Module 2 – Designing and implementing projects with scaling up in mind

Module 2 – Designing and implementing projects with scaling up in mind

ExpandNet/WHO’s “Beginning with the end in mind” approach

This module corresponds to Phase I of ExpandNet’s systematic approach to scaling up, namely designing and implementing pilot and demonstration projects with future scale in mind. Based on ExpandNet/WHO’s guidance and practical experience from several countries, the module guides learners through a process to increase the potential for sustainable and successful scale-up. Specifically, the module:

Explains the concept of “beginning with the end in mind” and its importance for future sustainability and scale-up.
Identifies 12 recommendations for designing more sustainable and scalable intervention packages and demonstrates how they have been used to achieve stronger results.
Provides a checklist that learners can use in real time to assess scaling potential and identify areas requiring further action.
Introduces a real-life case study that will be used throughout Modules 2-4 to illustrate key concepts and gives learners a chance to apply the skills they gain through the curriculum.

Beginning with the End in Mind

1. Introducing Beginning with the End in Mind

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2. The Beginning with the End in Mind Guide

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3. Recommendations for engaging stakeholders

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4. Recommendations related to the innovation design

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5. Recommendations for testing the innovation

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6. Recommendations for advocacy and laying the groundwork for sustainability

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7. Recommendations for keeping stakeholders engaged

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8. Facilitating application of the Beginning with the End in Mind guidance

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Summative Assessment: Module 2 – Beginning with the end in mind

Summative Assessment

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Resources

Module Resources

SLC Community Guidelines and Learner Agreement

Welcome to ExpandNet’s Scale-up Learning Center (SLC)!

Partners in Expanding Health Quality and Access (“Partners”) has developed and led the ExpandNet program (“the Program”), a set of activities intended to promote equitable access to high quality health and development interventions by ensuring that the benefits achieved in successful pilot, demonstration and experimental projects are expanded and institutionalized to serve more people, more quickly and more sustainably. As the organization that helps lead the wider ExpandNet Program and its Scale-up Learning Center (SLC), we are committed to providing a safe, respectful, and inclusive learning environment for all learners and ask that you too will make such commitments. These guidelines are meant to ensure a positive experience for all SLC learners.

To participate in the SLC, you must agree to abide by the following community guidelines and terms of this learner agreement throughout your SLC engagement and, for the intellectual property-related terms, permanently.

Respectful Communication: I agree to treat all fellow SLC learners, managers, and coaches with respect and courtesy. I shall not use offensive language, personal attacks, or any form of discrimination based on factors such as age, race, gender, religion, nationality, or any other characteristic.
Constructive and Inclusive Engagement: I agree to: engage in discussions and SLC interactions professionally, constructively and thoughtfully, and always assume good intentions from others; share my perspective while being open to different points of view; critique ideas, not individuals, and maintain a positive and supportive atmosphere; promote an inclusive learning environment by appreciating and respecting the diversity of backgrounds, experiences, and viewpoints among SLC learners; and avoid any behavior that may marginalize or exclude others.
Confidentiality: I shall respect the privacy of others by refraining from sharing anyone’s personal information or interpersonal conversations without the other person’s consent. I understand SLC organizers/facilitators will respect my privacy and not share or discuss any personal information, national or local data or my assessment scores that I have shared with anyone but me. Only the SLC organizers and a restricted group of coach collaborators will be able to view my work in the SLC. I understand and agree that one or more of these individuals may reach out to me directly about my SLC participation.
Integrity: I shall complete scored learning checks, reflection questions and assessments (where relevant) on my own, unless explicitly indicated otherwise (such as the Team Track). Plagiarism and cheating are strictly prohibited and may result in suspension or removal from the SLC.
Reporting Concerns: If I witness or experience any behavior that violates this code of conduct, I agree to report it to the SLC organizers immediately, given Partners is committed to addressing concerns promptly and maintaining a safe learning environment for all.
Communications from ExpandNet members: By registering for the SLC I am agreeing that ExpandNet members or Partners may occasionally send me scale-up-related announcements, inquiries and messages beyond SLC-related matters, using the email address I used to register for the SLC. ExpandNet will never sell my contact information to any marketing organization.

Respect for intellectual property:
- I acknowledge that the SLC curriculum and its entire content (including any slides, presentation narratives, video or audio recordings, agendas, and other documents (the “Materials”) are protected by copyright and owned by Partners and/or its licensors. I understand that with the publication of the SLC, ExpandNet intends for the Materials to be widely used and shared, and that my use of the Materials comes with both benefits and restrictions. Specifically, Partners grants me a nonexclusive, fully paid, royalty-free, nontransferable, revocable and non-sub-licensable license to reproduce, distribute, and display the Materials in my country solely for the purpose of, and to the extent reasonably necessary for, noncommercial purposes in furtherance of the ExpandNet Program in my country, subject to the condition that I shall not reproduce, distribute, upload, or otherwise submit any Materials or ExpandNet resources into any artificial intelligence platform, product, language learning model, agent, or equivalent, and I shall not permit any third party to do so. If I reproduce, distribute or display the Materials, I understand and agree that I must provide prominent attribution to Partners and the ExpandNet Program on and in connection with such derivative works.
- Partners also grants me a nonexclusive, fully paid, royalty-free, nontransferable, revocable and non-sub-licensable license to create derivative works based on the Materials (e.g. new, original works of authorship that include preexisting Materials), provided that I give prominent attribution for the original work to Partners and the ExpandNet Program, and subject to the condition that I shall not reproduce, distribute, upload, or otherwise submit any Materials or ExpandNet resources into any artificial intelligence platform, product, language learning model, agent, or equivalent, and I shall not permit any third party to do so. Further, I agree to provide copies of any such derivative works to Partners (in electronic and/or hard copy format, at Partners’ election) and I hereby grant Partners a nonexclusive, fully paid, royalty-free, irrevocable, sublicenseable license to reproduce, display, distribute, perform, and create further derivative works based on such derivative works.
- I acknowledge, and agree not to challenge, Partners’ (i) ownership of the Materials, and the validity of copyright in the Materials, and (ii) ownership and validity of the ExpandNet word mark and stylized I further agree not to infringe upon the ExpandNet word mark and stylized mark by using them other than as provided in this Learner Agreement.

I further understand that if I violate any of the terms of this Agreement, Partners may terminate this Agreement, and all licenses granted herein shall terminate, and I will cease all reproduction, distribution, display, and creation of derivative works based on the Materials. I recognize that I can terminate this Agreement at any time by ceasing all access to and use of the Materials.

Consequences for not upholding these guidelines may include warnings, sanctions, or removal from the SLC platform, as determined by the SLC organizers.

Date: July 17, 2026.

Partners on behalf of its ExpandNet program would like to express its appreciation for your commitment to upholding these principles, which will help ensure a positive and respectful learning environment and that the copyrighted works contained in – and made freely available through the SLC – will be used with the necessary care to ensure their integrity and utility for years to come. Your active engagement and adherence to these principles and agreements contributes to the success of the SLC and to the professional growth of all SLC learners.