A Journey of New Thinking and New Action
Welcome to Module 1 of this Guide. This is the first step in adapting and scaling up activities designed to end violence against children using the INSPIRE approach.
A guide is often used to navigate a journey. This particular journey will require both new thinking and new actions. This Guide includes tools to build thinking and understanding. There are also tools to help apply that thinking to take action. This means some tools are less technical, while others require more background knowledge. That is by design: We want to make sure our thinking and actions are aligned. If we only focus on new ways of thinking, it will not result in practical actions needed to end violence against children. If we only focus on new actions without thinking through them carefully, our results may not be sustainable. We need both!
Key Scale-Up Elements
Scale up is something most National Coordination Mechanisms have talked about, though they may use different terms like spread, dissemination, or replication. Often, people assume scale up just means doing the same activity in as many new places as possible. However, research shows that scale up is not as simple as doing more of the exact same thing. Scaling up an activity requires understanding and adapting the activity to new environments.
The strategic and intentional process of spreading a model activity to new sites and/or new populations in a sustainable way through both horizontal- and vertical-scaling.
The graphic below offers a simplified, big-picture version of what we mean by scale up. This picture can be used to provide a common way of understanding and communicating about scale up. As you can see, there are five key elements to scale up, each is further explained below. The graphic also shows that these elements constantly interact and shape each other.
ADAPTED FROM: ExpandNet
Environment of violence against children
The environment is the context of violence against children in your country. The environment of violence against children includes things like social norms, policies, historical events, and economic conditions. It is all of the things that have shaped the problem of violence against children in your country. The environment also includes local and national responses to violence against children. We have to pay close attention to the environment throughout the scale-up process because it is constantly changing.
Environment or environment of ending violence against children
The context in your country, including things like social norms, policies, historical events, economic conditions, and everything else that has shaped the problem of violence against children in your country.
An environmental assessment helps you to understand what elements of ending violence against children are possible, and which may be difficult. Assessing the environment may also be helpful for reviewing your action plan to identify areas that should be given more thought. Tools 1B, 1C, and 1D are environmental-assessment tools that cover different aspects of the environment of violence against children. They are:
- Tool 1B Violence Against Children Timeline: Understanding the events and people that led to the current moment
- Tool 1C Domains: Environmental factors relevant to scaling up activities to end violence against children
- Tool 1D Actors: The individuals, groups, and organizations that have an interest in or influence over scaling up the action plan to end violence against children.
The graphic below shows how these tools combine to create an environmental assessment.
While it is important to do an environmental assessment at the beginning, it is best to update and revisit this assessment regularly throughout your scale-up journey. Remember, the environment is always changing, so understanding and tracking that change is necessary in order to have successful and sustainable scale up.
National Coordination Mechanism + Resource Team
Another important scale-up element is… you! The National Coordination Mechanism is the group that the government has established to develop and monitor an action plan that works to end violence against children. The National Coordination Mechanism’s ability to support the partners implementing activities to end violence against children is greatly increased when they invite others with expertise to be part of a broader Resource Team. In Module 2, we discuss the role of the National Coordination Mechanism + Resource Team and offer tools to help think strategically about who is on this important team.
National Coordination Mechanism
A group—convened by governments—which is authorized to oversee and monitor a country’s action plan to end violence against children.
National Coordination Mechanism + Resource Team
The National Coordination Mechanism, as well as an invited group of community members who provide greater skills and knowledge for adaptation and scale up.
Violence against children prevention activities
Activities is a broad category. Within it, we include things such as projects, programs, innovations, or interventions. In this Guide, we will call all of these things activities. Activities are the structured and implemented approaches to ending violence against children. The National Coordination Mechanism + Resource Team focus on coordinating and supporting activities to end violence against children throughout their adaptation and scale up. A key first step is to assess each activity and decide whether and how to scale it up. Also in Module 2, we spend considerable time looking at these decisions. You will find tools for assessing the evidence base of activities, as well as a specific scalability assessment to use to choose activities for scale up.
Activity or violence against children prevention activity
Any form of work to end violence against children that can be adapted or scaled. Activities may be practices, components of a project, entire projects, innovations, interventions, or programs.
Implementing Partners are organizations that carry out activities to end violence against children. Implementing Partners may be local NGOs, international NGOs, for-profit companies, or community organizations. The National Coordination Mechanism + Resource Team must support and strengthen relationships and capacities of different Implementing Partners to enable scale-up that is successful and sustainable. Scale up is facilitated when Implementing Partners:
- Understand the need for activities to end violence against children and are willing to champion them (political commitment).
- Have the human and budgetary capacity to implement activities to end violence against children in an evidence-based way.
- Are responsive to changes in the implementation environment and the needs of target populations.
An organization that is responsible for implementing a related activity to end violence against children.
INSPIRE Adaptation and Scale-Up Strategy
The final key element is the adaptation and scale-up strategy this Guide will help you build. The action plan sets the country’s objectives in ending violence against children, and the INSPIRE approach helps us to create supporting strategies to meet these goals on a national scale. The INSPIRE adaptation and scale-up strategy is the centerpiece to all of this work. It shapes interactions among all of the other key elements and is, in turn, shaped by them.
A framework for cross-sectoral collaboration to advance evidence-based activities to end violence against children.
