Nine steps for developing a scaling-up strategy

Overview

The aim of this guide is to facilitate systematic planning for scaling up. It is intended for programme managers, researchers and technical support agencies who are seeking to scale-up health service innovations that have been tested in pilot projects or other field tests and proven successful.

How to use this guide

This guide is intended for programme managers and others who plan to scale up successfully tested interventions, but it can also be useful in conducting a review of how scaling up is progressing when already underway. Ideally the interventions to be scaled up have resulted from a process of identification of needs and priorities for programme development and an analysis of how these priorities could best be addressed through policy and programmatic change. The guide assumes that the feasibility and effectiveness of these interventions have been tested in the local or national programme context and found to be appropriate and successful in achieving their goals and objectives. It is at this point in the scaling-up process that this guide is to be used in assisting programme managers and others to expand and institutionalize the interventions so that more people will benefit on a lasting basis.

Readers who are interested in a more detailed and comprehensive discussion of scaling up should consult the more in-depth document Practical guidance for scaling up health service innovations.