inSCALE: Innovations at Scale for community access and lasting effects

The inSCALE project conducted extensive formative research to develop two intervention packages that were evaluated through cluster randomised controlled trials. The two interventions were:

• The technology intervention: This approach used low-cost technology to promote learning and increase CHWs’ confidence and connectedness to the wider health system through the development of tools and applications for mobile phones. The mobile phones used in the study were selected based on the county context, with smartphones used in Mozambique and feature phones in Uganda. The mobile phone software inSCALE developed was intended to enhance CHW motivation and performance through job aids that support decision-making (Mozambique only), data submission and performance-related feedback, as well as closed user groups to allow free calls among CHWs and their supervisors.
• The community intervention: This intended to promote CHWs as key village health assets to improve motivation and performance. This community mobilisation approach used the formation of Village Health Clubs, established on five key pillars and focused on a learning and action cycle, as a platform for participatory and locally owned identification of health problems and solutions. This intervention was implemented in Uganda only, since the local CHW strategy in Mozambique already incorporates substantial community components.

Malaria Consortium - Project detailsProject BriefBill & Melinda Gates Foundation - How we grant

Health Workforce
Vulnerable Populations

Oct 2009 — Mar 2016

$10.24M

Mozambique
Uganda