 Do you think the Scorecard process has had an impact on the provision and /or quality of post- partum services

 Do you think the Scorecard process has had an impact on the provision and /or quality of family planning services