I tested the theory and it appears that you can use a scale transform
to increase the size of the UISwitch
UISwitch *aSwitch = [[UISwitch alloc] initWithFrame:CGRectMake(120, 120, 51, 31)];
aSwitch.transform = CGAffineTransformMakeScale(2.0, 2.0);
[self.view addSubview:aSwitch];