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Soc. Sci. 2018, 7(1), 8; https://doi.org/10.3390/socsci7010008

Applying ExpandNet’s Systematic Approach to Scaling Up in an Integrated Population, Health and Environment Project in East Africa

1
HoPE-LVB Project, Pathfinder International, P.O. Box 820-40123, Kisumu, Kenya
2
HoPE-LVB Project, Pathfinder International, Plot 30B, Impala Avenue Kololo, P.O. Box 29611, Kampala, Uganda
3
Partners in Expanding Health Quality and Access and Member, ExpandNet Secretariat, 1321 Farragut Circle, Davis, CA 95618, USA
4
Ecological Christian Organisation, Plot 2140, Old Kira Road, Bukoto, P.O. Box 24485, Kampala, Uganda
5
Pathfinder International, 9 Galen Street, Watertown, MA 02472, USA
6
Pathfinder International, P.O. Box 1996-00502, Nairobi, Kenya
*
Author to whom correspondence should be addressed.
Received: 5 October 2017 / Revised: 25 November 2017 / Accepted: 17 December 2017 / Published: 2 January 2018
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Abstract

While the importance of pursuing integrated population, health and environment (PHE) approaches and ensuring their sustainable expansion to regional and national levels have been widely affirmed in the development field, little practical experience and evidence exist about how this can be accomplished. This paper lays out the systematic approach to scale up developed by ExpandNet and subsequently illustrates its application in the Health of People and Environment in the Lake Victoria Basin (HoPE-LVB) project, which is an integrated PHE project implemented in Uganda and Kenya from 2012–2017. Results demonstrate not only the perceived relevance of pursuing integrated development approaches by stakeholders but also the fundamental value of systematically designing and implementing the project with focused attention to scale up, as well as the challenges involved in operationalizing commitment to integration among bureaucratic agencies deeply grounded in vertical departmental approaches. View Full-Text
Keywords: scaling up; ExpandNet; population; health and environment (PHE); institutionalization; expansion; nine step approach; development; Kenya; Uganda scaling up; ExpandNet; population; health and environment (PHE); institutionalization; expansion; nine step approach; development; Kenya; Uganda
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Omimo, A.; Taranta, D.; Ghiron, L.; Kabiswa, C.; Aibe, S.; Kodande, M.; Nalwoga, C.; Mugaya, S.; Onduso, P. Applying ExpandNet’s Systematic Approach to Scaling Up in an Integrated Population, Health and Environment Project in East Africa. Soc. Sci. 2018, 7, 8.

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