Table 3.

Five types of strategies utilized to scale-up normative components in the 13 included interventions and prevalence of each

	Expanding to a larger geographic region in-country or replication in new countries	Expanding to more user organizations (e.g., local NGOs/community-based organizations, or international NGOs)	Adapting program design to increase depth and scope of the services offered	Adapting program design to reach new primary populations	Institutionalizing the intervention into the public sector
No. of interventions utilizing this strategy	11	12	5	2	7
Intervention name
1. AYAa[9], [10], [11]		✓
2. GREAT [12], [13], [14], [15]	✓ Scale-up to new districts	✓			✓
3. Geração Biz [16], [17]	✓ Nation-wide scale-up	✓	✓		✓
4. Ishraq Program [18]	✓ Scale-up to new villages	✓	✓	✓	✓
5. Kenya ARH Project [19], [20], [21]	✓ Scale-up to new provinces	✓	✓		✓
6. MEMA kwa Vijana [22], [23], [24]	While scaling-up, this program eliminated the normative component of the program due to challenges related to continuing community-level activities at wider scale.
7. PRACHAR [19], [25], [26]	✓ Scale-up to new districts	✓			✓
8. Program H & Program M [27], [28]	✓ Scale-up to new countries	✓		✓	✓
9. SASA! Raising Voices [29], [30], [31]	✓ Scale-up to new countries	✓
10. Sexto Sentido [32], [33], [34], [35]	✓ Scale-up to new countries	✓
11. South Africa Regional SBC Communication Program [36], [37]	✓ Scale-up in multiple countries	✓
12. Tostan [38], [39], [40]	✓ Scale-up to new countries	✓	✓
13. YEAH [41], [42]	✓ Nation-wide scale-up	✓	✓		✓

ARH = adolescent reproductive health; AYA = African Youth Alliance; GREAT = Gender Roles, Equality and Transformation; SBC = social and behavior change; YEAH = Young Empowered and Healthy Initiative.

Blank = available program documentation did not mention the category as a scale-up strategy utilized.

^aAvailable documentation specific to scale-up experience in Uganda.