Correction to: Scaling-up PrEP Delivery in Sub-Saharan Africa: What Can We Learn from the Scale-up of ART?

AbstractThe USAID-funded flagship family planning service delivery project named Evidence to Action (E2A) worked from 2011 to 2021 to improve family planning and reproductive health for women and girls across seventeen nations in sub-Saharan Africa using a “scaling-up mindset.” The paper discusses three key lessons emerging from the project’s experience with applying ExpandNet’s systematic approach to scale up. The methodology uses ExpandNet/WHO’s scaling-up framework and guidance tools to design and implement pilot or demonstration projects in ways that look ahead to their future scale-up; develop a scaling-up strategy with local stakeholders; and then strategically manage the scaling-up process. The paper describes how a scaling-up mindset was engendered, first within the project’s technical team in Washington and then how they subsequently sought to build capacity at the country level to support scale-up work throughout E2A’s portfolio of activities. The project worked with local multi-stakeholder resource teams, often led by government officials, to equip them to lead the scale-up of family planning and health system strengthening interventions. Examples from project experience in the Democratic Republic of the Congo, Kenya, Nigeria, and Uganda illustrating key concepts are discussed. E2A also established a community of practice on systematic approaches to scale up as a platform for sharing learning across a variety of technical agencies engaged in scale-up work and to create learning opportunities for interacting with thought leaders around critical scale-up issues.

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Scaling-up PrEP Delivery in Sub-Saharan Africa: What Can We Learn from the Scale-up of ART?

Current HIV/AIDS Reports ◽

10.1007/s11904-019-00437-6 ◽

2019 ◽

Vol 16 (2) ◽

pp. 141-150 ◽

Cited By ~ 10

Author(s):

Gabrielle O’Malley ◽

Gena Barnabee ◽

Kenneth Mugwanya

Keyword(s):

Scale Up ◽

Scaling Up ◽

Sub Saharan Africa ◽

Sub Saharan

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Maintaining paediatric cardiac services during the COVID-19 pandemic in a developing country in sub-Saharan Africa: guidelines for a “scale up” in the face of a global “scale down”

Cardiology in the Young ◽

10.1017/s1047951120003650 ◽

2020 ◽

Vol 30 (11) ◽

pp. 1588-1594

Author(s):

Ogochukwu J. Sokunbi ◽

Ogadinma Mgbajah ◽

Augustine Olugbemi ◽

Bassey O. Udom ◽

Ariyo Idowu ◽

...

Keyword(s):

Scale Up ◽

Global Scale ◽

International Travel ◽

Sub Saharan Africa ◽

African Continent ◽

Tertiary Centre ◽

The Face ◽

Scale Down ◽

Sub Saharan ◽

International Experts

AbstractThe COVID-19 pandemic is currently ravaging the globe and the African continent is not left out. While the direct effects of the pandemic in regard to morbidity and mortality appear to be more significant in the developed world, the indirect harmful effects on already insufficient healthcare infrastructure on the African continent would in the long term be more detrimental to the populace. Women and children form a significant vulnerable population in underserved areas such as the sub-Saharan region, and expectedly will experience the disadvantages of limited healthcare coverage which is a major fall out of the pandemic. Paediatric cardiac services that are already sparse in various sub-Saharan countries are not left out of this downsizing. Restrictions on international travel for patients out of the continent to seek medical care and for international experts into the continent for regular mission programmes leave few options for children with cardiac defects to get the much-needed care.There is a need for a region-adapted guideline to scale-up services to cater for more children with congenital heart disease (CHD) while providing a safe environment for healthcare workers, patients, and their caregivers. This article outlines measures adapted to maintain paediatric cardiac care in a sub-Saharan tertiary centre in Nigeria during the COVID-19 pandemic and will serve as a guide for other institutions in the region who will inadvertently need to provide these services as the demand increases.

