To expand the coverage of health services, the MOH drew upon WHO's guidance [ 8] to develop a scaling up policy and strategy [ 9].
Without MOH buy-in and allocated resources a national scale-up policy would not have been developed.
The regimen currently used, in line with the national ART scale-up policy, is simpler, easier to procure and always available.
"President Trump's misguided budget proposal, and his Administration's attempts to scale up policies in defiance of evidence will only undermine the global AIDS response and should be stopped". .
KIs argued that local and national leaders play a crucial role in ensuring good governance, developing concerted scale-up policies, and getting buy-in for these policies from health workers.
In June 2009 the Consortium for Research on Equitable Health Systems CREHSS – http://www.crehs.lshtm.ac.uk), a research programme funded by the UK Department for International Development which brings together 8 health policy and systems research groups from 7 countries, hosted a writing workshop on the theme of Scaling Up Health Policies and Interventions.
Among a number of systems constraints described by Mangham and Hanson [ 1] in their review of the scale up literature, health sector "policies and management" were described as both "less amenable to buy-out through the provision of additional funds", and as inadequately researched.
This study has identified a number of lessons from the implementation of a RH voucher program, drawing from three main areas: strategic management; implementation process and how design elements may have influenced implementation process and policy implications for scale up.
We set out to explore the complex interactions between the key actors, the context they operated in and the processes that evolved as human resources policies for the scale up of HIV testing and counselling (HTC) were developed.
Qualitative methods were used to gain in-depth insights from policy makers who shaped scale up.
We have had the policy for PMTCT but little program scale up.
