Comparer des méthodes

	Mise à l'échelle des interventions sanitaires	Théorie des processus de normalisation (NPT)
Domaine	Science de l'implémentation	Science de l'implémentation
Famille	Process / pipeline	Process / pipeline
Année d'origine	2007	2006
Auteur d'origine	Simmons, R., Fajans, P., Ghiron, L. (World Health Organization)	May, C. R.
Type	Framework	Framework
Source fondatrice	Simmons, R., Fajans, P., & Ghiron, L. (Eds.). (2007). Scaling Up Health Service Delivery: From Pilot Innovations to Policies and Programmes. World Health Organization, Geneva.	May, C. R. (2006). A rational model for assessing and evaluating complex interventions in health care. BMC Health Services Research, 6, 86.
Alias	scaling up, expansion, scale, dissemination	NPT, normalization theory, routinization
Apparentées	5	5
Résumé	Scaling Up is the deliberate expansion of successful health interventions from pilot sites to entire health systems, regions, or countries. Formalized by the World Health Organization (WHO) and Simmons et al. (2007), scaling up is distinct from simple dissemination; it requires systematic planning, financial modeling, capacity building, and policy alignment to ensure interventions work at scale. A pilot that succeeds brilliantly with champion leadership, dedicated funding, and motivated staff may fail when scaled to routine settings with limited resources. Scaling Up frameworks help practitioners anticipate and overcome these challenges.	Normalization Process Theory (NPT) is a sociological framework developed by Carl May and colleagues to explain how new interventions become routinely embedded ('normalized') in organizational and clinical practice. Unlike efficiency-focused frameworks that measure adoption and fidelity, NPT explains the social processes through which interventions transition from external innovations to normal practice. NPT identifies four key mechanisms (Coherence, Cognitive Participation, Collective Action, Reflexive Monitoring) that collectively determine whether an intervention becomes 'the way we do things here' or remains a temporary project.