Scaling Up Effective Health Interventions for Impact

  • By: Joseph Dwyer
  • Published Date: April 2016
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Effective practices and programs to reduce illness and save lives are abundant. The application of these practices or the implementation of proven programs, however, continues to lag in many countries and, when they are implemented, it is often not at the scale needed to achieve optimal impact. To scale up appropriately requires a purposeful and systematic approach. Fortunately, tested pathways and valuable resources are now available to guide health teams in successful scale-up of effective practices and programs.

Building on an initial discussion of the change management process, this technical brief focuses on scale-up, and presents these four important considerations for achieving impact through systematic scale-up:

  1. Developing effective solutions as well as identifying and clarifying the problem to be addressed.
  2. Achieving optimum health impact and implementing effective interventions at scale-up.
  3. Recognizing that planning for scale-up must start at the very beginning of project design, even at the pilot or demonstration stage.
  4. Knowing that sustaining the gains achieved as a result of effective interventions requires scale-up that is vertical—i.e., within organizations or institutional structures and systems—as well as horizontal, which involves expanding coverage.