Skip to content

Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
It is a common story in low- and middle-income countries across the world. A donor funds a pilot project to develop an innovative practice, for example in the health sector, hoping that national governments will see the potential benefit and take the innovative practice to scale in the longer term.
Download PDF 650KB

In reality however, in more cases than not, once donor funding dries up, the project comes to an end, thereby limiting the project’s longer term benefits in countries with weak health systems and pressing health needs.

A new paper published by researchers at the London School of Hygiene & Tropical Medicine in the journal Globalization and Health titled: ‘The development sector is a graveyard of pilot projects!’ Six critical actions for externally funded implementers to foster scale-up of maternal and newborn health innovations in low and middle-income countries’ asks what it takes to keep an innovative practice going once donor funding ends. The qualitative study, led by Neil Spicer, Yashua Hamza, Della Berhanu, Meenakshi Gautam, Professor Joanna Schellenberg, Feker Tadesse, Nasir Umar and Deepthi Wickremasinghe looks at maternal and newborn health innovations funded by the Bill & Melinda Gates Foundation.

Conducting 71 interviews with representatives from government, donors and implementers and exploring three case studies from India, Ethiopia and Nigeria, the research team identified six critical steps that implementers had taken to enable the adoption and scale-up of maternal and newborn health innovations funded by the Bill & Melinda Gates Foundation.

Results point to the importance of: designing innovations for scale from the get-go; generating multiple forms of evidence to influence and inform scale-up; harnessing the support of powerful individuals; being prepared for scale-up and responsive to change; ensuring continuity by being part of the transition to scale; and embracing the aid effectiveness principles of country ownership, alignment and harmonisation.

However, even where these six steps are taken success is not guaranteed: scale-up is unpredictable and often depends on factors outside implementers’ control.

 

Authors

Profile picture of Dr Neil Spicer
Dr Neil Spicer

Associate Professor

Profile picture of Dr Della Berhanu
Dr Della Berhanu

Assistant Professor

Profile picture of Dr Meenakshi Gautham
Dr Meenakshi Gautham

IDEAS India Country Coordinator and Research Fellow

Profile picture of Professor Joanna Schellenberg
Professor Joanna Schellenberg

IDEAS Co-Principal Investigator and Professor

Profile picture of Dr Nasir Umar
Dr Nasir Umar

IDEAS Nigeria Country Coordinator and Assistant Professor

Profile picture of Deepthi Wickremasinghe
Deepthi Wickremasinghe

Research Fellow

More info

LSHTM Research online page Opens in a new window

Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Ethiopia
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
India
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Nigeria
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Fostering innovation sustainability
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Scale-up

Related content

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

Scaling-up community-based neonatal sepsis management across a large geographical area produced challenges, yet there have also been positive and enabling factors in Ethiopia


Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Ethiopia
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Community-based newborn care
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Fostering innovation sustainability
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Scale-up
Report
Informed Decisions for Actions in Maternal and Newborn Health 2010–17 Report

  Back in 2009, the Bill & Melinda Gates Foundation in Seattle developed a new strategy for the coming years, outlining how they might achieve...


Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Ethiopia
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
General
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
India
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Nigeria
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Community-based newborn care
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Fostering innovation sustainability
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Improving measurement
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Supporting local decision-making
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Tracking progress
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Understanding quality improvement
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Behaviour change
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Capacity strengthening
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Context
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Economics
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Evaluation methods
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Evidence for policy and practice
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Implementation projects
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Implementation strength
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Intervention coverage
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Local data use
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Research findings
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Scale-up
Research brief
Catalysing scale-up of maternal and newborn health innovations: lessons from a case study in North-Eastern Nigeria

Research brief on lessons from a case study of scale-up in North-Eastern Nigeria


Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Nigeria
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Fostering innovation sustainability
Deprecated: Function get_page_by_title is deprecated since version 6.2.0! Use WP_Query instead. in /var/www/vhosts/ideas.lshtm.ac.uk/httpdocs/wp-includes/functions.php on line 6031
Scale-up