Impactful Adolescent Family Planning Programs at Scale: Navigating the Trade-OffsDespite clear evidence on what works to support improvements in ASRH outcomes, taking impactful programming to scale is rarely straightforward. This brief draws on experiences from the A360 and Connect projects in Ethiopia, Nigeria, Kenya, Bangladesh, and Tanzania to explore the difficult—but necessary—trade-off questions implementers face when designing for both impact and scale: Do we invest in demand creation or in strengthening service delivery? Do we keep interventions simple to facilitate scale—or intervene deeply to mitigate root causes? Whose goals do we prioritize—government or donor? Do ...
Navigating Ethical Considerations When Supporting Scale Up of Health InterventionsModerator Dr. Ben Cislaghi provided an initial framing on ethical principles and values using four metaphors for framing global health: as a supermarket, a boxing ring, a colony, and/or a juggernaut. Like supermarkets, global health is often focused on selling outputs, such as vaccines. Global health is like a boxing ring because when a product gets on the market it becomes a fight over who can do it the cheapest and the fastest. Global health is a colony because most ...
Transitioning from Implementer to TA Provider: The Tensions and Benefits of a Necessary Approach to Scale-up through Public Sector InstitutionsIntroduction It is imperative that the development community move beyond boutique, unscalable program designs towards sustainable scale-up of promising interventions, particularly through the public sector. However, pursuing sustainable scale through the public sector often puts organizations at cross-roads. The transition from direct project implementer to technical assistance (TA) provider, capacitating the government and system to own and be accountable for implementation, is a necessary approach to achieving sustainable scale. Yet, this transition brings with it critical tensions and considerations. In ...
Perspectives on Scale up in Key Global Health AreasThis is the Health Working Group session of the Scaling Community of Practice's 2023 Annual Workshop. During this session, a panel of senior leaders working in the technical areas of Malaria, HIV/AIDS, Child Health and Family Planning provide observations and insights on how their fields view scaling up, including the major paradigms, frameworks and approaches that have been used to scale up effective interventions. The moderator then facilitates a discussion among the panelists to elicit common themes and contrasting perspectives ...
2021 Annual Workshop: Health Technical Working Group SessionSpeakers: David Leege, Senior Director, Impact, Learning, Knowledge and Accountability at CARE Callie Simon, Adolescent Sexual and Reproductive Health Team Lead and Senior Advisor at Save the Children US Olayinka Umar-Farouk, Deputy Project Director, Risk Communications at Johns Hopkins Center for Communication Programs Moderator: Rebecka Lundgren, Associate Professor, Center for Gender Equity and Health at University of California San Diego Introduction: Laura Ghiron, President of Partners in Expanding Health Quality and Access, Co-Chair of the Health Technical Working Group ...
