Which steps are commonly included in scaling up?

• A. Adapting the program, training staff, securing funding, and ensuring fidelity
• B. Publishing results in a newspaper, hiring marketing firm, launching in one city
• C. Decreasing fidelity to reach more people
• D. Eliminating training to save time

Answer: (A)

Scaling up means expanding a program so more people benefit while keeping the intervention effective. The best steps involve adapting the program to new settings, training staff to deliver it well, securing funding to support expansion, and maintaining fidelity so the core components that drive impact aren’t lost.

Adapting the program ensures it fits different contexts without changing the essential elements that make it work. Training staff builds the capacity needed to implement correctly and consistently. Securing funding provides the resources for broader reach and ongoing support. Ensuring fidelity keeps the program’s active ingredients intact, so outcomes seen in the original version aren’t lost when it’s scaled.

Other options miss key aspects of scalable implementation: simply disseminating results or marketing doesn’t guarantee actual expansion or quality; decreasing fidelity or skipping training undermines effectiveness and jeopardizes outcomes.

So the combination of adaptation, training, funding, and fidelity is the most appropriate set of steps for scaling up.