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

Antony Omimo, Dorah Taranta, Laura Ghiron, Charles Kabiswa, Sono Aibe, Millicent Kodande, Caroline Nalwoga, Samuel Mugaya and Pamela Onduso
Additional contact information
Antony Omimo: HoPE-LVB Project, Pathfinder International, P.O. Box 820-40123, Kisumu, Kenya
Dorah Taranta: HoPE-LVB Project, Pathfinder International, Plot 30B, Impala Avenue Kololo, P.O. Box 29611, Kampala, Uganda
Laura Ghiron: Partners in Expanding Health Quality and Access and Member, ExpandNet Secretariat, 1321 Farragut Circle, Davis, CA 95618, USA
Charles Kabiswa: Ecological Christian Organisation, Plot 2140, Old Kira Road, Bukoto, P.O. Box 24485, Kampala, Uganda
Sono Aibe: Pathfinder International, 9 Galen Street, Watertown, MA 02472, USA
Millicent Kodande: HoPE-LVB Project, Pathfinder International, P.O. Box 820-40123, Kisumu, Kenya
Caroline Nalwoga: HoPE-LVB Project, Pathfinder International, Plot 30B, Impala Avenue Kololo, P.O. Box 29611, Kampala, Uganda
Samuel Mugaya: Ecological Christian Organisation, Plot 2140, Old Kira Road, Bukoto, P.O. Box 24485, Kampala, Uganda
Pamela Onduso: Pathfinder International, P.O. Box 1996-00502, Nairobi, Kenya

Social Sciences, 2018, vol. 7, issue 1, 1-17

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.

Keywords: scaling up; ExpandNet; population; health and environment (PHE); institutionalization; expansion; nine step approach; development; Kenya; Uganda (search for similar items in EconPapers)
JEL-codes: A B N P Y80 Z00 (search for similar items in EconPapers)
Date: 2018
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