Subramanian et al in BMC Health Services Research

Based upon a systematic review to identify conceptual models for scaling up, the authors of htis paper conclude that “the current approaches to scaling up health services to reach the MDGs are overly simplistic and not working adequately. Rather than relying on blueprint planning and raising funds, an approach characteristic of current global health efforts, experience with alternative models suggests that more promising pathways involve ‘learning by doing’, in ways that engage key stakeholders, use data to address constraints, and incorporate results from pilot projects. Such approaches should be applied to current strategies to achieve the MDGs.” Two colleagues  who read the article, Bruno Marchal and Werner Soors, welcomed the approach of doing a systematic review and the conclusions, but they consider that the results section has could have been structured better.

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