Child Sexual Abuse (CSA)
Webinar
What It Takes to Scale Prevention: Lessons from Child Sexual Abuse Solutions
The session powerfully explored what enables prevention initiatives to achieve sustained, system-level impact and how prevention can be embedded within public systems.
ISPCAN Resources
What it really takes to scale CSA prevention:
Social taboos, fragmented systems, limited funding, and political sensitivities mean that child sexual abuse (CSA) prevention is often perceived as too complex to scale. Yet across the world, organizations are demonstrating that it is possible and already happening.
Building on Spring Impact's previous ISPCAN Network webinar on the fundamentals of scaling impact, this session dives deeper into what it truly takes to scale prevention focused initiatives. Spring Impact was joined by leaders from organizations that have successfully taken CSA prevention efforts to scale. Together, they shared key lessons from Spring Impact’s latest research, grounded in real-world experience across multiple national contexts.
The session explored what enables prevention initiatives to achieve sustained, system-level impact, how prevention can be embedded within public systems, and how to overcome the constraints that organizations commonly encounter.
Key messages from the webinar:
● Scaling is both art and science – Real-world scale requires balancing evidence, resources, context, and timing. Understanding what
works and what can be adapted is critical to successful expansion.
● Readiness is important – Knowing when your solution is ready to scale is essential. This involves having sufficient evidence of impact,
clarity on core components versus adaptable elements, and an understanding of the system you are entering.
● Partnerships are key – Working with governments, local organizations, and communities can help reach more children/beneficiaries
and make solutions last.
● Evidence helps, but context counts too – Having good research is important, but adapting to local systems, culture, and
circumstances can be just as critical.
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Listen to the Webinar Recording
Watch Part 1 of this webinar Series - January 2025
Webinar Date:
March 18, 2026
Region:
Global
Topics:
Scaling up Solutions
Funding Prevention Solutions
Creating Political Will
Resource Downloads
Presentation Slides - What it takes to Scale CSA Prevention
Download the Report - Preventing Child Abuse at Scale
UNDER ONE ROOF - Save the Children
Mapping Study of the implementation of the Barnahus Model in Spain
Executive Summary of National and Regional Barnahus Roadmaps
External Resources
Preventing child sexual abuse at scale - Website
Impact Stories of Successful Scale Programs
UNDER ONE ROOF - Save the Children
Learning Objectives:
In this session we will deep dive into 5 key insights:
1) Make the system ready – how organizations raise visibility, tackle taboos, align solutions with legislation, and build champions to position CSA prevention as a national priority.
2) Make your solution ready – designing interventions that are evidence-informed, cost-effective, and flexible without compromising core impact.
3) Make government your strongest partner – strategies for meaningful collaboration, from local entry points to national adoption and stable public funding.
4) Don’t do it alone – enabling scale through partnerships, training, and open-source models that empower others to deliver.
5) Make it last – embedding prevention in public systems, adapting to evolving threats, and ensuring long-term impact through monitoring, evaluation, and sustained financing.
Participants will gain insights into:
How organizations have worked with government to embed prevention in public systems and secure more stable public funding
What it takes to create an enabling environment by raising visibility, tackling taboos, and positioning CSA prevention as a national priority
How to design solutions that are evidence-informed, cost-effective, and adaptable without compromising core impact
How to build sector-wide partnerships that can extend reach and support scale
Participants will leave with real-world lessons, case studies, and strategies to inform their own approaches for scaling that can be applied to their own work.
Presented By:
Amy Cuffley
Senior Programmes Manager, Spring Impact
Amy Cuffley is Senior Programmes Manager at Spring Impact, where she leads the design and delivery of multi-year programmes that support mission-driven organisations to scale their impact. Her work focuses on equipping NGOs, charities and social enterprises with high-quality consultancy, training, and peer learning to achieve lasting change.
Amy oversees Spring Impact’s flagship initiatives including, Scale Accelerator: Preventing Childhood Sexual Violence, delivered in partnership with Oak Foundation across the UK and EU, and programmes advancing women’s empowerment across East and Southern Africa. She also plays a key role in synthesising and sharing learning from this work, delivering thought-leadership sessions for global audiences. This includes Demystifying How to Scale Solutions for ISPCAN’s international network and Scaling Up of Parenting Interventions at the SVRI Conference in Cape Town.
Amy joined Spring Impact as a Senior Consultant, working directly with NGOs and other mission-driven organisations globally to develop the mindsets, strategies, and operational approaches needed to reach more people in more places. She brings first-hand experience of scaling programmes from her previous role as Head of Primary School Services at UK education charity Future First, where she established and grew a national primary school programme. She began her career as a classroom teacher and holds a degree in Geography from the University of Exeter.
Amy oversees Spring Impact’s flagship initiatives including, Scale Accelerator: Preventing Childhood Sexual Violence, delivered in partnership with Oak Foundation across the UK and EU, and programmes advancing women’s empowerment across East and Southern Africa. She also plays a key role in synthesising and sharing learning from this work, delivering thought-leadership sessions for global audiences. This includes Demystifying How to Scale Solutions for ISPCAN’s international network and Scaling Up of Parenting Interventions at the SVRI Conference in Cape Town.
