Scaling up Integrated Early Childhood Development programs: lessons from four countries

Background: There is still limited knowledge regarding the translation of early child development (ECD) knowledge into effective policies and large-scale programmes. A variety of frameworks that outline the key steps in scaling up exist, but we argue that taking a complex adaptive systems (CAS) approach assists in understanding the complex, dynamic processes that result in programmes being taken to scale.

Objectives: The objective of this study is to examine the process of scaling up four major country-level ECD programmes through the application of a CAS framework.