03139nas a2200277   4500000000100000008004100001260002300042653005700065653001800122653001300140653001900153653002200172653002100194653001800215653002100233100001200254700001200266700001300278700001500291245015100306856009900457300000900556490000700565520226400572022002502836       2023                            d  bInforma UK Limited10aPublic Health, Environmental and Occupational Health10aHealth policy10aScale-up10aSustainability10aSocial innovation10anarrative review10aGlobal health10aSystems thinking1 aNiang M1 aAlami H1 aGagnon M1 aDupéré S00aA conceptualisation of scale-up and sustainability of social innovations in global health: a narrative review and integrative framework for action  uhttps://www.tandfonline.com/doi/epdf/10.1080/16549716.2023.2230813?needAccess=true&role=button  a1-180 v163 a<p><strong>Background: </strong>The scale-up and sustainability of social innovations for health have received increased interest in global health research in recent years; however, these ambiguous concepts are poorly defined and insufficiently theorised and studied. Researchers, policy-makers, and practitioners lack conceptual clarity and integrated frameworks for the scale-up and sustainability of global health innovations. Often, the frameworks developed are con-ceived in a linear and deterministic or consequentialist vision of the diffusion of innovations. This approach limits the consideration of complexity in scaling up and sustaining innovations.</p>

<p><strong>Objective:</strong> By using a systems theory lens and conducting a narrative review, this manuscript aims to produce an evidence-based integrative conceptual framework for the scale-up and sustainability of global health innovations.</p>

<p><strong>Method:</strong> We conducted a hermeneutic narrative review to synthetise different definitions of scale-up and sustainability to model an integrative definition of these concepts for global health. We have summarised the literature on the determinants that influence the conditions for innovation success or failure while noting the interconnections between internal and external innovation environments.</p>

<p><strong>Results: </strong>The internal innovation environment includes innovation characteristics (effective-ness and testability, monitoring and evaluation systems, simplification processes, resource requirements) and organisational characteristics (leadership and governance, organisational change, and organisational viability). The external innovation environment refers to receptive and transformative environments; the values, cultures, norms, and practices of individuals, communities, organisations, and systems; and other contextual characteristics relevant to innovation development.</p>

<p><strong>Conclusion:</strong> From these syntheses, we proposed an interconnected framework for action to better guide innovation researchers, practitioners, and policymakers in incorporating com-plexity and systemic interactions between internal and external innovation environments in global health</p>
  a1654-9716, 1654-9880