Informed decisions for actions in maternal and newborn health

Scaling-up Innovations

Scaling-up Innovations

17 October 2016
How and why does scale-up happen?

There are a number of critical actions implementers can adopt to help catalyse scale-up of their innovations

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In the Sustainable Development Goals era there is considerable interest in promoting the scale-up and longer-term sustainability of health programmes introduced by donors and their implementers in order to achieve universal health coverage.

Scaling-up Innovations

Our work on scale-up focusses on the adoption and implementation of externally-funded maternal and newborn health innovations by government or other actors to increase the geographical reach and to benefit a greater number of people beyond the districts in which these innovations were originally implemented.

Research from Phase I of IDEAS (2010-2016) in Ethiopia, Uttar Pradesh in India and northeast Nigeria identified a number of ‘critical’ actions implementers can adopt to help catalyse scale-up of their innovations including: producing multiple forms of evidence; invoking powerful individuals; being prepared as well as responsive; supporting transition to scale; embracing aid effectiveness principles including harmonisation and alignment; and designing an innovation for scale.

In Phase II of IDEAS (2016-2020) the project will continue to support the Bill & Melinda Gates Foundation and its partners to develop a better understanding of the conditions and approaches enabling longer-term sustainable scale-up of maternal and newborn health innovations.


Essential Readings

‘Scaling-up is a craft not a science’: Catalysing scale-up of health innovations in Ethiopia, India and Nigeria

Catalysing scale-up of maternal and newborn health innovations: lessons from a case study in North-Eastern Nigeria

Catalysing scale-up of maternal and newborn health innovations in Ethiopia


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