Scaling up effective, innovative solutions is about broadening the reach of that program, policy or project in order to achieve sustainable impact either through replication, adaptation or expansion. However, a solution that is effective in one context will not have the same impact if applied in a different context without the appropriate evaluation and understanding of that region/country. Implementation in new regions/countries requires a systematic approach that identifies the most effective method of scale up in a given country.It is imperative that a scale-up plan is grounded in a strong understanding of the context in which it is being implemented which can be done through country assessments. This involves understanding the needs, characteristics, and conditions of the countries of interest. It is knowing and engaging the various stakeholders and creating a collaborative atmosphere in order to engage and mobilize the right stakeholders who can offer assistance from financial to political during the scale-up process. It is also perspectives from the citizens who will be utilizing and/or benefiting from the innovation, to better understand their needs. Additionally, the assessment will highlight gaps in the innovative design for each country context which should be addressed during scale up to ensure effectiveness. Understanding country context is also knowing existing approaches addressing the issue and possible ways to integrate those approaches, if effective, in order to increase impact. Concurrently, it is also understanding challenges that might arise, whether certain conditions needed for success exist and how to adjust if those conditions are not met. Scaling up is not without potential obstacles that need to be addressed in order for the solution to succeed. Some considerations to bear in mind while scaling up are the financial resources, the political and policy space and the organizational capacity. Scaling is not without financial costs and resources should be gathered to support implementation or altered to fit the capability of the country. Implementation in a new country means engaging stakeholders who can provide political support and also protection against those who oppose as well as ensuring the adequate policy schema exists or can be created to support scale up. Furthermore, each country needs to have the proper organizational and institutional resources in order to carry out the scaling up process, if not this has to be provided through staffing, training and other cost incurring means. Lastly, scale-up should be accompanied with an ever-present system of monitoring and evaluation. In order to determine what does and does not work in a particular context and in order to adjust to get the desired impact, the process should be evaluated and monitored. Evaluation begins in the initial phases of scale up through the country assessments and must be maintained to determine the efficacy and effectiveness of the innovation in a new region, to provide feedback on future scale up and to ensure the impact is what is expected.There are many factors to consider when scaling up, these are just a few things to consider.