The organization has expanded the scope of its community based interventions from one to eight constituent wards in a district that has a total of eighteen (18) wards with an approximate population of 219,574 (Census: Zambia Statistics Agency 2022) and covering an area of 4,471 km², and 49.11/km² population density, and with 5.2% annual population Change. The organization's work covers an area of 604 km² and with an approximate population of 91,495.The first question to ask is whether a project, program, or policy should be scaled up at all, and, if so, by how much, for how long, and in what direction or dimension.
Primrose Community Health Organization which has been implementing community led interventions in Kafue district in the last nineteen (19) years. This has been done through targeted community led approaches which have included conducting gender transformative community mapping in target communities. Gender transformative programming emerged from the international development context and the prevention of HIV and AIDS and has proved effective in changing the way communities view, value and assign roles to women and men; developing and strengthening equitable gender roles and relationships; addressing the causes of gender inequality; and influencing behaviour change. This methodology helped the organization expand its visibility to eight wards, out of the eighteen constituent wards.
The plan for scale up and expansion of its investments into other districts and provinces in the next six (6) years will be determined first adapting of granular data collection which will allow Primrose Community Health Organization to effectively determine the cause of problems and present them with a strong argument for decisions to be made. In addition, granular data will allow our organization to establish baselines and benchmarks to measure the performance of its key project objectives. The scale up and expansion roadmap will also be determined by the cultural, administrative, economic, geographical, regional needs, and finally the availability of human and financial resources of the selected location.