Bringing women's voices to PMTCT CARE: Adapting CARE's Community Score Card© to engage women living with HIV to build quality health systems in Malawi

Background: Coverage of prevention of mother-to-child transmission of HIV (PMTCT) services has expanded rapidly but approaches to ensure service delivery is patient-centered have not always kept pace. To better understand how the inclusion of women living with HIV in a collective, quality improvement process could address persistent gaps, we adapted a social accountability approach, CARE's Community Score Card