Year: 2011
Type: article
Abstract: The adoption of the Millennium Development Goals-coupled with the recent rise in international aid for health-has catalyzed interest in improving the science of scale-up [1].Global health researchers have realized the need for ''a quantitative, scientific framework to guide health-care scale-up in developing countries'' [2], a need that has begun to draw the attention of donors [3].Low-and middle-income countries (LMICs) have begun to study effective ways to deliver proven interventions at scale [4,5].Thus, there are promising signs that a ''science of large-scale change in global health'' is emerging [5].In this Essay, I draw upon key themes in this emerging science to propose a framework for explaining successful scale-up.This framework is aimed at planners of scale-up processes to use in thinking about strategies for implementing a new program, policy, or intervention to scale.The term ''scaling up'' is now widely used in the public health literature, but there is no agreed definition.The term is primarily used, say Mangham and Hanson, to describe ''the ambition or process of expanding the coverage of health interventions '' [6], a working definition that I use in this article.The Essay section contains opinion pieces on topics of broad interest to a general medical audience.
Source: PLoS Medicine
Author: Gavin Yamey
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $6,460
OpenAlex ID: W2017349284