Adapting health interventions for local fit when scaling-up: a realist review protocol.

ABSTRACT:

Introduction

Scaling-up is essential to ensure universal access of effective health interventions. Scaling-up is a complex process, which occurs across diverse systems and contexts with no one-size-fits-all approach. To date, little attention has been paid to the process of scaling-up in how to make adaptations for local fit. The aim of this research is to develop theory on what actions can be used to make adaptations to health interventions for local fit when scaling-up across diverse contexts that will have practical application for implementers involved in scaling-up.

Methods and analysis

Given the complexity of this subject, a realist review methodology was selected. Specifically, realist review emphasises an iterative, non-linear process, whereby the review is refined a

SUBMITTER: Power J 

PROVIDER: S-EPMC6347947 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature