I attended the Council on Global Affairs’ International Women’s Day Global Health Symposium. The focus of the day was on the health of the next generation for women and girls locally, nationally, and internationally. The keynote panel focused on new initiatives and challenges with implementation. Rebecca Winthrop, the Director for the Center of Universal Learning at the Brookings Institute, talked about the science of scalability and her project, Millions Learning, which “…explores specifically not just how to improve learning, but how to do so in a way that can be efficiently and effectively implemented at a large scale.” Her comments really resonated with me. Specifically, she emphasized that successfully scaling up means releasing the idea of having a “gold plated” model that can be replicated with fidelity. That model is too complex and requires finesse specific to a particular author. When scaling up, sustainability is the goal. To achieve this, the cookie cutter model will not work. Rather, it is best to identify the core “ingredients” and aim to replicate those and then allow the user to adapt to their particular context. This creates a partnership that allows the program to maintain its essential attributes, but allows the user to “make it into their own” and have some ownership. Continue reading