During the period 2001-2004 the
University of Michigan School of Public Health and the World
Health Organization Department
of Reproductive Health and Research (WHO) organized a series
of three meetings under the title "From Pilot Projects to Policies
and Programs" at the Rockefeller Foundation Bellagio
Conference Center. The purpose was to learn more about the factors
that both facilitate and hinder the scaling-up process.
The Bellagio meetings grew
out of more than a decade of work on the WHO-sponsored Strategic
Approach to Strengthening Reproductive Health Policies and Programmes,
a methodology that countries can use to identify and prioritize their
regard to reproductive health technologies and services; test appropriate
interventions to address these priority needs; and then scale up these
tested interventions to a regional or national level. Experiences
from scaling up primary health care in Ghana and China's quality
of care in family planning reform contributed additional lessons.
During the second Bellagio meeting, participants
proposed the formation of the ExpandNet network and subsequently a
declaration with the network's mission and objectives and plans for
initial activities were developed. An initial secretariat was established
jointly at the University of Michigan and WHO. In 2004 ExpandNet received
a grant from the John D. and Catherine T. MacArthur
Foundation to begin activities.