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Beyond Scaling Up: Learning from ExpandNet
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Beyond Scaling Up: Learning from ExpandNet

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This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was …

This presentation was given at the 'Beyond Scaling Up: Pathways to Universal Access' workshop which was held at the Institute of Development Studies, Brighton on the 24-25 May, 2010. This event was co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Simmons presented on the work of ExpandNet.

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  • Here discuss this definition with regard to the specific situation: What is the innovation? Was it successfully tested? Or, alternatively – why is testing important, why is local testing important?
  • Here discuss this definition with regard to the specific situation: What is the innovation? Was it successfully tested? Or, alternatively – why is testing important, why is local testing important?

Transcript

  • 1. Contextualizing Scaling Up: Lessons from ExpandNet Ruth Simmons ExpandNet and the University of Michigan School of Public Health
  • 2. Polity Society Economy People Services Technology
    • Policies, program structure
    • Personnel, facilities, management
    • Availability and accessibility
    • Quality
    • Available technologies
    • Technology characteristics
    • Barriers including cost
    • Needs and rights
    • People’s perspectives
    • Medical profile
    • Sociocultural and gender influences
    The systems framework guiding the Strategic Approach Source: Adapted from Simmons et al. “The Strategic Approach to Contraceptive Introduction: Lessons from Eight Countries.”, Studies in Family Planning 1997 Vol 28, no 2 .
  • 3.
    • Strategic Approach: Three Stages of Work
    • Stage I: Strategic Assessment
    • Stage II: Testing Interventions
    • Stage III: Scaling up and Expansion
  • 4. Scaling up is predominantly … … an organizational, managerial and policy or political task, rather than a narrowly technical one.
  • 5. ExpandNet/WHO Guidance Materials www.expandnet.net
  • 6. The Innovation User Organization(s) Resource Team ORGANIZATIONAL PROCESS COSTS/RESOURCE MOBILIZATION MONITORING AND EVALUATION TYPE OF SCALING UP Environment Scaling-up Strategy DISSEMINATION AND ADVOCACY The elements of scaling up Strategic choice areas
  • 7. Three Examples
    • Testing innovations with scaling up in mind
    • Need for caution with rapid scale up
    • Engaging with opportunities and constraints in the environment