Instead, they have scaled up a model that wasn't very effective, especially in very low-achieving districts".
What is still missing is to scale up a business model for climate entrepreneurship.
As multiple similarities have been identified between slum dwellers in Nairobi and African migrants in high-income countries in terms of social circumstances, cultural beliefs and thoughts around hypertension and its management, the SCALE UP model seems a viable model for improving CVD outcomes among African migrant and other vulnerable populations in high-income countries.
This analysis probably already includes most of the concepts that will be necessary to scale up to a model of the whole human metabolic network.
Then came the tension, this time followed by hope and excitement: Could it be that in this small, mountainous nation of over 8 million people we could scale up a rural health model for all Rwandans, over 80% of whom live in rural regions?
A number of qualitative and quantitative methods were used to evaluate the integration of the scale-up of a model intervention through district systems.
To gain the necessary credibility for launching a national scale up of the model, the Navrongo experience was validated in another cultural and ecological zone of Ghana the rural Nkwanta District of the Volta Region whereby only routinely available resources of the Ghana Health Service (GHS) were used.
The impact of the SCALE UP model among African migrants can be conceptualized and measured in the following steps.
Thus, we believe that the SCALE UP model might also be suitable for vulnerable populations such as migrants in high income countries.
Once the African migrant community, the local policymakers and health care practitioners have expressed their interest, the SCALE UP model can be tailored to the local situation based on cost-effectiveness calculations.
The involvement and support of African communities' infrastructures and local policymakers and health care staff is crucial, and the most important enabler, for successful implementation of the SCALE UP model in migrant communities in high-income countries like the Netherlands [ 18].
