Strengthening scaling up through learning from implementation: comparing experiences from Afghanistan, Bangladesh and Uganda

Health Research Policy and Systems
Sara BennettElizabeth Ekirapa-Kiracho

Abstract

Many effective innovations and interventions are never effectively scaled up. Implementation research (IR) has the promise of supporting scale-up through enabling rapid learning about the intervention and its fit with the context in which it is implemented. We integrate conceptual frameworks addressing different dimensions of scaling up (specifically, the attributes of the service or innovation being scaled, the actors involved, the context, and the scale-up strategy) and questions commonly addressed by IR (concerning acceptability, appropriateness, adoption, feasibility, fidelity to original design, implementation costs, coverage and sustainability) to explore how IR can support scale-up. We draw upon three IR studies conducted by Future Health Systems (FHS) in Afghanistan, Bangladesh and Uganda. We reviewed project documents from the period 2011-2016 to identify information related to the dimensions of scaling up. Further, for each country, we developed rich descriptions of how the research teams approached scaling up, and how IR contributed to scale-up. The rich descriptions were checked by FHS research teams. We identified common patterns and differences across the three cases. The three cases planned quite different innova...Continue Reading

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Citations

Apr 5, 2020·Diagnostics·Tafadzwa DzinamariraTivani Phosa Mashamba-Thompson
Aug 18, 2020·Risk Management and Healthcare Policy·Bui Thi Thu HaTolib Mirzoev
Jan 3, 2021·International Journal for Equity in Health·Anthony SsebagerekaElizabeth Ekirapa-Kiracho
Jan 13, 2021·International Journal for Equity in Health·Elizabeth Ekirapa KirachoLigia Paina
Mar 24, 2021·The International Journal of Behavioral Nutrition and Physical Activity·Harriet KoortsHenry Dorling
Mar 31, 2021·BMC Public Health·Utsamani CintyamenaYodi Mahendradhata

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