“Scaling up to meet the need is equivalent to when a large group of people must use a bus
to undertake a crucial journey. If the bus is too small, or it goes too slowly, or it takes a wrong
turn, or its mechanical problems are not fixed, or it is badly driven, it won't reach its
destination in time. Simply pouring in more fuel won't resolve these problems. Government
and other players in the countries involved must deal with all the issues if the journey is to
succeed.”(Rivers, 2008)'Scaling up'has become a much-used term in global health in the …