Cited by 295Health Policy Implementation ScienceGlobal Health and SurgeryHealthcare Systems and Reforms

Scaling up global health interventions: A proposed framework for success

Open access
Yamey, Gavin·2011·PLoS Medicine

Abstract

The adoption of the Millennium Development Goals-coupled with the recent rise in international aid for health-has catalyzed interest in improving the science of scale-up [1].Global health researchers have realized the need for ''a quantitative, scientific framework to guide health-care scale-up in developing countries'' [2], a need that has begun to draw the attention of donors [3].Low-and middle-income countries (LMICs) have begun to study effective ways to deliver proven interventions at scale [4,5].Thus, there are promising signs that a ''science of large-scale change in global health'' is emerging [5].In this Essay, I draw upon key themes in this emerging science to propose a framework for explaining successful scale-up.This framework is aimed at planners of scale-up processes to use in thinking about strategies for implementing a new program, policy, or intervention to scale.The term ''scaling up'' is now widely used in the public health literature, but there is no agreed definition.The term is primarily used, say Mangham and Hanson, to describe ''the ambition or process of expanding the coverage of health interventions '' [6], a working definition that I use in this article.The Essay section contains opinion pieces on topics of broad interest to a general medical audience.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1371/journal.pmed.1001049

Cites

41 of 41 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Applying simplification carefully reduces complexity while improving user experiences and making products more scalable.

    “Vigilant application of the principle of simplification works to contain this complexity while enhancing user experiences and facilitating the scalability of products (Rogers, 2003; Yamey, 2011).”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

2 of the 43 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Authors
Yamey, G.
Corresponding author
Yamey, Gavin
Venue
PLoS Medicine
Published
2011-06-28
Volume
8
Issue
6
Pages
e1001049
ISSN
  • 1549-1277 (ISSN-L)
  • 1549-1676
OpenAlex
W2017349284
Cited by
295
References
43
Citations by year
2026: 15 · 2025: 17 · 2024: 26 · 2023: 27 · 2022: 12 · 2021: 36 · 2020: 29 · 2019: 22 · 2018: 19 · 2017: 17 · 2016: 11 · 2015: 20 · 2014: 13 · 2013: 14 · 2012: 16
FWCI
26.11
Type
journal article
Language
en
Open access
Locations
  • PLoS Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
Funders
  • Bill and Melinda Gates Foundation
  • Global Fund to Fight AIDS, Tuberculosis and Malaria
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
  • Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
Keywords
scale-up, global health interventions, low- and middle-income countries, international health aid, Millennium Development Goals, health program implementation, health policy, intervention coverage
MeSH terms
Community Health Services, Delivery of Health Care, Health Policy, Health Services Research, Humans, International Agencies, Global Health

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review