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Fig. 2 | BMC Health Services Research

Fig. 2

From: Using a theory of change in monitoring, evaluating and steering scale-up of a district-level health management strengthening intervention in Ghana, Malawi, and Uganda – lessons from the PERFORM2Scale consortium

Fig. 2

The PERFORM2Scale theory of change for scaling up management strengthening at the district level to support the achievement of universal health coverage. AR: action research; DG: district group; DHMT: district health management team; HSO: horizontal scale-up outcome; MSI: management strengthening intervention; NSSG: national scale-up steering group; RT: resource team; UHC: universal health coverage; VSO: vertical scale-up outcome. The PERFORM2Scale consortium realized that this ToC looks linear and omits some arrows; however, it was decided not to present all of them and focus on the main pathways of change. ToC adaptations are indicated in dotted lines for arrows, in underlined text and in (new) assumptions having a white instead of a black background

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BMC Health Services Research

ISSN: 1472-6963

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