Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #117401

Richard D. Kohl, PhD and Larry Cooley, MA. Management Systems International, 600 Water Street SW, Washington, DC 20024, 202 484-7170, lcooley@msi-inc.com

Reproductive health indicators remain poor in many countries despite decades of innovative, successful small-scale projects. The demonstration effect alone has been insufficient to achieve the large-scale adoption of these innovations necessary to effect better outcomes. Management Systems International (MSI) developed a framework for "scaling up" successful small-scale projects, field tested it with several MacArthur Foundation-funded reproductive health projects in Nigeria and Mexico, and revised it based on lessons learned. The resulting framework is an innovative application to the reproductive health field of development management tools that MSI has used in its consulting practice,. This paper presents the results: a three stage, ten step process for scaling up, with specific tools for implementing each step. Stage 1: Creating a Vision and Broad Strategy: what is being taken to scale, by who, how and where i. Clarifying the Model ii. Choosing the Method and Type of Scaling-up: replication, expansion or collaboration iii. Determining Organizational Roles iv. Establishing Dimension(s) Stage 2: Establishing the Preconditions for an Effective Scaling-up Process i. Legitimation ii. Constituency Building iii. Realigning and Mobilizing Resources Stage 3: Implementing the Scaling-up Process i. Modifying Organizational Structures ii. Coordinating Action iii. Performance Monitoring Also included in the paper are: · the key capacities and resources needed in an organization engaged in scaling up; · a discussion of the alternatives of having an organization scale up its own innovation versus the role that a third-party can play in filling those roles; · main lessons and specific illustrations from Nigeria and Mexico.

Learning Objectives: Participants will learn

(
• a framework for thinking about scaling up a reproductive health pilot project; (
• a step-by-step method for planning and implementing scaling up; (
• criteria for choosing between alternative scaling up approaches; (
• the capacities needed for successful scaling up; and (
• how scaling up is affected by the specific organizational and larger social, political and cultural context, drawing on examples from Nigeria and Mexico.

Keywords: Management and Sustainability, Developing Countries

Related Web page: www.msiworldwide.com/

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commertial supporters WITH THE EXCEPTION OF The author is President of Management Systems International, a for-profit development management consulting firm which developed the framework presented in this paper on a grant from the McArthur Foundation..

Recorded presentation