School of Public Policy and Governance, University of Toronto, Toronto, Ontario, Canada.
Grand Challenges Canada, Toronto, Ontario, Canada.
Ann N Y Acad Sci. 2018 May;1419(1):230-248. doi: 10.1111/nyas.13684.
Small pilot studies of young children have frequently shown promise, but very few have been successfully scaled to the regional or national levels. How can we ensure that these promising approaches move from a suite of pilots to full-scale implementation that can deliver sustainable impact for hundreds of millions of children? To elucidate concrete lessons learned and suggestions on accelerating the transition to impact at scale, we reviewed the Saving Brains portfolio to better understand three points: (1) the extent to which useful signals of impact could be extracted from data at the seed phase, (2) the ways in which innovators (project leaders) were approaching human resource challenges critical for scaling, and (3) the multisector diversity of the portfolio and the way innovators entered partnerships. The findings suggest key considerations for transitioning early childhood development interventions to scale and sustainability: strong entrepreneurial leadership, rigorous measurement and active use of data in support of adaptive learning, and champions acting at subnational levels. Together, these can enable flexible, iterative learning that can make the scaling process an opportunity to increase the level of benefit each child receives from an intervention.
针对幼儿的小型试点研究经常显示出前景，但很少有研究成功扩展到区域或国家层面。我们如何确保这些有前景的方法从一系列试点转变为全面实施，为数亿儿童带来可持续的影响？为了阐明具体的经验教训和关于加速向大规模影响过渡的建议，我们审查了“拯救大脑”组合，以更好地了解以下三个方面：（1）从种子阶段的数据中提取有用的影响信号的程度，（2）创新者（项目负责人）在应对对扩展至关重要的人力资源挑战方面的方法，以及（3）组合的多部门多样性以及创新者建立伙伴关系的方式。研究结果表明，向规模和可持续性过渡幼儿发展干预措施需要考虑的关键因素：强大的创业领导力、严格的衡量和积极利用数据以支持适应性学习，以及在国家以下各级发挥作用的拥护者。这些因素共同促进了灵活的迭代学习，使扩展过程成为一个机会，可以提高每个儿童从干预措施中获得的受益水平。
