Management for health services delivery

Sub-national and district management: Scaling up services

Scaling up programs

  • Scaling-up insecticide-treated netting programmes in Africa
    2002, Roll Back Malaria
    A strategic framework for coordinated national action
    The framework proposes two key elements for the future: sustained subsidies strictly targeted to vulnerable groups, and a strengthened and expanded commercial market that provides ITNs at the lowest possible prices for the general population. Some of the public sector actions required to bring this about are essentially temporary; others must be sustained in the long term. A national ITN task force or steering committee, including a variety of public, private and NGO partners, can help to facilitate negotiation, coordination and complementarity in this scaling-up process.
    (14 pages, pdf 128kb)
  • Scaling Up Home-Based Management of Malaria
    2004, WHO/HTM/MAL/2004.1096
    Home-based management, malaria control, situation analysis, information, education, communication, implementation strategy, monitoring, drugs, provider knowledge, community, research
    (97 pages, pdf 512kb)
    En français: Mise à l’échelle nationale de la prise en charge à domicile du paludisme De la recherche à la mise en oeuvre
  • Scaling Up the Response to Infectious Diseases
    2002, Commission on Macroeconomics and Health
    Interventions, services, behaviour; resources, strategies, models; country examples: Stop TB, Roll Back Malaria, immunization, social marketing; access to services, political will, media influence
    (125 pages, pdf 1.26MB)
  • “Rapid-Impact Interventions”: How a Policy of Integrated Control for Africa’s Neglected Tropical Diseases Could Benefit the Poor
    David H. Molyneux, Peter J. Hotez, Alan Fenwick, 2005, PLoS Med 2(11): e336
    Thirteen diseases; neglected diseases and the MDGs; evidence of the cost-effectiveness of integrated control; scaling up integrated control; small cost - huge impact;
    (7 pages, pdf 572kb)
  • Systematic scaling up of neonatal care in countries
    pdf, 156kb

    Rudolf Knippenberg, Joy E Lawn, Gary L Darmstadt, Genevieve Begkoyian, Helga Fogstad, Netsanet Walelign, Vinod K Paul, 2005, The Lancet 15/2/05: 31-42
    Step 1: Assess the situation and create a policy environment conducive to neonatal health; Step 2: Achieve optimum neonatal care within the constraints of the situation; a) Start with outreach or family-community care if the health system is not strong; b) Identify and address missed opportunities within the formal health-care system; c) Coordinate across programmes relevant to neonatal health; Step 3: Systematically scale-up neonatal care; a) Strengthen supply b) Improve demand; c) Overcome supply and demand obstacles; Step 4: Monitor coverage and measure effect and cost
    (12 pages)