Connecting Key Scale-Up Elements
While each key scale-up element may seem distinct, it is important to remember that they are interconnected. They are within the environment of violence against children, but they also shape one another and the environment at the same time. Scale up requires us to constantly think about these key elements and their interconnections in order to develop, manage, and adapt our scale-up strategy.
What is Adaptation?
Adaptation means changing our plans to fit a new environment. Adaptation can be reactive, when something happens unexpectedly and we change in response. Adaptation can also be proactive. During scale up, the National Coordination Mechanism will need to think ahead for future adaptations before they are needed. You will need to identify parts of activities to end violence against children that may need to change in different environments. Adaptations will also be constant, as the environment is constantly changing. The complex and shifting nature of the problem of violence against children requires adaptation. This is why adaptation is critical for sustainable scale up.
The intentional process of making modifications to a model activity so it can be transferred from an original model site to a target site(s).
Types of Adaptation
The game What Could Possibly Go Wrong? (Tool 1E) is designed to get you and your colleagues talking about your previous (or perhaps future) experiences with adaptation. You will probably talk about many different kinds of adaptations to activities that were made–or should have been made. Most of these adaptations were needed because of differences in the local context, or because of unanticipated changes in the environment. Some common types of needed adaptations are in:
- The activity itself. If an activity is too complicated, we may need to adapt to simplify the activity.
- Implementation practices. Moving to a new target site with different facility capacities, infrastructure, tools, budget realities, commodity availability, management structures, etc. are a frequent reason for adaptation.
- Implementation capacity. Adaptations are often made to strengthen staff capacity. This is often true when a model activity that has proven effective was first carried out with an already well-trained staff.
Adaptation and Fidelity
A big question with adaptation is, “At what point have we changed an activity so much that we are actually doing something entirely different?” The degree to which an activity keeps the parts that made it successful is called ‘program fidelity.’ Deciding what defines an activity, and when it loses fidelity, is a complicated but important task. This is because too much adaptation risks changing the activity to something that is not supported by evidence.
Activities will rarely be faithful to every specific practice, but careful adaptation should ensure that they are faithful to the principles that the practices embody.
Since we have to adapt to new environments, the fidelity of an activity is a risk we must always consider. When adapting, we should seek to ensure the adapted activity will still be effective and meet the purpose for which it was designed. An activity can be successfully adapted without changing it entirely by keeping core elements the same and by making sure the activity remains grounded in evidence. This Guide will help you to define these core elements later on, in Module 4.
Preconditions and Risks to Adaptation and Scale Up
Many users of this Guide will be familiar with the idea of a theory of change: a model showing the connections between activities and their results. A good theory of change brings to the surface key assumptions about how and why activities will reach desired goals. Two types of assumptions to include in a theory of change are:
- Preconditions: the circumstances that must be in place to reach the goals.
- Risks: possible obstacles in the environment that may be a barrier to reach the goals.
Whether your country has developed a theory of change or not, all action plans suggest the intended results. The National Coordination Mechanism + Resource Team should pay attention to their assumptions about the preconditions and risks in their action plan to end violence against children. Using Tool 1F, you can deepen understanding of these assumptions; pay attention to them at every point during the adaptation and scale-up process; and, with Implementing Partners, plan actions that will address them as needed.
The circumstances that must be in place to reach the goals of an activity.
Possible obstacles in the environment that may be a barrier to reach the goals.
1AElements of a Scale-up Framework
1BEnvironmental Assessment: Ending Violence Against Children Timeline
1CEnvironmental Assessment: Domains
1DEnvironmental Assessment: Actor Analysis
1EThe “What Could Possibly Go Wrong?” Game
1FUncovering Risks and Preconditions to Achieving Action-Plan Results
R1 Insights and Action
Pause and Reflect.
We have come to the end of this first stage of the journey; we hope it has been an interesting trip so far!
Questions for consideration….
- Are there important elements in the scaling process that National Coordination Mechanism members are thinking about for the first time?
- When thinking about activities for adaptation and scale, is it possible to anticipate which activities are more unpredictable?
- Is the National Coordination Mechanism in agreement on what are the critical events and actors that have shaped the current situation around violence against children in your country?
- Are there any significant preconditions or risks that National Coordination Mechanism members had not considered before that will need to be considered when selecting activities?
When discussing your reflections on this module, did the team have any interesting insights?
It is important to document your learning and the actions you will take, then check back to note when those actions have been completed.
Use Tool R1 to list up to 3 insights that the team found valuable and important. Then decide and record how those insights can be turned into concrete actions.
Additional Resources on the Basics
DFID. Appendix 3. Example of Theories of Change.
ExpandNet. Scaling-Up Framework.
Problem-Driven Iterative Adaptation (PDIA). PDIA Toolkit: A DIY Approach to Solving Complex Problems.
USAID Learning Lab. Knowing When to Adapt.
USAID. Maternal and Child Survival Program. Basic Toolkit for Systematic Scale-up (MSCP).
Van Dyke, M., Kiser, L., and Blase, K. (2019). Heptagon Tool. Chapel Hill, NC: Active Implementation Research Network.
Wiltsey Stirman, S., Baumann, A.A. & Miller, C.J. (2019). The FRAME: An Expanded Framework for Reporting Adaptations and Modifications to Evidence-Based Interventions. Implementation Science, 14, (58).
World Health Organization. (2010). Nine Steps for Developing a Scaling-Up Strategy.