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Transforming Global Health by Improving the Science of Scale-Up

Author

Listed:
  • Margaret E Kruk
  • Gavin Yamey
  • Sonia Y Angell
  • Alix Beith
  • Daniel Cotlear
  • Frederico Guanais
  • Lisa Jacobs
  • Helen Saxenian
  • Cesar Victora
  • Eric Goosby

Abstract

In its report Global Health 2035, the Commission on Investing in Health proposed that health investments can reduce mortality in nearly all low- and middle-income countries to very low levels, thereby averting 10 million deaths per year from 2035 onward. Many of these gains could be achieved through scale-up of existing technologies and health services. A key instrument to close this gap is policy and implementation research (PIR) that aims to produce generalizable evidence on what works to implement successful interventions at scale. Rigorously designed PIR promotes global learning and local accountability. Much greater national and global investments in PIR capacity will be required to enable the scaling of effective approaches and to prevent the recycling of failed ideas. Sample questions for the PIR research agenda include how to close the gap in the delivery of essential services to the poor, which population interventions for non-communicable diseases are most applicable in different contexts, and how to engage non-state actors in equitable provision of health services in the context of universal health coverage.Kruk and colleagues examine the emerging field of policy and implementation research, the scientific enterprise aimed at closing "the delivery gap"—the gap between the interventions known to be effective and what is actually being delivered.

Suggested Citation

  • Margaret E Kruk & Gavin Yamey & Sonia Y Angell & Alix Beith & Daniel Cotlear & Frederico Guanais & Lisa Jacobs & Helen Saxenian & Cesar Victora & Eric Goosby, 2016. "Transforming Global Health by Improving the Science of Scale-Up," PLOS Biology, Public Library of Science, vol. 14(3), pages 1-16, March.
  • Handle: RePEc:plo:pbio00:1002360
    DOI: 10.1371/journal.pbio.1002360
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    References listed on IDEAS

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    1. Guanais, F.C., 2013. "The combined effects of the expansion of primary health care and conditional cash transfers on infant mortality in Brazil, 1998-2010," American Journal of Public Health, American Public Health Association, vol. 103(11), pages 2000-2006.
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    4. Leroy, J.L. & Habicht, J.-P. & Pelto, G. & Bertozzi, S.M., 2007. "Current priorities in health research funding and lack of impact on the number of child deaths per year," American Journal of Public Health, American Public Health Association, vol. 97(2), pages 219-223.
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    Cited by:

    1. Cameron, Lisa & Olivia, Susan & Shah, Manisha, 2019. "Scaling up sanitation: Evidence from an RCT in Indonesia," Journal of Development Economics, Elsevier, vol. 138(C), pages 1-16.
    2. Karen Lee & Melanie Crane & Anne Grunseit & Blythe O’Hara & Andrew Milat & Luke Wolfenden & Adrian Bauman & Femke van Nassau, 2023. "Development and Application of the Scale-Up Reflection Guide (SRG)," IJERPH, MDPI, vol. 20(11), pages 1-18, May.
    3. Gavin Yamey & Carlos Morel, 2016. "Investing in Health Innovation: A Cornerstone to Achieving Global Health Convergence," PLOS Biology, Public Library of Science, vol. 14(3), pages 1-5, March.

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