The document provides an overview of Citizen Voice and Action (CVA), a social accountability approach designed to improve relationships between communities and governments to enhance public services like health and education. It discusses the history and key concepts of CVA, including accountability, social accountability, and the CVA cycle. The CVA cycle involves citizens accessing information about public services, voicing their views and opinions, and engaging in dialogue with power holders to demand accountability and improved services. The document also provides guidance on analyzing country contexts, policies, governance structures, and stakeholder capacities to effectively implement CVA.