“Scaling up” effective health services is high on the policy agendas of many countries and international agencies. The current concern has been driven by growing recognition both of the challenges of achieving the health-related Millennium Development Goals (MDGs) in many countries, and of the need to ensure that the increased resources for health channelled through disease-specific health initiatives are able generate health gain at scale. Effective and cost-effective interventions exist to address many of the major causes of disease burden in the developing world, but coverage of many of these services remains low. There is a substantial gap between what could be achieved and what is actually being achieved in terms of health improvement in low- and middle-income countries.

That is the lead paragraph from the editorial that accompanies a special supplement in BMC Health Services Research on scaling up health policies and health services in developing countries.  The supplement contains a series of interesting articles on the topic ranging from papers looking at antiretroviral treatment, cervical cancer screening, and malaria treatment.

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