This article outlines some effective strategies for the adoption and spread of high-impact interventions. These scale-up approaches include “natural” spread (where an individual recommends an innovation to others) and the collaborative, wave sequence, and campaign approaches.
The paper was prepared by USAID Health Care Improvement Project (HCI), implemented by University Research Co., LLC (URC), for review by the United States Agency for International Development (USAID) and by request of the World Health Organization (WHO) Patient Safety Programme and the Harvard School of Public Health. It was written by M. Rashad Massoud (URC), Katlyn L. Donohue (URC) and C. Joseph McCannon (Institute for Healthcare Improvement).
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