Bergh, Anne-MarieAllanson, Emma R.Pattinson, Robert Clive2016-02-122015-11Bergh, AM, Allanson, E & Pattinson, RC 2015, 'What is needed for taking emergency obstetric and neonatal programmes to scale?', Best Practice and Research : Clinical Obstetrics and Gynaecology, vol. 29, no. 8, pp. 1017-1027.1521-6934 (print)1532-1932 (online)10.1016/j.bpobgyn.2015.03.015http://hdl.handle.net/2263/51335Scaling up an emergency obstetric and neonatal care (EmONC) programme entails reaching a larger number of people in a potentially broader geographical area.Multiple strategies requiring simultaneous attention should be deployed. This paper provides a framework for understanding the implementation, scale-up and sustainability of such programmes. We reviewed the existing literature and drew on our experience in scaling up the Essential Steps in the Management of Obstetric Emergencies (ESMOE) programme in South Africa.We explore the non-linear change process and conditions to be met for taking an existing EmONC programme to scale. Important concepts cutting across all components of a programme are equity, quality and leadership. Conditions to be met include appropriate awareness across the board and a policy environment that leads to the following: commitment, health systems-strengthening actions, allocation of resources (human, financial and capital/material), dissemination and training, supportive supervision and monitoring and evaluation.en© 2015 Elsevier Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in Best Practice & Research Clinical Obstetrics and Gynaecology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Best Practice & Research Clinical Obstetrics and Gynaecology, vol. 29, no. 8, pp.1017-1027, 2015. doi : http://dx.doi.org/10.1016/j.bpobgyn.2015.03.015.Scale-upImplementationEmergency obstetric and neonatal care (EmONC)Postprint Article