Table 2 World Health Organization-expandNet framework-planning the scaling up strategy
From: Documenting good practices: scaling up the youth friendly health service model in Colombia
Elements | Definition | Characteristics of good practice |
|---|---|---|
Innovation | The interventions and/or practices to be scaled up | Relevant, Credible, Clear, Compatible with values and norms, Easy to install |
User Organization | The institution that adopts and implements the innovation at scale | Credible, Commitment, Capacity |
Resource Team | Individuals and organizations that have been involved in the development and testing of the innovation and/or seek to promote its wider use | Leadership, Credibility, Commitment, Capacity |
Environment | The conditions and institutions, external to the user organization, that substantially affect the prospects for scaling up | Understanding the challenges and opportunities in the environment and taking them into account |
Vertical scaling up strategy | The policy, political, legal, regulatory, budgetary or other health systems changes needed to institutionalize the innovation | It ‘legitimizes’ the innovation, integrates it in national and sub-national work plans and budgets and thus increases the likelihood of it being applied nationwide over a sustained period |
Horizontal scaling up strategy | The replication of the innovation in different geographic sites or its extension to larger or different population groups. | Wider application and reach out of the innovation |