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MNCH Rapid Scale-Up

In late 2006, the Bill & Melinda Gates Foundation (BMGF) approved a grant to The Partnership for Maternal, Newborn and Child Health (PMNCH) to demonstrate that rapid scale-ups in coverage for proven interventions would lead to reductions in under-five mortality in Burkina Faso and Malawi. This grant was guided by a Management Group and administered by WHO.

The focus of this effort was on accelerating coverage for life-saving interventions that have been proven efficacious in reducing mortality in children under the age of five years in randomized control trials. The effectiveness of these interventions varies across specific country contexts and depends on the strength of implementation. IIP was commissioned to carry out independent prospective evaluations of both of this program.

The objectives of the “Rapid Scale-Up” evaluation was to provide “proof of concept” that proven interventions can be scaled up rapidly to reduce maternal, newborn and child mortality, include the costs of the scale-up and its effects on equity.


  • Malawi: National Statistical Office and University of Malawi
  • Burkina Faso: Institut Supérieur des Sciences de la Population


The evaluation of the “Rapid Scale-Up” was funded by a grant from the Bill & Melinda Gates Foundation via the World Health Organization.





In March 2016, the American Journal of Tropical Medicine & Hygiene published a series of articles on the on the evaluation of integrated Community Case Management (iCCM) in Burkina Faso, Malawi, and Ethiopia.  

  1. On bathwater, babies, and designing programs for impact: Evaluations of the integrated Community Case Management strategy in Burkina Faso, Ethiopia, and Malawi
    Elizabeth Hazel, Jennifer Bryce, and the JHU-IIP iCCM Evaluation Working Group
    Online Full Text
  2. Integrated community case management of childhood illness: What have we learned?
    Bernadette Daelmans, Awa Seck, Humphreys Nsona, Shelby Wilson, Mark Young
    Online Full Text
  1. The independent evaluation of the Rapid Scale-Up program to reduce under-five mortality in Burkina Faso
    Melinda Munos, Georges Guiella, Timothy Roberton, Abdoulaye Maïga, Adama Tiendrebeogo, Yvonne Tam, Jennifer Bryce, Banza Baya
    Online Full Text
  2. Effects of the integrated Community Case Management of Childhood Illness on child mortality in Ethiopia: A cluster randomized trial
    Agbessi Amouzou, Elizabeth Hazel, Bryan Shaw, Nathan P. Miller, Mengistu Tafesse, Yared Mekonnen, Lawrence H. Moulton, Jennifer Bryce, Robert E. Black
    Online Full Text
  3. Independent evaluation of the integrated Community Case Management of Childhood Illness strategy in Malawi using a national evaluation platform design
    Agbessi Amouzou, Mercy Kanyuka, Elizabeth Hazel, Rebecca Heidkamp, Andrew Marsh, Tiope Mleme, Spy Munthali, Lois Park, Benjamin Banda, Lawrence H Moulton, Robert E Black, Kenneth Hill, Jamie Perin, Cesar G Victora, Jennifer Bryce
    Online Full Text