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Table 2 Methods of implementation that can be used with each scale-up phase

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

Phase

Setup

Develop the scalable unit

Test of scale-up

Go to full scale

Methods

• Model for Improvement

• Surveys

• Brainstorms

• Expert meetings

• Scans

• Site visits

• Interviews

• Model for Improvement

• Idealized design

• Collaborative learning (e.g., adaptation of Breakthrough Series [BTS] Collaboratives)

• Model for Improvement

• Deployment and refinement of change package

• Site redesign

• Collaborative learning

• Change agents

• Model for Improvement

• Extension agents

• Affinity groups

• BTS Collaboratives

• Wave sequence

• Campaigns

• Hybrid approaches