ABSTRACT
The case study that is presented here covers some six years of co-operation between Save The Children Fund-UK and Rajanukul Hospital for Mentally Retarded Children in Bangkok, Thailand. The example is one of a small project, with limited aims, adapting and exploiting opportunities as they presented themselves, gradually enlarging its objectives and increasing the potential impact of its work. The project was not designed with wider impact in mind and the framework that is presented for analysing the process of scaling-up follows a retrospective assessment of experience in this and other projects. However, the authors believe that this framework may have wider (although certainly not universal) applicability in relation to the involvement of NGOs in scaling-up their impact in relation to government services.
