Integrating Service Delivery for TB and Diabetes Mellitus – An Innovative and Scalable Approach in Ethiopia
Challenge TB was implemented in Ethiopia as part of Management Sciences for Health’s (MSH’s) Innovation Challenge Fund (INCH)2 initiative designed to encourage innovative interventions across MSH supported projects. MSH used the ExpandNet Framework3 to scale up the innovation.
To ensure the creation of the right environment for scale up of the innovation, the team worked with the Ministry of Health and local health authorities to establish a scale up working group. A key role of the working group was to ensure that integrated services were being delivered at the sites through regular review and monitoring of site activities. At the same time, the team supported the expansion of the innovation to more sites (horizontal expansion), and added other components (e.g., screening for other NCDs such as hypertension).
The working group made sure that integrated services were happening at the sites through regular review and monitoring of site level activities.