Citizen Voice and Action is a social accountability approach used by World Vision to improve relationships between communities and governments to strengthen services like healthcare and education. It is a 3 phase process: 1) Enabling citizen engagement through rights education; 2) Community monitoring of services and generating report cards; 3) Interface meetings and action planning between communities and local governments. Studies in Uganda found the approach reduced child mortality by 33% and increased healthcare utilization. It also improved education outcomes by raising test scores 9% and reducing absenteeism. The approach empowers communities and improves collective action to advocate for better public services.