While many community-driven development (CDD) initiatives may be successful, their impact is often limited by their small scale.
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This paper discusses enabling and constraining factors related to the scaling-up of the Scaling Up HIV/AIDS Interventions Through Expanded Partnerships (STEPs) initiative, supported by Save the Children U.S.A. (SC), to combat HIV/AIDS in Malawi.
A major premise of this paper is that the failure—or limited achievements—of many large-scale nutrition programs is very often a function of insufficient sustainable capacities within communities and organizations responsible for implementing them