The power and politics of scaling-up a health systems intervention: lessons from Uganda, Ghana and Malawi

17 Nov 2022
Joanna Raven, Joseph Okware, Bongani Chikwapulo, Patricia Akweongo and Olivier Onvlee

This video - and the accompanying slides which you can download here - was presented at HSR2022 symposium in the session entitled The power and politics of scaling-up a health systems intervention: lessons from Uganda, Ghana and Malawi.

Many effective health systems interventions can contribute to achieving UHC, but scale-up remains a challenge. Scale-up is influenced by power and politics at the district, regional and national levels of the health system as well as individual and institutional incentives. This organised session provided lessons on effective scale-up design and implementation based on the team's experiences during PERFORM2Scale. The session featured:

  • Bongani Chikwapulo - Quality Management Directorate, Ministry of Health, Malawi
  • Joanna Raven, Liverpool School of Tropical Medicine, UK
  • Joseph Okware, Director of Governance and Regulation, Ministry of Health, Uganda
  • Patricia Akweongo, School of Public Health, University of Ghana
  • Olivier Onvlee, KIT, Netherlands


Part of the 'Politics and policies of health systems' strand of HSR 2022.