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Int J Gynaecol Obstet. 2015 Jun;130 Suppl 2:S4-10. doi: 10.1016/j.ijgo.2015.03.010.

Scaling up high-impact interventions: how is it done?

Author information

1
Jhpiego, Baltimore, MD, USA. Electronic address: jeffrey.smith@jhpiego.org.
2
Save the Children/MCHIP, Washington, DC, USA.
3
International Confederation of Midwives, The Hague, Netherlands.
4
Jhpiego, Baltimore, MD, USA.
5
Independent consultant, San Diego, CA, USA.

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.

KEYWORDS:

Helping Babies Breathe; Maternal and newborn health; Midwifery; Misoprostol; Scale-up

PMID:
26115856
DOI:
10.1016/j.ijgo.2015.03.010
[Indexed for MEDLINE]
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