Save the Children has more than 70 years of experience empowering communities to solve their own problems. Our work in the health sector focused significant attention on improving community understanding of and demand for key health services. Recognizing that we were often mobilizing demand for services which wer of poor quality or sometimes even non-existent, Save the Children launched our "Community Defined Aulity" (CDQ)initiative in 1996 to document the results of community involvement in efforts to improve the quality and availability of health services. Moving people from being passive, periodic recipients of health care services toward active engagement and advocacy for the improvement of ehalth services took time. The complete process, re-named "Partner Defined Aulity" to recognize that the effort requires a parternship between health providers and the community. We hope others will be able to use this manual to develop a rights-based approach to programming so that every community member understands and is able to exercise the right to quality health care and clients and providers recognize their own responsibility to maintain and improve the health care delivery, and in doing so, achieve better health status for all.