Community of Practice on Systematic Approaches to Scale-Up

E2A, in partnership with the Implementing Best Practices Initiative and E2A’s core partner ExpandNet, leads the Community of Practice on Systematic Approaches for Scale-up of Family Planning/Reproductive Health Best Practices, which is hosted on the IBP Xchange platform. The community of practice is led by a resource team of individuals with experience in the application of systematic approaches to scaling up.

The goal of this community of practice is to increase the use of systematic approaches for sustainably scaling up best practices in family planning/reproductive health (FP/RH). Members share their experiences and practical tools through webinars, events, and online discussions. The community provides a venue for country-, regional-, and global-level exchanges to facilitate learning about how best practices can benefit more people and foster policy and program development.

Community of practice members include a diverse range of global health and development actors including, but not limited to:

  • regional- and country-level policymakers
  • program managers and researchers from the public, private and NGO sectors
  • donors and other organizations with an interest in advancing the science and practice of scaling up through the use of systematic approaches

One key resource that the community of practice has produced is the Bibliography of  Systematic Approaches for Scale-Up of Best Practices that includes a selection of published articles and gray literature that address theories, concepts, and experiences with applying systematic approaches to scaling up. It is neither complete, nor does it represent the results of a formal systematic review on the topic. Now, on version 2, it is a living document and will continue to be expanded as additional relevant articles are identified, whether through further literature reviews or through other mechanisms, including suggested articles by members of the community of practice.



The community of practice leads a series of webinars on diverse topics related to systematic scale-up. Information about each webinar follows.

Webinar 1: Promising Practices for Scaling Up a Reproductive Health Innovation

This webinar, held on October 9, 2013, featured a presentation by Rebecka Lundgren of Georgetown University’s Institute for Reproductive Health (IRH), which covered the systematic approach applied by IRH to scale up use of the Standard Days Method.

Webinars 2, 3, and 4 comprised a series on the topic of costing for scale-up.

Webinar 2: Rationale and Introduction to Methods for Costing the Scale-Up of Family Planning Programs

This webinar, held on January 28, 2014, featured presentations by John Bratt and Christine Lasway of FHI360. Mr. Bratt presented an introduction to estimating costs for scale-up and highlighted the importance of costing, while Ms. Lasway talked about developing Costed Implementation Plans and how costs for scale-up are featured in those plans.

Webinar 3: Models and Tools for Costing the Scale-Up of Family Planning Programs

Held on March 19, 2014, this webinar featured presentations from economist Dr. Lori A. Bollinger of Futures Institute and Ms. Zina Jarrah of Management Sciences for Health. Dr. Bollinger presented about how to use the FamPlan tool for advocacy purposes, while Ms. Jarrah described how to use the CORE Plus Tool for costing the scale-up of FP/RH services at the primary level.

Webinar 4: Financing the Scale-Up of Family Planning Programs

This webinar, held on May 23, 2014, was an interactive session where a panel of four experts on financing for scale-up responded to questions from the moderator and webinar participants. The panelists were Monica Kerrigan, Deputy Director of Family Planning at the Bill & Melinda Gates Foundation; Johannes Linn, Senior Fellow at the Brookings Institution; Allyala Nandakumar, Chief Economist for Global Health at USAID; and Frank Nyonator, Dean of the School of Public Health at the University of Health and Allied Sciences in Ghana.

Webinar 5: Synergistic Relationship of Institutionalization and Expansion: Lessons from Scale-up of Youth-Friendly Services in Five Countries

On August 20, 2014, the webinar featured a presentation led by Gwyn Hainsworth of Pathfinder International, with three discussants: Dr. Venkatraman Chandra-Mouli of the World Health Organization’s Department of Reproductive Health and Research; Laura Ghiron of ExpandNet; and Regina Benevides of E2A. During the webinar, participants learned about the synergies gained when vertical and horizontal scale-up processes are undertaken simultaneously, tradeoffs between institutionalization and expansion as well as the implactions for sustainable scale-up, and considerations for expansion and institutionalization of youth-focused innovations.

Webinar 6: Shifting Mindsets to Make Change Stick: Fostering Change for Scale-up

The webinar, held on July 17, 2015, presented the body of knowledge about effective change & summarized key points about what that research suggests about effective change; showed evidence that using a systematic approach to scaling up (and monitoring scale-up) can increase chances of success; introduced the Guide to Fostering Change as a collective body of learning that provides an overarching pathway for scaling up; and highlighted key parts of the guide, with an emphasis on the principles of change and how the guide is designed to support practioners to set shared direction, champion the change and scale up efforts.

Webinar 7: From pilot to scale: Institutionalizing the Population-Health-Environment approach for sustainable development in East Africa

The webinar, held on June 22, 2016, was co-hosted with the Population Reference Bureau and focused on the Health of People and Environment (HoPE) project in the Lake Victoria Basin. During the webinar, East African staff from the HoPE project shared how the project is unique in its specific focus on designing for, and sustainably scaling up the project approach to new areas using ExpandNet guidance.

Webinar 8: Leadership Universitaire pour le Changement en SSRAJ au Niger: une expérience participative de la mise à l’échelle (University Leadership for Change in Sexual and Reproductive Health in Niger: a participatory scale-up experience)

This webinar, held on January 26, 2017 (in French), presented how E2A applied ExpandNet/WHO’s systematic approaches to scale-up within its University Leadership for Change in Sexual and Reproductive Health project at Abdou Moumouni University in Niamey. This experience included an emphasis on documentation and creation of a co-management committee that included youth leaders, university administration, and the ministries of public health and higher education to increase potential for sustainability and scale-up.

