The Practical Guidance tool identifies general scaling-up principles and provides examples from case studies of successful scale-up initiatives. It is helpful at the design stage, during implementation and to manage the scaling-up process.
The framework:
• provides a way of thinking about scaling up;
• identifies conditions that lead to success;
• articulates strategic choices that have to be made;
• highlights actions that enhance the potential for success and sustainability.
The key audiences for this guide are public health programme managers, donors and technical assistance providers who face the challenge of scaling up health service innovations. It is helpful when designing implementation, for communication and advocacy of the innovation, in planning implementation/scale-up, during implementation and to manage the scaling-up process, for monitoring and evaluation, and for sustainability of the innovation.
The advice in this document aims to be of value in guiding scaling up at various stages—whether one is only beginning to think about it, has already selected a model for expansion or is in the midst of scaling up. While starting with the end in mind increases the likelihood of success, not all scenarios allow for anticipating scaling up during the design and testing of an innovation.
