Webinar on the Scale-Up of Youth-Friendly Services in Five Countries

The webinar, held on Wednesday, August 20, entitled The Synergistic Relationship of Institutionalization and Expansion: Lessons from Scale-up of Youth-Friendly Services in Five Countries, sought to do the following:

  1. Describe the synergies gained when institutionalization (vertical scale-up) and expansion (horizontal scale-up) processes are undertaken simultaneously, using the scale-up of youth-friendly services in five countries as examples.
  2. Discuss the tradeoffs between institutionalization and expansion, and the implications for sustainable scale-up of an innovation.
  3. Explore considerations for expansion and institutionalization of youth-focused innovations.

Webinar Recording


*Please note that there is a two-minute delay in the beginning and a delay caused by a lack of Internet connectivity between minutes 41 and 44.

Powerpoint Presentation

Reading Materials

During the webinar, participants were also encouraged to review Expandnet’s Practical guidance for scaling up health services interventions: http://expandnet.net/PDFs/WHO_ExpandNet_Practical_Guide_published.pdf

Q&A (record of questions from participants and responses from the presenter and discussants)

Speaker Bios

Gwyn Hainsworth (Presenter) has over 17 years of experience in sexual and reproductive health, gender, education, and training. As Deputy Director of Technical Services at Pathfinder International, she contributes to the overall technical direction of Pathfinder’s global portfolio in contraception, maternal and newborn health, and HIV and AIDS, and helps to set strategic priorities for the unit. In her dual role as the Senior Advisor for Adolescent and Youth Sexual and Reproductive Health (AYSRH) and Gender, she provides technical leadership in the areas of AYSRH and gender, and has developed global and national curricula and tools on AYSRH, gender, and gender-based violence for both clinical and outreach settings as well as contributed to the development of national service delivery standards and guidelines. She has supported the development of a multisectoral response to gender-based violence in Mozambique and Kenya, and has helped design a model to foster gender-equitable norms among adolescents in Northern Uganda. Ms. Hainsworth has provided technical assistance to country offices in South Africa, Botswana, Kenya, Uganda, Ghana, Nigeria, Ethiopia, Egypt, Haiti, Mozambique, India, Philippines, Tanzania, and Vietnam.


Venkatraman Chandra-Mouli works to generate evidence and to take evidence to action on AYSRH in the World Health Organization’s Department of Reproductive Health and Research. Dr. Chandra-Mouli underwent medical training in India and postgraduate training in public health in England. Between 1982 and 1992, he worked as a primary health care provider, HIV prevention and care project coordinator, and technical advisor to funding agencies in Zambia, Zimbabwe, and India. He joined the World Health Organization’s headquarters in 1993. After a two-year stint in the Global Programme on AIDS, he has worked on adolescent health for 19 years. One key focus of his work has been adolescent-friendly health services. In this area, he has led the gathering of evidence and experiences, charted the World Health Organization’s work, developed tools to support country-level action, and worked to support countries in implementing programs and assessing their work. His current primary focus is identifying, documenting, and evaluating large-scale and sustained programs that have been established in low- and middle-income countries to respond to the sexual and reproductive health of adolescents.

Laura Ghiron is Vice President of Partners in Expanding Health Quality and Access, a US‐based non‐profit organization, and a member of the ExpandNet Secretariat. She spent 12 years at the University of Michigan School of Public Health, and the last five as Senior Research Area Specialist. From 1997-2006, Ms. Ghiron collaborated with the World Health Organization and colleagues in Latin America on the implementation of the Strategic Approach to Strengthening Reproductive Health Policies and Programmes and the subsequent Reprolatina Project. She worked with Chinese colleagues on the Quality of Care Project from 1997‐2007. Ms. Ghiron is a founding member of ExpandNet, which is a global network of public health professionals that has sought to advance the science and practice of scaling up since 2003. She has co-organized and co-facilitated several meetings on scaling up, edited a book of scaling‐up case studies, and co-authored three guides and peer-reviewed articles on scale-up. Since 2007, she has provided scaling up-related technical support to several major efforts in Asia, Africa, and Latin America. In 2011, Ms. Ghiron began serving as a scaling-up advisor to E2A, and the Health of People and Environment in the Lake Victoria Basin Project (HoPE-LVB) to help the project team ensure a strong focus on sustainability and scalability in the latter project. She maintains the ExpandNet website at www.expandnet.net.

Regina Benevides has 35 years of experience in public health and working with governments in the areas of AYSRH, gender, community-based educational and development programs, health provision to underserved groups, and HIV/AIDS. Currently, she serves as the Senior Youth Advisor for E2A. Previously, she was Chief of Party for a USAID/Mozambique Associate Award under the ESD Project; Director of Operations for Pathfinder International in Mozambique; and Senior Technical Advisor for the Geração Biz Program, a national program addressing AYSRH, HIV prevention and AIDS care and treatment, safe motherhood and fatherhood. She worked for the Ministry of Health in Brazil coordinating the National Program of Humanization of Health Services, and she has vast experience as an institutional analyst in organizational and team work. She also has over 30 years of teaching experience as a Professor in Psychology in Brazil. Ms. Benevides has published extensive academic articles, books, and other relevant publications. She has a PhD in Public Health, Health Systems and Services Planning and Management, and a PhD in Psychology.