Webinar 9: Focusing on the ‘S’ in Social and Behavior Change: Scaling Up Norms-Shifting Interactions for Adolescent Health

This webinar, held on July 12, 2018, discussed lessons learned from norms-focused interventions were explored. First, the webinar examined how norms-focused interventions differed from other social and behavior change (SBC) efforts that are focused on improving adolescent health outcomes. Given the norms-shifting components of these interventions, speakers discussed necessary adjustments to scale-up planning, implementation, and related monitoring and evaluation. Then the webinar reviewed a scale-up case study of an adolescent sexual and reproductive health and gender equity intervention going to scale in Uganda, where it was initially developed and tested as part of the Gender Roles, Equality, and Transformation Project (GREAT).

Webinar 10: Scaling Up & Sustaining Successfully Tested Interventions: What Does Adaptation Have to Do With It?

This webinar, held on September 19, 2018, discussed the importance of scaling up successfully tested health and development interventions. The webinar analyzed significant advances that have taken place in the development of scaling-up frameworks, identifying the determinants of success as well as the provision of practical guidance to support scaling-up processes in low-resource settings as well as critical gaps in understanding that still exist. This webinar included presentations on adaptation from both theoretical and practical perspectives and provided opportunities for participants to ask questions and share insights.

Webinar 11: Scale Up Learnings from Operationalizing the CHEW Task Sharing Policy in Cross River State, Nigeria

This webinar, held on September 25, 2018 from Pathfinder International’s Nigeria Office, shared experiences from Cross River State, Nigeria where a coalition of government and non-governmental actors collaborated to develop and then implement a scale-up strategy to operationalize the CHEW Task-Sharing policy. The presenters from Cross River State discussed how this ‘resource team’ of local and state government and NGO actors worked together to implement ExpandNet’s systematic nine-step strategy development approach. They described outcomes of using the systematic approach and shared lessons learned in the process of operationalizing the task-shifting policy.

Meetings with Experts and Practitioners

In addition to webinars, the community of practice has held the following in-person technical consultations and workshops.

Quarterly Meeting of the CoP Resource Team, September 23, 2020 (virtual)

This final meeting of the E2A-led COP, which featured speakers Larry Cooley, MSI; Rebecka Lundgren, University of California San Diego; Nora Dettor, Spring Impact; Meg Armishaw, Spring Impact; Brendan Michael Hayes, Global Financing Fund; and Trinity Zan, FHI 360, addressed reflections on the COP’s work to date and recommendations for the future. To watch the full meeting, see here

Quarterly Meeting of the CoP Resource Team, March 24, 2020, Washington, DC

This meeting explored financing scale-up and featured guest speakers Nirmala Ravishankar, Program Director, ThinkWell; Kojo Lokko, Executive Director, The Challenge Initiative; and Clive Mutunga, Senior Technical Advisor: Population, Environment & Development, USAID, Bureau for Global Health. To watch the full presentation, see here

Quarterly Meeting of the CoP Resource Team, October 22, 2019, Washington, DC

This meeting focused on country and government ownership, and featured guest speakers Dr. Sada Danmusa, Director of MidSpace, and Claire Cole, Implementation Science & Learning Advisor for Adolescents360 at Population Services International. Visit our blog to read more about Dr. Sada’s presentation.  

Quarterly Meeting of the CoP Resource Team, December 5, 2018, Washington, DC

The E2A/Pathfinder office in Washington, D.C hosted the quarterly meeting of the CoP Resource Team on December 5th from 9:00am to 11:15am with a light breakfast and informal networking from 8:30am. Dr. Eric Sarriot of Save the Children, who is a widely published expert on the topic of sustainability presented at this meeting. To watch Dr. Sarriot’s presentation and the Q&A portion that followed his presentation, click here.

Scaling Up Health and Development Outcomes, August 15, 2017, Washington, DC

The community of practice, in collaboration with the MSI-R4D community of practice on scaling up international development interventions jointly hosted a technical convening to discuss scaling-up efforts in various sectors, and examined case studies to assess the development outcomes of these efforts. You can download supporting materials and presentations here.

Fostering Change for Scale-Up of Good Practices in the WAHO Region, July 28, 2015, Ouagadougou, Burkina Faso

The community of practice, in collaboration with several partners, joined more than 100 Ministry of Health focal points and officials and NGO partners from across West Africa to familiarize them with tools and approaches they can use to systematically scale up effective practices in maternal health, reproductive health/family planning, and adolescent/youth sexual and reproductive health. The workshop set the stage for the first Economic Community of West African States Forum on Good Practices in Health. Read the report here.

Hands on for Scaling Up Family Planning & Reproductive Health Best Practices: Experiences & Challenges from Africa, June 15, 2015, Addis Ababa, Ethiopia

The community of practice held a workshop for practitioners in East and Southern Africa. You can download supporting materials and presentations here and read the meeting report here.

Systematic Scale-Up of Family Planning and Reproductive Health Best Practices, December 5, 2014, Washington, DC

The community of practice held a meeting that convened practitioners and experts on scale-up. Download supporting materials and presentations here, and view the meeting report here.

Research Gaps in Scale Up of Family Planning and Reproductive Health Programming, June 23, 2014, Washington, DC

This meeting was held at the request of USAID’s Office of Population and Reproductive Health to help guide their research strategy. The Evidence Project, in collaboration with E2A, the Health Policy Project, and MEASURE Evaluation convened this meeting to discuss research gaps related to scale-up. Read the report here.