RésuméAu cours des dernières années, notre équipe pluridisciplinaire a constitué un portefeuille de travaux visant à rendre la mise à l’échelle plus structurée, responsable et équitable. Ancré dans des données probantes issues d’études empiriques et de revues, ce portefeuille a conduit au développement d’outils, à la mise à l’échelle d’innovations, à des activités de formation et à des initiatives de mobilisation des connaissances. Ensemble, ces contributions cherchent à renforcer les capacités systémiques nécessaires à une mise à l’échelle rigoureuse.Présentation de ...
AbstractOver recent years, our multidisciplinary team has built a portfolio aimed at making scaling more structured, responsible, and equitable. Grounded in evidence from empirical studies and reviews, this portfolio has led to the development of tools, the scaling of innovations, training activities, and knowledge mobilization initiatives. Together, these contributions seek to strengthen system capacity for rigorous scaling.Team OverviewBased in Québec, the francophone province of Canada, our team brings together members from the Chair in Shared Decision Making (Link), VITAM – ...
Session Blurb Summary Speakers Recording Additional Resources Since 2003, the global ExpandNet network has been working to catalyze a paradigm shift towards more systematic, country-owned and locally-led scaling processes. ExpandNet members have been developing scaling-related guidance tools and providing technical support to advance the scale up of successfully tested interventions across a range of technical areas. Now with decades of practical country experience in the application of the guidance tools developed with WHO, both within and beyond the health sector, ExpandNet ...
Despite 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 ...
Moderator 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 ...
Introduction 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 ...