Amy joined Spring Impact as a Senior Consultant, working directly with NGOs and other mission-driven organisations globally to develop the mindsets, strategies, and operational approaches needed to reach more people in more places. She brings first-hand experience of scaling programmes from her previous role as Head of Primary School Services at UK education charity Future First, where she established and grew a national primary school programme. She began her career as a classroom teacher and holds a degree in Geography from the University of Exeter.
Ali Foster-Metcalf
Senior Manager, Spring Impact
Alice Metcalf is a Senior Manager at Spring Impact, where she leads complex, multi-stakeholder projects to help mission-driven organisations design strategies that achieve impact at scale.
Since joining Spring Impact in 2019, Alice has delivered expert consultancy to over 30 non-profits and social enterprises across Europe, Africa, and Asia. She specialises in developing ambitious scale strategies, leveraging Lean Innovation methodologies to test, learn, and de-risk approaches. While her experience spans diverse geographies and sectors, Alice has particular expertise in working within Sub-Saharan Africa. In addition to her consulting work, Alice leads Spring Impact’s research and insights function. She spearheaded the creation of the landmark ‘Who Pays for Scale’ study and continues to generate and share practical insights on what it takes to achieve sustainable impact at scale.
Prior to joining Spring Impact, Alice worked at the International Secretariat of Penny Appeal, a global poverty relief organisation operating across Asia, the Middle East, and Africa. There, she supported international offices in implementing the charity’s global strategy and facilitated its expansion efforts. Alice holds a BA in Geography and History and an MA in Global Urban Justice from the University of Leeds.
Since joining Spring Impact in 2019, Alice has delivered expert consultancy to over 30 non-profits and social enterprises across Europe, Africa, and Asia. She specialises in developing ambitious scale strategies, leveraging Lean Innovation methodologies to test, learn, and de-risk approaches. While her experience spans diverse geographies and sectors, Alice has particular expertise in working within Sub-Saharan Africa. In addition to her consulting work, Alice leads Spring Impact’s research and insights function. She spearheaded the creation of the landmark ‘Who Pays for Scale’ study and continues to generate and share practical insights on what it takes to achieve sustainable impact at scale.
Prior to joining Spring Impact, Alice worked at the International Secretariat of Penny Appeal, a global poverty relief organisation operating across Asia, the Middle East, and Africa. There, she supported international offices in implementing the charity’s global strategy and facilitated its expansion efforts. Alice holds a BA in Geography and History and an MA in Global Urban Justice from the University of Leeds.
Deirdre Webb
Global Director, Nurse Family Partnership - Ireland.
OBE, RGN, RSCPHN- HV, MSC
OBE, RGN, RSCPHN- HV, MSC
With over 45 years of dedicated service in nursing and public health, my career has spanned clinical practice, strategic leadership, and global programme development. Currently serving as the Global Director of the International Family Nurse Partnership Programme, she plays a pivotal role in shaping policy and practice to improve outcomes for families and communities around the world.
Prior to her current role, she served as the Assistant Director of the Women’s Health, Family, and Child Health Programme in Northern Ireland , where she led initiatives focused on maternal and child health, health equity, and system-wide improvements in service delivery. Her leadership has been instrumental in developing and advancing public health programmes that centre on vulnerable populations and early intervention. Her professional interests include young parents' health, domestic violence, safeguarding children and mental health—areas where she has contributed significant insight and advocacy.
Throughout her career, she has remained committed to advancing holistic, family-centred care models that address both immediate health needs and broader social determinants of health.
Prior to her current role, she served as the Assistant Director of the Women’s Health, Family, and Child Health Programme in Northern Ireland , where she led initiatives focused on maternal and child health, health equity, and system-wide improvements in service delivery. Her leadership has been instrumental in developing and advancing public health programmes that centre on vulnerable populations and early intervention. Her professional interests include young parents' health, domestic violence, safeguarding children and mental health—areas where she has contributed significant insight and advocacy.
Throughout her career, she has remained committed to advancing holistic, family-centred care models that address both immediate health needs and broader social determinants of health.
Emilie Rivas
Barnahus Advocacy Manager, Save the Children - Spain
Emilie Rivas is Barnahus Advocacy Manager at Save the Children Spain, where she spearheads national efforts to embed the Barnahus model and other child-friendly justice reforms in Spanish policy and practice. Based in Barcelona, Emilie leads Save the Children’s dialogue with the Ministry of Justice, regional authorities, and professional bodies to secure legislation and funding for Barnahus pilots in several autonomous communities. She also coordinates the organisation’s contributions to EU and Council of Europe consultations, ensuring Spanish perspectives inform wider child-protection strategies. Before focusing in Barnahus, Emilie was already working in Save the Children where she was Advocacy Manager. Emilie is Master in Communication Sciences and in Sociology (University of Paris) and Master in Sustainability (Polytechnique University of Catalonia). A fluent speaker of four languages, Emilie frequently moderates high-level panels and trains practitioners on practical steps to align national systems with the European Barnahus Quality Standards.
Contributing Partners:
SPRING IMPACT
Nurse Family Partnership
Barnahus
Save the Children