A tool to ensure that activities that are scaled up are integrated into national systems to permit long-term sustainability.

After selecting an activity for scale up there is a final, critical consideration—how will this activity be institutionalized into systems to achieve wide-spread and sustained results? This is also called vertical scale up. Vertical scale up is important because if an activity is not supported by priorities, policies, and systems, it is unlikely to be sustained after it expands to new sites.

You should now have

• Agreed-upon results for vertical scale-up efforts
• Justifications for each planned result
• Documented and concrete steps to achieve results and indicators that intermediate goals/benchmarks have been met
• A tracking sheet