As inSCALE gathers data on the previous and current ICCM climate in Mozambique and Uganda, the social, financial and geographical limitations to national scale-up will be identified and documented. inSCALE is therefore proposing several approaches which can address problems exposed.

From the reviews and stakeholder interviews that were conducted by the inSCALE team, 18 activities were identified which can potentially enhance CHW motivation to perform better under ICCM. It will not be feasible to develop and implement all these activities within the programme time frame. Nor can it be assumed that all activities will be acceptable, feasible or scalable to national stakeholders, CHWs and communities. Stakeholders' were invited to sort the activities into various categories of feasibility and acceptability. Their input was used to refine the activities down to a shortlist which were taken to formative research stage, which involved in-depth interviews and focus groups discussions with end-users around the acceptability and feasibility of the innovations.