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Fig. 3 | Implementation Science

Fig. 3

From: A framework for scaling up health interventions: lessons from large-scale improvement initiatives in Africa

Fig. 3

IHI Framework for Going to Full Scale. The IHI Framework for Going to Full Scale addresses the phases of going to full scale and the adoption mechanisms and support systems needed to achieve large-scale programming. The elements of the framework include the phases of going to full scale (i.e., Set-up, Develop the Scalable Unit, Test of Scale-up, and Go to Full Scale); adoption mechanisms (i.e., leadership engagement, communication methods, leveraging social networks, and building a culture of urgency and persistence); and support systems needed to achieve large-scale programming (i.e., a learning system that connects adopters and experts, a data system to support measurement for improvement, infrastructure such as IT, equipment, etc.), building capability through training and support, and building reliable process that support sustainability

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