Scaling up Health Service Delivery – From pilot innovations to policies and programmes

Kirkup, Bill

doi:10.1016/j.puhe.2009.05.012

Cited by 5 publications

(3 citation statements)

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“…These champions and members of the project group can use their motivation, enthusiasm, and persistence to stimulate the sustainable implementation of health-promoting activities within their school context [64]. The importance of identifying and empowering organisation champions (e.g., by appointing a teacher as a healthy school coordinator) to successfully scale up public health interventions has been described previously in other comparable research within and beyond the schoolsetting [61,63,[65][66][67].…”

Section: The Implementation Of Hpsf In a Real-world Contextmentioning

confidence: 92%

The integration of health promotion in primary school settings

Hahnraths

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Section: The Implementation Of Hpsf In a Real-world Contextmentioning

confidence: 92%

The integration of health promotion in primary school settings

Hahnraths

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“…Further, scaling up of successful interventions requires tailoring of strategies to the various dimensions of the study settings and that the model cannot be replicated as it is. Researchers who worked on the frameworks of scaling up of health interventions (Simmons, Ruth, Peter Fajans 2007) (Minary et al 2018) have also shown that no single strategy or blueprint exists to strengthen health services in developing countries.…”

Section: Building Partnership Between Pps and Rntcpmentioning

confidence: 99%

“…Authors deliberating on the scale up of the health interventions have debated that the focus in the global health field is mostly on achieving high coverage rates of health services, and reducing mortality to the neglect of understanding the processes for how to scale up (Subramanian et al 2011). While some literature addresses scaling up in the public and private healthcare sectors, much of this work assesses specific disease areas and it is unclear how to generalize the findings (Simmons, Ruth, Peter Fajans 2007). There is greater plurality in the forms of public-private interactions at the country level with unique implementation challenges that required creative solutions to move forward.…”

Section: Moving From Pilots To Large-scale Initiativesmentioning

confidence: 99%

Optimising the involvement of private practitioners in tuberculosis care and control in India

Yellappa¹

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Scaling up Business Plans in Tajikistan: a qualitative study of the history, barriers, facilitators and lessons learnt

Werner

Afandiyeva²,

Karimova³

et al. 2021

Global Health Action

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Background To improve health planning at primary health care (PHC) level, Business Plans were introduced in Tajikistan by the Enhancing Primary Health Care (EPHC) Services Project. Objective To describe the history and process of implementation of Business Plans and to identify barriers, facilitators and lessons learnt from scaling up Business Plans. Methods Set in a qualitative research design, we conducted a desk review of project and official documents and seventeen semi-structured interviews with key stakeholders at national and sub-national levels between May and July 2020. We used an interview guide informed by the ExpandNet/WHO framework and analyzed the data following a content analysis approach facilitated by MAXQDA. Results With the participation of various user organizations and resource teams and through a variety of strategic scale-up choices, Business Plans have been scaled up from a vertical pilot project to institutionalized health management tools covering 45% of Tajikistan’s PHC facilities. The most prominent facilitators for scaling up Business Plans were the institutionalization and integration of the tool into the Tajik health system, the close collaboration with Community Health Teams (CHTs), the high acceptance of the tool among the users, the advocacy through champions and policy-makers and the large dissemination network. The most outstanding barriers to scaling up Business Plans were insufficient financial or human resources, general weaknesses in health governance, the lack of a strategic scale-up plan and strategic decisions, the lack of motivation or overall vision to implement Business Plans at a large scale and difficulties in donor coordination. Conclusion To ensure the continuity of scaling up Business Plans, developing a scale-up strategy, strengthening cross-sectoral collaboration and participation during scaling up, and capacitating the user organizations of Business Plans are important next steps to ensure the sustainability and effectiveness of Business Plans in the future.

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Scaling up Health Service Delivery – From pilot innovations to policies and programmes

Cited by 5 publications

References 0 publications

The integration of health promotion in primary school settings

The integration of health promotion in primary school settings

Optimising the involvement of private practitioners in tuberculosis care and control in India

Scaling up Business Plans in Tajikistan: a qualitative study of the history, barriers, facilitators and lessons learnt

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