Spicer, N; Catalysing scale-up of maternal and newborn child health innovations: a qualitative study in Ethiopia, Uttar Pradesh, India and northeast Nigeria. In: Global Maternal Newborn Health Conference, 18-21 October 2015, Mexico City. https://researchonline.lshtm.ac.uk/id/eprint/2331788
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Abstract
Background While donors commonly introduce innovative practices and technologies to improve health in low-income settings many innovations that are found to be effective are not adopted by country governments and implemented at scale. Our qualitative study explores scale-up of donor-funded maternal and newborn child health (MNCH) innovations targeting rural populations in Ethiopia, Uttar Pradesh in India and northeast Nigeria. We seek to answer two questions: a) what actions to catalyse scale-up of MNCH innovations are effective and why? b) what contextual factors enable and inhibit scale-up of MNCH innovations? Methodology We conducted 220 semi-structured interviews in 2012/13 and 2014/15 with government officials, development agencies, civil society programme implementers, professional associations and academics across the three settings. We developed a common analytic coding frame for cross-country analysis. Results Based on our study we present a conceptual framework encompassing: a) Critical actions for catalysing scale-up of MNH innovations: • Planning: embedding scale-up activities, time and resources in programme design; assessing country contexts; designing scalable innovations; building implementer capacity; • Persuading government to adopt innovations at scale: effective advocacy; strong evidence; involving government; invoking policy champions; aligning with health priorities and systems; harmonisation among donor programmes; • Supporting government to scale innovations: contributing to policy development; capacity strengthening government health systems and staff; • Stimulating community uptake of innovations at scale: involving mass media and community opinion leaders, mobilisation teams and role models. b) Contextual factors enabling and inhibiting scale-up of MNCH innovations: • Policy making contexts; • Prioritising and funding MNCH; • Development partner harmonisation; • Health systems capacity; • Security; • Sociocultural contexts; • Healthcare access. Conclusion Our study suggests that implementers, donors and governments should each play critical roles in accelerating MNCH innovation impact at scale-up – including committing time and resources, assessing country contexts and fostering improved harmonisation and alignment.
Item Type | Conference or Workshop Item |
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Faculty and Department | Faculty of Infectious and Tropical Diseases > Dept of Disease Control |
Research Centre |
Centre for Maternal, Reproductive and Child Health (MARCH) IDEAS |
Research Group | IDEAS |
Funder Name | Bill & Melinda Gates Foundation |
Grant number | ITDCVW7210 |
Projects | IDEAS |
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Filename: GMNHConference_NeilSpicer_Oct2015.pptx
Licence: Creative Commons: Attribution 3.0
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