What We Wish We Knew: Getting Started in the Science of Scale-Up

Tancred, Tara ORCID: https://orcid.org/0000-0002-8718-5110, Sharifullah, Alemi, Hemat, Shafiqullah, Hiltensperger, Ramona, Maharani, Asri, Yadav, Uday Narayan, Nwankwo, Biyaya and Schouw, Darcelle (2025) 'What We Wish We Knew: Getting Started in the Science of Scale-Up'. Global Implementation Research and Applications.

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Abstract

Scale-up science is complex, but essential in ensuring routine implementation of life-saving interventions at a population-level. Practical constraints in research timelines, availability of resources, and capacities of research teams and wider stakeholders may limit scale-up in real terms. Here we describe our key lessons learned as a cohort of early- and mid-career researchers (EMCRs) with implementation science expertise who had recently completed advanced training in scale-up science. As a group of trainees and implementation science practitioners who are actively engaged in scale-up, we present here some shared learning around “what we wish we knew” before getting started in scale-up, as a means of supporting capacity strengthening of other EMCRs in scale-up science. We present some key learning around: scale-up science terminology; stakeholder engagement in scale-up; and useful theories, models, and frameworks for scale-up. In this commentary, we reflect on some of the key challenges in scaling-up, sharing resources for scale-up that may be especially helpful for the EMCR community, as well as researchers and practitioners engaged in scale-up more broadly.

Item Type:	Article
Subjects:	W General Medicine. Health Professions > W 21 Medicine as a profession. WB Practice of Medicine > WB 25 Technique of research in internal medicine
Faculty: Department:	Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI):	https://doi.org/10.1007/s43477-025-00161-x
SWORD Depositor:	JISC Pubrouter
Depositing User:	JISC Pubrouter
Date Deposited:	13 Jun 2025 09:40
Last Modified:	13 Jun 2025 09:40
URI:	https://archive.lstmed.ac.uk/id/eprint/26784

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