Catalysing the adoption and scale-up of innovative maternal and newborn health interventions within the health system of Uttar Pradesh, India: findings from a qualitative study


Spicer, N; (2013) Catalysing the adoption and scale-up of innovative maternal and newborn health interventions within the health system of Uttar Pradesh, India: findings from a qualitative study. In: Health Systems in Asia, 14 December 2013, Singapore.

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Abstract

Aims •To understand how to catalyse scale-up of externally funded MNH innovations and identify factors enabling or inhibiting their scale-up Definition •‘Scale-up’: increasing the geographical reach of externally funded MNH innovations to benefit a greater number of people beyond grantee programme districts •‘Innovations’: new interventions introduced by grantees to enhance interactions between frontline workers and households Methods • 150 in-depth interviews in 3 geographies in 2012; follow-up in 2014 •Stakeholders in the field of MNH: government; development agencies; civil society; MNH grantees; professional associations; academics/researchers/experts Summary Country contexts–opportunities and challenges of scale-up •Governance and decision making context •Health systems context •Sociocultural context Catalysing scale-up involvesmultiple approaches-no ‘magic bullet’: •Partnership and coordination •Investing time and money •Developing scalable innovations •Strong evidence •Luck! Technical soundnessof grantees/innovations +Awareness of, responsiveness to politics and policy: ‘Scaling-up is a craft rather than a science - political rather than technical’

Item Type: Conference or Workshop Item
Keywords: scale-up, diffusion
Research Centre: Centre for Evaluation
Centre for Maternal, Reproductive and Child Health (MARCH)
IDEAS
Research Group: IDEAS
Funders: Bill & Melinda Gates Foundation
Grant number: ITDCVW7210
Projects: IDEAS
URI: http://researchonline.lshtm.ac.uk/id/eprint/1924271

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