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Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

Journal of Diabetes Research ◽

10.1155/2018/9262395 ◽

2018 ◽

Vol 2018 ◽

pp. 1-12 ◽

Cited By ~ 2

Author(s):

Bernardo Nuche-Berenguer ◽

Linda E. Kupfer

Keyword(s):

Systematic Review ◽

Health Systems ◽

Diabetes Care ◽

Healthcare Workers ◽

Scale Up ◽

Sub Saharan Africa ◽

Diagnostic Tools ◽

Inclusion Criteria ◽

Care Health ◽

Sub Saharan

Background. Effective health systems are needed to care for the coming surge of diabetics in sub-Saharan Africa (SSA). Objective. We conducted a systematic review of literature to determine the capacity of SSA health systems to manage diabetes. Methodology. We used three different databases (Embase, Scopus, and PubMed) to search for studies, published from 2004 to 2017, on diabetes care in SSA. Results. Fifty-five articles met the inclusion criteria, covering the different aspects related to diabetes care such as availability of drugs and diagnostic tools, the capacity of healthcare workers, and the integration of diabetes care into HIV and TB platforms. Conclusion. Although chronic care health systems in SSA have developed significantly in the last decade, the capacity for managing diabetes remains in its infancy. We identified pilot projects to enhance these capacities. The scale-up of these pilot interventions and the integration of diabetes care into existing robust chronic disease platforms may be a feasible approach to begin to tackle the upcoming pandemic in diabetes. Nonetheless, much more work needs to be done to address the health system-wide deficiencies in diabetes care. More research is also needed to determine how to integrate diabetes care into the healthcare system in SSA.

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Health system adaptations and considerations to facilitate optimal oral pre-exposure prophylaxis scale-up in sub-Saharan Africa

The Lancet HIV ◽

10.1016/s2352-3018(21)00129-6 ◽

2021 ◽

Author(s):

Daniel K Were ◽

Abednego Musau ◽

Kaitlyn Atkins ◽

Prakriti Shrestha ◽

Jason Reed ◽

...

Keyword(s):

Health System ◽

Scale Up ◽

Sub Saharan Africa ◽

Sub Saharan ◽

Exposure Prophylaxis

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Scaling Up HIV/AIDS Care Among Women in Sub-Saharan Africa: Cross-Cultural Barriers

Women, Motherhood and Living with HIV/AIDS ◽

10.1007/978-94-007-5887-2_16 ◽

2013 ◽

pp. 249-265 ◽

Cited By ~ 2

Author(s):

Damalie Nakanjako ◽

Florence Maureen Mirembe ◽

Jolly Beyeza-Kashesya ◽

Alex Coutinho

Keyword(s):

Scaling Up ◽

Cross Cultural ◽

Sub Saharan Africa ◽

Cultural Barriers ◽

Sub Saharan ◽

Hiv Aids

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Time to scale up PrEP beyond the highest-risk populations? Modelling insights from high-risk women in sub-Saharan Africa

Sexually Transmitted Diseases ◽

10.1097/olq.0000000000001253 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Hannah Grant ◽

Gabriela B. Gomez ◽

Katharine Kripke ◽

Ruanne V. Barnabas ◽

Charlotte Watts ◽

...

Keyword(s):

High Risk ◽

Scale Up ◽

Sub Saharan Africa ◽

High Risk Women ◽

Sub Saharan

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Scaling up Family Medicine in Uganda

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v6i1.664 ◽

2014 ◽

Vol 6 (1) ◽

Cited By ~ 4

Author(s):

Innocent K. Besigye ◽

Jane F. Namatovu

Keyword(s):

Family Medicine ◽

Health Systems ◽

Family Physicians ◽

Scaling Up ◽

Sub Saharan Africa ◽

Potential Contribution ◽

Training Institutions ◽

Sub Saharan ◽

Health Managers

It is evident that politicians, health managers and academics are realising the potential contribution of Family Medicine to health systems in sub-Saharan Africa. The challenge is in training institutions to recruit and train enough Family Physicians in order to meet expectations. The 3rd Family Medicine Conference in Uganda, held in October 2013, explored innovative ways of scaling up Family Medicine training and practice in Uganda.

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