A framework for scaling up health interventions: lessons from large-scale improvement initiatives in Africa

Implementation Science : IS
Pierre M BarkerMarie W Schall

Abstract

Scaling up complex health interventions to large populations is not a straightforward task. Without intentional, guided efforts to scale up, it can take many years for a new evidence-based intervention to be broadly implemented. For the past decade, researchers and implementers have developed models of scale-up that move beyond earlier paradigms that assumed ideas and practices would successfully spread through a combination of publication, policy, training, and example. Drawing from the previously reported frameworks for scaling up health interventions and our experience in the USA and abroad, we describe a framework for taking health interventions to full scale, and we use two large-scale improvement initiatives in Africa to illustrate the framework in action. We first identified other scale-up approaches for comparison and analysis of common constructs by searching for systematic reviews of scale-up in health care, reviewing those bibliographies, speaking with experts, and reviewing common research databases (PubMed, Google Scholar) for papers in English from peer-reviewed and "gray" sources that discussed models, frameworks, or theories for scale-up from 2000 to 2014. We then analyzed the results of this external review in ...Continue Reading

References

Feb 6, 2004·Quality & Safety in Health Care·P BateH Bevan
Jul 8, 2005·Joint Commission Journal on Quality and Patient Safety·Kevin NolanThomas Nolan
Jun 3, 2006·BMJ : British Medical Journal·C Joseph McCannonAlexander G Nazem
Jun 26, 2008·BMJ : British Medical Journal·Loes M T SchoutenRichard P T M Grol
Jun 2, 2009·Joint Commission Journal on Quality and Patient Safety·C Joseph McCannon, Rocco J Perla
Jan 15, 2010·Health Policy and Planning·Lindsay J Mangham, Kara Hanson
Jul 26, 2011·Academic Pediatrics·David A Bergman, Arne Beck
Aug 9, 2011·Health Policy and Planning·Ligia Paina, David H Peters
Nov 3, 2012·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Nana A Y Twum-DansoPierre M Barker
Feb 12, 2013·Bulletin of the World Health Organization·Peter BarronAmeena Goga
Oct 14, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nancy Edwards, Pierre M Barker

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Citations

Oct 9, 2016·Lancet·Linda M RichterUNKNOWN Paper 3 Working Group and the Lancet Early Childhood Development Series Steering Committee
Mar 6, 2018·Journal of American College Health : J of ACH·Carlo CiotoliRichard P Keeling
Nov 24, 2017·Implementation Science : IS·Ali Ben CharifFrance Légaré
Oct 11, 2017·Tropical Medicine & International Health : TM & IH·Kamna S BalharaUNKNOWN Global Emergency Medicine Literature Review Group (GEMLR)
Aug 29, 2018·CBE Life Sciences Education·Kimberly C SpencerChristine Pfund
Jun 7, 2018·F1000Research·Peter AndersonJürgen Rehm
Jun 5, 2018·F1000Research·Peter AndersonJürgen Rehm
Dec 21, 2018·Acta Paediatrica·Anayda PortelaNhan Tran
May 29, 2018·The Journal of the Association of Nurses in AIDS Care : JANAC·Gillian DoughertyMiriam Rabkin
Jun 29, 2018·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Elaine C KhoongUrmimala Sarkar
Mar 15, 2019·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Sam McCrabbLuke Wolfenden
May 12, 2019·BMJ : British Medical Journal·Trisha Greenhalgh, Chrysanthi Papoutsi
Jun 1, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sally HargreavesSatvinder Singh
Oct 28, 2019·Journal of Global Health·Jennifer A Callaghan-KoruUNKNOWN Bangladesh Chlorhexidine Scale Up Study Group
Dec 14, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Hema MaggeDaniel Gebremichael Burrsa
Oct 3, 2019·Global Health Action·Hervé Tchala Vignon ZomahounFrance Légaré
Jul 13, 2019·Journal of Forensic Nursing·Erin Kitt-LewisSophia Strickfaden
Apr 23, 2020·Translational Behavioral Medicine·Madalina SucalaMichael A Diefenbach
Sep 6, 2019·Global Health Research and Policy·Pablo Villalobos DintransMargaret E Kruk
Sep 15, 2019·Health Research Policy and Systems·Élizabeth Côté-BoileauMeghan Sabean
Jul 20, 2018·JMIR Medical Informatics·Marcella McGovernSusi Geiger
Jul 9, 2017·Journal of Medical Internet Research·James ShawTrisha Greenhalgh
Jun 7, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·John Ovretveit
Aug 7, 2018·International Journal of Health Policy and Management·Deepthi WickremasingheNeil Spicer
Apr 20, 2019·Preventing Chronic Disease·Karla I GalavizMohammed K Ali
Feb 9, 2019·Public Health Nursing·Erin Kitt-LewisSophia Strickfaden

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