Task shifting in HIV/Aids
Opportunities, challenges and proposed actions for sub-Saharan Africa
Datos Bibliográficos
| ID | 23348247 |
|---|---|
| Autores | Rony Zachariah (0000-0002-2915-9328, Médecins Sans Frontières, autor de correspondencia), Nathan Ford (0000-0001-8752-9078, Médecins Sans Frontières), Mit Philips (0000-0002-3211-768X, Médecins Sans Frontières), S Lynch S Lynch, Sonya Lynch (Médecins Sans Frontières), Moses Massaquoi (0000-0001-6732-5422, Médecins Sans Frontières), V Janssens (Médecins Sans Frontières), Anthony Harries (0000-0001-6113-9741, University of London), A D Harries |
| Año | 2009 |
| Volumen | 103 |
| Número | 6 |
| Páginas | 549-558 |
| Fecha de publicación | 2009-06-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Transactions of the Royal Society of Tropical Medicine and Hygiene (JOURNAL) |
| Identificadores de la revista | ISSN: 0035-9203 • E-ISSN: 1878-3503 |
| Editorial | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1016/j.trstmh.2008.09.019 |
| PMID | 18992905 |
| OpenAlex | W2154118520 |
| Idioma | EN |
| Citas recibidas | 69 |
| Referencias citadas | 39 |
Sub-Saharan Africa is facing a crisis in human health resources due to a critical shortage of health workers. The shortage is compounded by a high burden of infectious diseases; emigration of trained professionals; difficult working conditions and low motivation. In particular, the burden of HIV/AIDS has led to the concept of task shifting being increasingly promoted as a way of rapidly expanding human resource capacity. This refers to the delegation of medical and health service responsibilities from higher to lower cadres of health staff, in some cases non-professionals. This paper, drawing on Médecins Sans Frontières' experience of scaling-up antiretroviral treatment in three sub-Saharan African countries (Malawi, South Africa and Lesotho) and supplemented by a review of the literature, highlights the main opportunities and challenges posed by task shifting and proposes specific actions to tackle the challenges. The opportunities include: increasing access to life-saving treatment; improving the workforce skills mix and health-system efficiency; enhancing the role of the community; cost advantages and reducing attrition and international 'brain drain'. The challenges include: maintaining quality and safety; addressing professional and institutional resistance; sustaining motivation and performance and preventing deaths of health workers from HIV/AIDS. Task shifting should not undermine the primary objective of improving patient benefits and public health outcomes.
Business · Economic growth · Economics · Human resources · Political science · Public health · Public relations · Workforce · Global Maternal and Child Health · Healthcare Systems and Reforms · HIV/AIDS Impact and Responses · Medicine · Nursing
Revisión sistemática sobre modelos de rehabilitación con víctimas de Minas Antipersonal (MAP), en el marco de conflictos armados y el enfoque comunitario
Restructuring brain drain
It’s in Our Veins”
Problem-solving therapy for depression and common mental disorders in Zimbabwe
The Impact of Community Support Initiatives on the Stigma Experienced by People Living with HIV/Aids in South Africa
Role and outcomes of community health workers in HIV care in sub‐Saharan Africa
Risk factors, barriers and facilitators for linkage to antiretroviral therapy care
Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases
Health workforce skill mix and task shifting in low income countries
Adherence to antiretroviral therapy during and after pregnancy in low-income, middle-income, and high-income countries
A systematic review of task- shifting for HIV treatment and care in Africa
Task Shifting for Non-Communicable Disease Management in Low and Middle Income Countries – A Systematic Review
They Say Our Work Is Not Halal’
Trained lay health workers reduce common mental disorder symptoms of adults with suicidal ideation in Zimbabwe
Auxiliary midwives in hard to reach rural areas of Myanmar
The potential of task shifting selected maternal interventions to auxiliary midwives in Myanmar
Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana
Exploring the effects of task shifting for HIV through a systems thinking lens
The practice, nature, and impact of nurse-led type 2 diabetic foot prevention services and educational programs in Sub-Saharan Africa
Impact of a monitoring and evaluation training in 3 Pepfar-supported countries
Decentralization, healthcare access, and inequality in Mpumalanga, South Africa
Frontline Vaccinators and Immunisation Coverage in Malawi
