ExpandNet Members and Projects

The founding members of ExpandNet, as well as newer members, include public health professionals from the following institutions:

Many of these individuals have worked on initiatives which have an explicit focus on scaling up including the following:

China: Quality of care reform is underway in the Chinese family planning program which seeks to re-focus the program on client needs, informed choice of contraceptives, and better quality services. The reform began as a pilot project among six counties and has now become a blueprint for reorienting the national program. Many lessons are being learned from scaling up sensitive but needed innovation in a difficult political environment. Read more...

Ghana: The Community-Based Health Planning and Services (CHPS) Initiative has successfully replicated within the national health programme experimental service delivery innovations developed and tested by the Navrongo Health Research Centre in northern Ghana. Using locally available resources, the initiative has demonstrated the feasibility of reorienting primary health care from clinics to communities by mobilizing traditional social institutions to foster volunteerism, community support, and decentralized planning. The Expanding Community Healthcare Accessibility (ExCHANGE) Network aims to extend Ghana’s successful community health service program to other African countries. Using the CHPS process, the ExCHANGE Network aims to achieve in five years what Ghana is in the process of scaling up now. ExCHANGE is currently comprised of health officials from Burkina Faso, Ethiopia, Ghana, and Sierra Leone, and seeks to establish partnerships with key actors at all levels of the system to improve the health of communities.

The Fertility Awareness-based Methods (FAM) Project of the Georgetown University Institute for Reproductive Health: In October 2007, the Georgetown University Institute for Reproductive Health (IRH) requested the assistance of ExpandNet in strategic planning and research on scaling up within the context of their USAID-funded Fertility Awareness-based Methods project. The FAM project seeks to scale up the provision and use of the Standard Days Method, the Two-Day Method and the lactational amenorrhea method in six-ten countries over five years. Thus far, ExpandNet members have collaborated with IRH and country teams in Madagascar and Mali.

The Implementing Best Practices Initiative: Initiated by the World Health Organization and USAID, the Implementing Best Practices Initiative (IBP) focuses on developing and supporting strategies that introduce, adapt and apply evidence-based practices to improve access to and quality of reproductive health care. ExpandNet joined the IBP Initiative as a member in mid-2007. A Guide for Fostering Change to Scale Up Effective Health Services produced by the IBP Consortium is currently being adapted to a the virtual environment by the Leadership, Management, and Sustainability (LMS) Project of Management Sciences for Health (MSH). ExpandNet has been collaborating with this initiative to create two modules of the program that relate to scaling up and which are based on the ExpandNet nine step process for developing a scaling up strategy.

The Reprolatina Project in Latin America: The Reprolatina Project seeks to expand service innovations and participatory approaches pioneered in connection with the Strategic Approach in Brazil to other municipalities in that country and to other countries in Latin America including Bolivia, Chile, and Paraguay. This project utilizes an innovative participatory training and education program which addresses the institutional capacity-building and technical competence requirements for scaling up strategies in a highly decentralized program environment. It has also developed special approaches to reach adolescents and men and has used interactive web-based technologies for information dissemination and communicaion among project partners.

The Stronger Voices initiative: Led by UNFPA with participation of WHO-RHR, ILO/STEP and UNICEF, The Stronger Voices for Reproductive Health Project, worked in six countries to develop, test and scale up innovative models to improve the quality of care in reproductive health service delivery. ExpandNet worked with partners from Stronger Voices projects in Kyrgyzstan and Peru to help develop country specific strategies for scaling up. The Kyrgyzstan Stronger Voices project was focused on improving quality of care and access to services through building social support mechanisms into community structures, as well as by working with providers to increase technical competence. In Peru the project sought to strengthen reproductive health client-provider interactions; empowering women and adolescents; strengthening NGO, government and UN partnerships; and increasing organizational capacities to provide quality services. ExpandNet worked with the two country teams to institutionalize and further scale up the project innovations with governments at various levels. ExpandNet also co-organized a workshop at UNFPA headquarters, with country counterpart participation, to help build capacity within UNFPA to focus more systematically on scaling up. This two and half day meeting was attended by UNFPA Technical Support Division staff, other UNFPA headquarters staff, and a number of country representatives and their ministry counterparts. Countries represented included Mongolia, Malawi, Mauritania, Turkey, Thailand, Kyrgyzstan and Peru.

Viet Nam: In applying the Strategic Approach, the Viet Namese government implemented interventions for introducing the contraceptive DMPA while improving quality of care for all contraceptive methods in it's family planning program. This initiative first developed a comprehensive set of materials and tools to strengthen quality of care, which was tested in demonstration sites prior to being used to develop broader capacity for implementing reproductive choice within a centralized, bureaucratic and demographically-focused programme environment.

World Health Organization Department of Maternal, Newborn, Child and Adolescent Health , has drawn on the ExpandNet scaling-up framework and guidance documents to develop tools and processes for scaling up adolescent friendly health services. Their “systemic process” helps programmers identify areas of work at the national, district and health facility levels that will result in strengthened health service provision for adolescents. The team has assisted several countries to work on scaling up adolescent friendly services, in some cases applying the ExpandNet nine-step approach to strategy development. Read more….

Zambia: The Strategic Approach in Zambia has resulted in a project which initially field-tested a package of activities to support service delivery in three rural health districts of the Copperbelt region. The project strengthened the delivery of existing and under-utilized contraceptive methods, developed referral systems for methods not available on–site, and applied innovative approaches to provider training. These innovations are being scaled up to the entire Copperbelt Region in an approach which promotes a common set of quality standards, while maintaining flexibility in the implementation of activities based on local needs and conditions.




Reprolatina leaders

ExpandNet members

Preparing for Informed Choice workshop in China


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