Partnering with larger scale programmes and other donor partners to build the necessary resources and partner for expansion, should be part of this scaling up strategy.
In these still-recessionary times, repeats and revivals are an inevitable part of any large-scale programme and the season also sees the return of Matthew Bourne's Edward Scissorhands (the Wells' big Christmas show), Jasmin Vardimon's Park and the ever popular Snowman.
But donors then started to warn that the government could not afford such a large-scale programme and relations started to sour.
In 1943, a large scale programme to develop nuclear weapons, and later nuclear power, began in the United States. 1 Soon afterwards, nuclear programmes also began in the United Kingdom and France.
In an evaluation of a large scale programme of community based maternal and newborn interventions in rural India, Baqui et al measured no overall reduction in neonatal mortality in the intervention arm relative to the comparison arm.
The latter two interventions would, however, impact on the cost effectiveness and applicability of a large scale programme.
It is clear that such a large scale programme could not have been implemented easily in a randomized way, and ethical debates within India prevented it.
UNICEF with the Federal Ministry of Education and the funding of DFID, is currently implementing a large scale programme to accelerate girls' education in the Northern part of Nigeria.
Therese Mahon, regional programme manager South Asia, WaterAid, London, UK, @WaterAidUK Kenya had a successful large scale programme that offered grants to schools.
Evaluation of large-scale programmes and initiatives aimed at improvement of health in countries of low and middle income needs a new approach.
