The Avahan HIV prevention programme of the Bill & Melinda Gates Foundation in India has achieved scale/quality/coverage, and is beginning to show signs of HIV impact on high risk groups and the general population. The approach of the programme has been to combine business principles of scaling up with technical aspects of HIV programming to develop a model for scaling up public health interventions through designing, organising, executing and sustaining for scale. This presentation will share the background of the Avahan programme, its results, and a framework for the programme science of scaling up.
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