Factors influencing the scale-up of public health interventions in low- and middle-income countries: a qualitative systematic literature review.

ABSTRACT: To achieve universal health coverage, the scale-up of high impact public health interventions is essential. However, scale-up is challenging and often not successful. Therefore, a systematic review was conducted to provide insights into the factors influencing the scale-up of public health interventions in low- and middle-income countries (LMICs). Two databases were searched for studies with a qualitative research component. The GRADE-CERQual approach was applied to assess the confidence in the evidence for each key review finding. A multi-level perspective on transition was applied to ensure a focus on vertical scale-up for sustainability. According to this theory, changes in the way of organizing (structure), doing (practice) and thinking (culture) need to take place to ensure the scale-

SUBMITTER: Bulthuis SE 

PROVIDER: S-EPMC7050685 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature