The document summarizes the experience using community scorecards in Tanzania to promote social accountability and community engagement in health. It describes the 3-step process used: 1) preparation, 2) a community meeting to analyze problems and create an action plan, and 3) follow-up on implementation. Key findings include that quality of facilitation is important to establish cooperation between stakeholder groups, some problems are easier to address than others, and sustainability depends more on district support than community engagement. The scorecards showed similarities to other participatory methods like CLTS and O&OD but also have strengths and limitations.