Assessing scalability of an intervention: why, how and who?

Health Policy and Planning
Karen ZamboniAlexandre Dumont

Abstract

Public health interventions should be designed with scale in mind, and researchers and implementers must plan for scale-up at an early stage. Yet, there is limited awareness among researchers of the critical value of considering scalability and relatively limited empirical evidence on assessing scalability, despite emerging methodological guidance. We aimed to integrate scalability considerations in the design of a study to evaluate a multi-component intervention to reduce unnecessary caesarean sections in low- and middle-income countries. First, we reviewed and synthesized existing scale up frameworks to identify relevant dimensions and available scalability assessment tools. Based on these, we defined our scalability assessment process and adapted existing tools for our study. Here, we document our experience and the methodological challenges we encountered in integrating a scalability assessment in our study protocol. These include: achieving consensus on the purpose of a scalability assessment; and identifying the optimal timing of such an assessment, moving away from the concept of a one-off assessment at the start of a project. We also encountered tensions between the need to establish the proof of principle, and the need...Continue Reading

References

Sep 7, 2007·Lancet·D ChisholmM Tomlinson
Oct 10, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Stephen N WallJoy E Lawn
Jan 15, 2010·Health Policy and Planning·Lindsay J Mangham, Kara Hanson
Mar 2, 2010·Women's Health·Ndola PrataCaitlin Elisabeth Gerdts
Jul 31, 2013·Health Policy and Planning·Nana Ay Twum-DansoPierre M Barker
Dec 18, 2013·BMC Public Health·Linda CambonFrançois Alla
Oct 13, 2014·Social Science & Medicine·Neil SpicerDeepthi Wickremasinghe
Jun 28, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jeffrey Michael SmithJudith Fullerton
Aug 13, 2015·Implementation Science : IS·Andrew J MilatSally Redman
Feb 11, 2016·Public Health Research & Practice·Andrew J MilatMichael Giffin
May 11, 2016·Maternal & Child Nutrition·Rafael Pérez-Escamilla, Victoria Hall Moran
Oct 23, 2016·BMC Pregnancy and Childbirth·Charles KaboréAlexandre Dumont
Nov 24, 2017·Implementation Science : IS·Ali Ben CharifFrance Légaré
Jul 7, 2018·The Medico-legal Journal·Rosalind Wright

❮ Previous
Next ❯

Citations

Jan 8, 2020·International Journal of Environmental Research and Public Health·Bradley MacDonaldAlison Kirk
Jul 1, 2020·International Journal of Environmental Research and Public Health·Bradley MacDonaldAlison Kirk
Mar 24, 2021·The International Journal of Behavioral Nutrition and Physical Activity·Harriet KoortsHenry Dorling

❮ Previous
Next ❯

Software Mentioned

DEC
QUALIDEC
QUALI
ExpandNet

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Ronald C Merrell, Charles R Doarn
The New Phytologist
Christopher Surridge
Health Services Research
A D KaluznyJ B Sprague
La semaine des hôpitaux : organe fondé par l'Association d'enseignement médical des hôpitaux de Paris
J CATHALA
© 2021 Meta ULC. All rights reserved