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Scaling up high-impact interventions: how is it done?
Jeffrey Michael Smith1, Joseph de Graft-Johnson2, Pashtoon Zyaee3
1Jhpiego, Baltimore, MD, USA.
Summary
Scaling up maternal and newborn health interventions requires established evidence, local ownership, and cost-effectiveness. Collaboration between implementers and beneficiaries is crucial for building capacity at all levels.
Area of Science:
- Global Health
- Maternal and Newborn Health
- Health Systems Strengthening
Background:
- The World Health Organization's ExpandNet framework provides a foundation for understanding health intervention scale-up.
- Scaling up interventions is critical for improving maternal and newborn health outcomes globally.
- Previous implementations highlight key principles for successful scale-up.
Purpose of the Study:
- To identify and illustrate 12 key principles for scaling up maternal and newborn health interventions.
- To provide practical insights for program planners aiming to expand high-impact health initiatives.
- To analyze case studies demonstrating successful scale-up strategies.
Main Methods:
- Utilized the World Health Organization's ExpandNet framework.
- Analyzed three case studies of scaled-up maternal and newborn health interventions: Helping Babies Breathe, pre-service midwifery education in Afghanistan, and misoprostol distribution for postpartum hemorrhage prevention.
- Synthesized implementation experiences to derive key principles.
Main Results:
- Identified 12 essential principles for successful intervention scale-up.
- Case studies demonstrate the practical application of these principles in diverse settings.
- Key factors include evidence base, local ownership, simplicity, cost-effectiveness, and collaborative capacity building.
Conclusions:
- Successful scale-up of maternal and newborn health interventions hinges on a combination of evidence, local engagement, and operational efficiency.
- Program planners must prioritize local ownership, cost-effectiveness, and integrated capacity building across all stakeholder levels.
- The identified principles offer a roadmap for enhancing the reach and impact of vital maternal and newborn health programs.
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