"You have to plan the program to scale. When you design it, design it to scale. Make sure the budget line is enough. Be serious about the money. Look at the issues - how many to train, how many schools to reach, how to do this in this time, what resources need to be in place. Spend more time on writing annual workplans rather than 5-year plans and be flexible to adjust each year."  - Rick Olson, UNICEF Project Officer, "My Future is My Choice" in Namibia.

There are a growing number of promising examples of skills-based education programs that are preventing HIV/AIDS among young people. This website showcases just a few, in our sections on field experience and peer education. An emerging challenge for most of these programs is to reach more young people in more places. The FOCUS on Young Adults programme has compiled the following lessons about expanding, or "scaling up" effective programmes to national scale:

  • Programs should prepare for scaling up by focusing on program development and institutionalization
  • Policy shapes program development and may inhibit or encourage efforts to scale up
  • Program planners should build on existing institutions and infrastructure when possible
  • Committed leaders are needed to support, guide and sponsor the scaling up process
  • The process of scaling up should be participatory and flexible
  • Program developers and policy advocates should anticipate obstacles and challenges to scaling up
  • Data, research and monitoring and evaluation systems are crucial to scaling up effective programs

"Getting to Scale in Young Adults Reproductive Health Programs," prepared by FOCUS, April 2000.


What happened in Uganda? Declining HIV Prevalence, Behavior Change and the National Response. USAID, 2000.