The fourth year of implementation of the USAID-funded Ghana’s Strengthening Accountability Mechanisms (GSAM) project covered the period October 1, 2017 to September 30, 2018, during which the GSAM Consortium – CARE, OXFAM and ISODEC – continued with its activities in the 50 districts, known as the Social Accountability Districts. These activities were aimed primarily at strengthening the capacity of Civil Society Organizations (CSOs) and citizens to monitor and assess capital projects of their MMDAs, using scorecards, and to use the information generated to engage with the MMDAs to demand accountability and improved performance in capital project delivery.