Abstract
Building upon the World Health Organization's ExpandNet framework, 12 key principles of scale-up have emerged from the implementation of maternal and newborn health interventions. These principles are illustrated by three case studies of scale up of high-impact interventions: the Helping Babies Breathe initiative; pre-service midwifery education in Afghanistan; and advanced distribution of misoprostol for self-administration at home births to prevent postpartum hemorrhage. Program planners who seek to scale a maternal and/or newborn health intervention must ensure that: the necessary evidence and mechanisms for local ownership for the intervention are well-established; the intervention is as simple and cost-effective as possible; and the implementers and beneficiaries of the intervention are working in tandem to build institutional capacity at all levels and in consideration of all perspectives.
Original language | English (US) |
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Pages (from-to) | S4-S10 |
Journal | International Journal of Gynecology and Obstetrics |
Volume | 130 |
Issue number | S2 |
DOIs | |
State | Published - Jun 1 2015 |
Externally published | Yes |
Keywords
- Helping Babies Breathe
- Maternal and newborn health
- Midwifery
- Misoprostol
- Scale-up
ASJC Scopus subject areas
- Obstetrics and Gynecology