An approach to rapid scale up
Using HIV/AIDS treatment and care as an example
Reference number: WHO/HIV/SPO/04.01
Purpose of the document
Scaling up – which is defined here as the activity of expanding an intervention or programme from
initial facilities that serve a small proportion of the population to facilities that serve a significantly
larger population (such as an entire region or country) – has several approaches. The World
Health Organization (WHO) is in the process of exploring these approaches and of refining its
recommendations, based on reviews and international experiences.
This document provides general guidance for policy-makers, health care managers and
administrators, and health care providers on one general dynamic approach (process) to rapid scaleup.
The document uses human immunodeficiency virus/acquired immunodeficiency syndrome
(HIV/AIDS) treatment and care as an example.