Governance is realised by the citizens in the form of access to services such as health, education, sanitation, registration documents for identification, transportation and so on. The effectiveness and relevance of these services determine the quality of governance systems. Access of these services for poor, vulnerable and marginalised is particularly difficult and they are either paying for sub-standard services or are deprived of services altogether. This has led to the emergence of social accountability practices to hold people in the governance system, organisations and institutions answerable to this lack or inefficiency. However, any form of accountability is expected to work when citizens are able to make demands from powerful institutions.