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Scaling-Up Cancer Control Innovations 

Scaling-Up Cancer Control Innovations
Chapter:
Scaling-Up Cancer Control Innovations
Author(s):

Nancy C. Edwards

, Barbara L. Riley

, and Cameron D. Willis

DOI:
10.1093/med/9780190647421.003.0035
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date: 27 October 2021

This chapter examines characteristics of and approaches to scaling-up innovations and programs, with illustrations from the field of cancer control. It summarizes definitions of scale-up, emphasizing the introduction of innovations with demonstrated effectiveness and the aims of scale-up: improving coverage and equitable access to the innovation(s) and its intended benefits. The chapter proposes a typology to help guide scaling-up activities. The typology includes five dimensions: the object of scale-up, how this object may be adapted, horizontal and vertical directions for scale-up, linear and nonlinear pathways for scale-up, and factors influencing scale-up. Featuring examples of tobacco control and human papillomavirus vaccination, the typology is applied and key scaling-up actions are described, including media campaigns, engaging key stakeholders, mobilizing political support, and investing in a monitoring and evaluation system. Systemic challenges to scale-up are discussed. Future priorities for research on scaling up cancer control initiatives are proposed.

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