Using a theory of change in monitoring, evaluating and steering scale-up of a district-level health management strengthening intervention in Ghana, Malawi, and Uganda – lessons from the PERFORM2Scale consortium

This study explores how district-level health system decision-making is shaped by power dynamics in different decentralised contexts in Ghana, Malawi and Uganda.

To achieve universal health coverage, the scale-up of high impact public health interventions is essential. However, scale-up is challenging and often not successful. Therefore, a systematic review was conducted to provide insights into the factors influencing the scale-up of public health interventions in low- and middle-income countries (LMICs). Two databases were searched for studies with […]

The scale-up of successfully tested public health interventions is critical to achieving universal health coverage. To ensure optimal use of resources, assessment of the scalability of an intervention is recognized as a crucial step in the scale-up process. This study assessed the scalability of a tested health management-strengthening intervention (MSI) at the district level in […]

The evaluation of the PERFORM project demonstrated that a management strengthening intervention was effective in enabling district-level, health management teams to improve health district management based on local evidence, solve workforce performance problems and improve service delivery. The Perform2Scale programme scaled-up this intervention in Malawi, Ghana and Uganda. This final synthesis report: Brings together the […]