Constraints to Scaling Up and Costs - Working Group 1 Report. Mills A. (2009)

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The WHO normative approach considers the amount of resources required to scale up country health systems to a level that is considered “best practice” by experts and practitioners. It reflects a more facility-based approach to service expansion and prioritizes rapid scaling up. The MBB identifies the critical constraints of existing health systems (bottlenecks) for scaling up effective interventions, and then identifies the strategies to overcome them. It assumes a delivery strategy that emphasizes full scale up of community-based services prior to expanding clinical services in 2014-15.

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