What does "scale" mean for you and your country?

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Kate Wilson

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Dec 17, 2014, 1:34:45 PM12/17/14
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What does it mean to take a project to scale?  How long should it take?  What support does it need to go to scale?

It took almost twenty years for barcodes to be fully adopted across the grocery industry. Today they’re in use worldwide, delivering efficiency and automation on a massive scale.  We often use “going to scale” in development efforts as a goal for moving projects beyond the pilot phase. Yet despite a decade of investment, there are only a handful of “scaled” digital health interventions to count, and no single shared definition of scale.

In a paper that  PATH release last week, The Journey to Scale, we describe the journey we believe our global community needs to take to shift the use of digital tools for health from a series of one-off projects to a routine common practice where a phone or computer is as indispensable a tool to health services delivery as a stethoscope.

We believe a digital product or service can only be considered successful after it’s become embedded into a health system workflow or an individual’s daily habits. The Better Immunization Data (BID) Initiative is one example of this type of approach to bringing scaled efficiencies to country-wide health systems. 

What do you think needs to be done in your country to support scaled digital health interventions?  Please send us your feedback on the ideas posed in this paper.

Best wishes for a wonderful holiday season and a very happy 2015!
PATH_Journey_to_Scale_Dec082014_lores (3).pdf

Steven Uggowitzer

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Dec 20, 2014, 12:39:09 PM12/20/14
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Great work. Some folks on this list may also find this publication of
use.

Information and Communication Technologies (ICTs) for Women’s and
Children’s Health
- A new workbook for multi-stakeholder action in the scale-up of
ICT/mHealth interventions
http://bit.ly/pmnch-ict

Regards,
Steven


On 2014-12-17 19:34, Kate Wilson wrote:
> What does it mean to take a project to scale? How long should it
> take? What support does it need to go to scale?
>
> It took almost twenty years for barcodes to be fully adopted across
> the grocery industry. Today they’re in use worldwide, delivering
> efficiency and automation on a massive scale. We often use “going to
> scale” in development efforts as a goal for moving projects beyond
> the
> pilot phase. Yet despite a decade of investment, there are only a
> handful of “scaled” digital health interventions to count, and no
> single shared definition of scale.
>
> In a paper that PATH release last week, The Journey to Scale [1], we
> describe the journey we believe our global community needs to take to
> shift the use of digital tools for health from a series of one-off
> projects to a routine common practice where a phone or computer is as
> indispensable a tool to health services delivery as a stethoscope.
>
> We believe a digital product or service can only be considered
> successful after it’s become embedded into a health system workflow
> or
> an individual’s daily habits. The Better Immunization Data (BID)
> Initiative [2] is one example of this type of approach to bringing
> scaled efficiencies to country-wide health systems.
> What do you think needs to be done in your country to support scaled
> digital health interventions? Please send us your feedback on the
> ideas posed in this paper.
>
> Best wishes for a wonderful holiday season and a very happy 2015!
>
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