Our previous rehabilitation programme 9 was the template for the scaled up services in Pati.
To date, CCPPZ has screened more than 180,000 women and has scaled up services to all provinces in Zambia.
Moreover, the lost cases in our context had probably been dead but were not reported due to poor patient tracing and reporting mechanisms of the recent scaled up services of the study facilities.
When resources are made available, local facilities can scale-up services.
Additionally, the focus of the current effort to scale up service is rightly on expanding coverage to the rural population.
Changing stigma is unlikely to happen overnight, and thus must be done in parallel with scaling up service provision.
WHO's mental health Gap Action Programme has been designed to do just that and is assisting countries to scale up service provision in order to reduce the substantial treatment gap that exists in so many low income countries.
It is generally agreed that the best way to scale up service for persons with identified need for mental health care is to integrate the care into primary care [ 5, 6].
While undoubtedly a core part of programming in these settings, relatively few studies looked at, for example, scaling up service delivery and only one study conducted an economic evaluation.
"These advances are heartening, but if the world is to end this epidemic, it needs to scale up services and, critically, invest in research".
"We'll spend the next two years scaling up services in important areas for us, like family violence, employment law and housing," Farrell said.
