WHO Technical Brief No

WHO Technical Brief - DRAFT 3, June 12th 2008 SCALING UP HEALTH SERVICES: CHALLENGES AND CHOICES Scaling up to meet the need is equivalent to when a large group of people must use a bus to undertake a crucial journey. If the bus is too small, or it goes too slowly, or it takes a wrong turn, or its mechanical problems are not fixed, or it is badly driven, it won t reach its destination in time. Simply pouring in more fuel won t resolve these problems. Government and other players in the countries involved must deal with all the issues if the journey is to succeed. (quoted by Rivers) Main messages Scaling up in the health sector means doing something in a big way to improve some aspect of a population s health . It can be applied to scaling up inputs; outputs (access, scope, quality, efficiency); outcomes (coverage, utilization) or impact (reducing morbidity or mortality).

Jun 12, 2008 · may be able to proceed faster than one focussing on quality. A scale-up aimed at improving health outcomes may have more of an incentive to reach high-risk clients than an exercise with

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