Scaling up high-impact interventions: How is it done?. (June 2015)

• Record Type: Journal Article
• Authors: Smith, Jeffrey Michael; de Graft-Johnson, Joseph; Zyaee, Pashtoon; Ricca, Jim; Fullerton, Judith
• Is Part Of: International journal of gynaecology and obstetrics. Volume 130(2015)Supplement 2
• Page Start: S4
• Page End: S10
• Publication Date: 2015-06
• Subjects: Helping Babies Breathe -- Maternal and newborn health -- Midwifery -- Misoprostol -- Scale-up; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1016/j.ijgo.2015.03.010
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Building upon the World Health Organization's ExpandNet framework, 12 key principles of scale-up have emerged from the implementation of maternal and newborn health interventions. These principles are illustrated by three case studies of scale up of high-impact interventions: the Helping Babies Breathe initiative; pre-service midwifery education in Afghanistan; and advanced distribution of misoprostol for self-administration at home births to prevent postpartum hemorrhage. Program planners who seek to scale a maternal and/or newborn health intervention must ensure that: the necessary evidence and mechanisms for local ownership for the intervention are well-established; the intervention is as simple and cost-effective as possible; and the implementers and beneficiaries of the intervention are working in tandem to build institutional capacity at all levels and in consideration of all perspectives.