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Spotlight on Scale-up

If countries want to reach their ambitious Sustainable Development Goals targets, they need to be systematic in identifying solutions with the most potential for high impact to prioritize in their national plans. Some of these high-impact solutions, like comprehensive emergency obstetric care, will already be part of most countries’ routine care, but will be in need of improvements in quality or targeting. However, not all proven, cost-effective solutions – such as chlorhexidine for newborn sepsis prevention and integrated community case management of child illness – are currently part of routine health care practice in many countries. Scale-up is the process of bringing such newer but proven interventions and strategies to more people on a sustained basis.   

When governments recognize an intervention can improve the population’s health and achieve significant impact, decision-makers decide to #ScaleForSuccess.   

Countries can begin this process by including these newer, proven interventions in their plans, ensuring that policies are in place to support their implementation, and seeking initial financing. To make solid progress toward widespread and sustained impact, countries will also need to make a multi-year commitment to a systematic but flexible process that can successfully respond to ongoing challenges. This requires leadership, partnership, and solid management at local, district and national levels. Those leaders need timely information for a process of learning and adaptation, and strategies for ongoing resource mobilization. This is neither quick nor easy, but those who engage in such a systematic process will be rewarded with sustained and significant improvements in the health of their populations.

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Our Featured Resources

Voices from the Field
Workshop in Rwanda

Workshop Highlights Rapid Scale-up of Immediate PPFP Services in Rwanda

Community gathering

Congolese Community Comes Together to Improve Child Health

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sustainable impact at scale is the ultimate aim - MAKING THE IMPOSSIBLE POSSIBLE
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Views from the Field

What We’re Thinking
MCSP expert
MCSP experts discuss the importance of successful scale-up for improving maternal and child health.
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Photo Credits

Liz Eddy/MCSP
Karen Kasmauski/MCSP
Kate Holt/MCSP
Edouard Sahunkuye/MCSP

This content is made possible by the generous support of the American people through the United States Agency for International Development (USAID) under the terms of the Cooperative Agreement AID-OAA-A-14-00028. The content is the responsibility of the Maternal and Child Survival Program and do not necessarily reflect the views of USAID or the United States Government.

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