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Contextualizing Scaling Up: Lessons from ExpandNet Ruth Simmons ExpandNet and the University of Michigan School of Public ...
Polity Society Economy People Services Technology <ul><li>Policies, program structure </li></ul><ul><li>Personnel, facilit...
<ul><li>Strategic Approach:  Three Stages of Work </li></ul><ul><li>Stage I:   Strategic Assessment </li></ul><ul><li>Stag...
Scaling up is predominantly … …  an organizational, managerial and policy or political task, rather than a narrowly techni...
ExpandNet/WHO Guidance Materials www.expandnet.net
The Innovation User Organization(s) Resource Team ORGANIZATIONAL PROCESS COSTS/RESOURCE  MOBILIZATION MONITORING  AND EVAL...
Three Examples  <ul><li>Testing innovations with scaling up in mind </li></ul><ul><li>Need for caution with rapid scale up...
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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 co-sponsored by the Future Health Systems Research Programme Consortium and the STEPS Centre. Simmons presented on the work of ExpandNet.

Published in: Health & Medicine, Education
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Beyond Scaling Up: Learning from ExpandNet

  1. 1. Contextualizing Scaling Up: Lessons from ExpandNet Ruth Simmons ExpandNet and the University of Michigan School of Public Health
  2. 2. Polity Society Economy People Services Technology <ul><li>Policies, program structure </li></ul><ul><li>Personnel, facilities, management </li></ul><ul><li>Availability and accessibility </li></ul><ul><li>Quality </li></ul><ul><li>Available technologies </li></ul><ul><li>Technology characteristics </li></ul><ul><li>Barriers including cost </li></ul><ul><li>Needs and rights </li></ul><ul><li>People’s perspectives </li></ul><ul><li>Medical profile </li></ul><ul><li>Sociocultural and gender influences </li></ul>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. 3. <ul><li>Strategic Approach: Three Stages of Work </li></ul><ul><li>Stage I: Strategic Assessment </li></ul><ul><li>Stage II: Testing Interventions </li></ul><ul><li>Stage III: Scaling up and Expansion </li></ul>
  4. 4. Scaling up is predominantly … … an organizational, managerial and policy or political task, rather than a narrowly technical one.
  5. 5. ExpandNet/WHO Guidance Materials www.expandnet.net
  6. 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. 7. Three Examples <ul><li>Testing innovations with scaling up in mind </li></ul><ul><li>Need for caution with rapid scale up </li></ul><ul><li>Engaging with opportunities and constraints in the environment </li></ul>

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