Informal mhealth at scale in Africa
Scaling up interventions for depression in sub-Saharan Africa
Mental health research capacity building in sub-Saharan Africa
‘When I have these kits … I have confidence’ – HIV self-testing provides agency for women in their sexual decision-making
Barriers and enablers towards integrated care for survivors of sexual violence in humanitarian settings
Programmatic and ethical challenges in the implementation of treatment-as-prevention in the context of HIV and drug-resistant tuberculosis co-infection in sub-Saharan Africa
Reckoning HIV/Aids care
The role of support groups in linking and retaining newly diagnosed clients in HIV care in a peri-urban location in South Africa
Which delivery model innovations can support sustainable HIV treatment
TB/HIV-related training, knowledge and attitudes of community health workers in the Free State province, South Africa
Mapping the global landscape of task shifting and sharing
It’s in our veins’
It’s a win for the clinic, it’s a win for the frontline, but, most importantly, it’s a win for the client”
When distance matters
Task shifting healthcare services in the post-Covid world
Patient reported experience measures on HIV viral load testing at public health facilities in Dar es Salaam, Tanzania
Integrating Sexual Health Services Into Primary Care
HIV/Aids, chronic diseases and globalisation
Defining and characterizing task-shifting medical devices
Improving Ghana’s mental healthcare through task-shifting- psychiatrists and health policy directors perceptions about government’s commitment and the role of community mental health workers
The successful scaling-up of antiretroviral therapy globally has many lessons for advancing universal health coverage
The evolution of HIV policy in Vietnam
Experiences and perceptions of participants on the pathway towards clinical management of dual tuberculosis and diabetes mellitus in Tanzania
A taxonomy for community-based care programs focused on HIV/Aids prevention, treatment, and care in resource-poor settings
Methodology for adapting a co-created early childhood development intervention and implementation strategies for use by frontline workers in India and Guatemala
Experiences, opportunities and challenges of implementing task shifting in underserved remote settings
Challenges in the delivery of public HIV testing and counselling (HTC) in Douala, Cameroon
Task shifting of HIV management from doctors to nurses in Africa
Peer counselors' role in supporting patients' adherence to ART in Ethiopia and Uganda
Evaluation of peer-to-peer HIV counseling in Myanmar
“The Videos Gave Weight to Our Work”
The social and gender context of HIV disclosure in sub-Saharan Africa
Supervision of community health nurses in Ghana
How workers respond to social rewards
Assessing the population health impact of market interventions to improve access to antiretroviral treatment
Patient satisfaction with task shifting of antiretroviral services in Ethiopia
Community-based provision of injectable contraceptives in Madagascar
Who bears the cost of ‘informal mhealth’? Health-workers’ mobile phone practices and associated political-moral economies of care in Ghana and Malawi
Individual and healthcare supply-related barriers to treatment initiation in HIV-positive patients enrolled in the Cameroonian antiretroviral treatment access programme
Integrated community case management for childhood illnesses
Task shifting—perception of stake holders about adequacy of training and supervision for community mental health workers in Ghana
Perceptions on diabetes care provision among health providers in rural Tanzania
The role of community health workers in improving HIV treatment outcomes in children
Rewards and challenges of providing HIV testing and counselling services
The efficacy and usability of motivational interviewing just‐in‐time trainings for youth mentors
The Gipa Concept 'Lost in Transition
Doing the Best We Can
To Retain or Remove User Fees?
How can we achieve and maintain high-quality performance of health workers in low-resource settings?
Community health workers and the response to HIV/Aids in South Africa
Management of Childhood Illness at Health Facilities in Benin
Community health workers
Community-based health workers
Are large-scale volunteer community health worker programmes feasible? The case of Sri Lanka
Effect of training on the clinical management of malaria by medical assistants in Ghana
| Obras citantes distintas | 69 |
|---|---|
| Citas por año | 4,31 |
| Intervalo de citas | 2010 - 2025 (16) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 64 |