Daraja conducted a health amenities assessment of primary health care facilities in order to monitor challenges related to resource allocation and improve the delivery of health commodities and services. Using the Community Score Card (CSC) methodology, the team sought to inform community members of available services and entitlements, and solicit their opinions about the accessibility and quality of primary health care services. Daraja documented both citizen and service provider perceptions of staffing levels, infrastructure, patient treatment, absenteeism, and medicine availability. They gathered this data through structured questionnaires, key-informant interviews, focus group discussions, and patient exit interviews. Local leaders, community members, and health workers then participated in interface meetings to share findings and develop action plans for obtaining commitments from district and regional health officers and government leaders for health sector improvements. Citizens and service providers alike identified a number of health service delivery challenges, including persistent drug stock outs of essential medicines, unutilized medicines, lack of equipment for communication and transport, poor motivation of health workers, and infrastructure problems due to inadequate funding. Daraja shared the outputs of the CSC process with district and regional medical offices, as well as with the Ministry of Health and Social Welfare at the national level, advocating for increased funding for health services with a particular emphasis on essential medicines. They also utilized their organization’s newspaper, Daraja Letu, to share research results with the general public.