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Scaling Up Global Health Interventions: A Proposed Framework for Success
Open accessAbstract
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.
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“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).”
From User‐centered design for psychosocial intervention development and implementation. (2016) · cites this paper as Yamey, 2011
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Metadata
- Authors
- Yamey, G.
- Corresponding author
- Yamey, Gavin
- ORCID
- Yamey, Gavin
- Venue
- PLoS Medicine
- Publisher
- Public Library of Science (PLoS)
- Published
- 2011-06-28
- Volume
- 8
- Issue
- 6
- Pages
- e1001049
- ISSN
- 1549-1277 (ISSN-L)
- 1549-1676
- PMC
- PMC3125181
- 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
- gold
- doi.org
- 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
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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
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