A field-based and participatory approach to supporting the development of scaling-up strategies

Access to health technologies, services and community-based interventions is essential to improve the lives of many people in developing countries. Yet access to quality services often remains limited, resulting in unnecessarily high rates of morbidity and mortality. While small scale interventions testing ways to improve access have often shown impressive results, large scale impact has rarely been achieved. Fostering a process of scaling up requires approaches and skills that typically differ from those of the researchers or project managers who design and implement small-scale interventions. Relevant knowledge and experience about how to proceed exist, but the many lessons, approaches and the technical know-how needed, are not always available to those who require them. ExpandNet is addressing these challenges.