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This tool is designed for assessing and planning implementation of the country accountability framework for health with a focus on women's and children's health. It can therefore be used to provide an overview of the current status of the different components of a country accountability framework, with a focus on MNCH, to lay the foundation for the development of a roadmap with specific activities to implement the country accountability framework, and to serve as a general monitoring tool to track progress towards implementing the priority activities and accountability framework implementation.