Sustainability of task-shifting for antiretroviral treatment.
نویسندگان
چکیده
Vivek Naranbhai1,2, Quarraisha Abdool Karim1,3, Kogieleum Naidoo1, Nonhlanhla YendeZuma1, and Salim S Abdool Karim1,3 1CAPRISA – Centre for the AIDS Programme of Research in South Africa, Doris Duke Medical Research Institute, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa 2Wellcome Trust Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, United Kingdom 3Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA
منابع مشابه
Trends in task shifting in HIV treatment in Africa: Effectiveness, challenges and acceptability to the health professions
BACKGROUND Task shifting has been suggested to meet the demand for initiating and managing more patients on antiretroviral therapy. Although the idea of task shifting is not new, it acquires new relevance in the context of current healthcare delivery. AIM To appraise current trends in task shifting related to HIV treatment programmes in order to evaluate evidence related to the effectiveness ...
متن کاملExploring task-shifting practices in antiretroviral treatment facilities in the Free State Province, South Africa.
There is good progress with the implementation of South Africa's antiretroviral treatment program. The country, however, faces human resource shortages that could be addressed through appropriate task shifting. During 2009, we studied task shifting from nurses to community health workers (CHWs) for HIV treatment and care at 12 primary health-care clinics in Free State Province, South Africa. We...
متن کاملA systematic review evaluating the impact of task shifting on access to antiretroviral therapy in sub-Saharan Africa.
BACKGROUND Task shifting, defined for this review as the shifting of ART initiation and management from physicians to nurses, has been proposed as a possible method to increase access to HIV treatment in Sub-Saharan Africa. OBJECTIVE To critically evaluate the literature on task shifting, determining if there is evidence to support this view. METHODS A systematic search of the literature wa...
متن کاملA systematic review of task- shifting for HIV treatment and care in Africa
BACKGROUND Shortages of human resources for health (HRH) have severely hampered the rollout of antiretroviral therapy (ART) in sub-Saharan Africa. Current rollout models are hospital- and physician-intensive. Task shifting, or delegating tasks performed by physicians to staff with lower-level qualifications, is considered a means of expanding rollout in resource-poor or HRH-limited settings. ...
متن کاملTask shifting for antiretroviral treatment delivery in sub-Saharan Africa: not a panacea.
Task shifting should not be viewed as a panacea for the human-resources challenges facing sub-Saharan Africa. Rather, it must be part of an overall strategy that includes measures to increase, retain, and sustain health staff . In health care, the term “task shifting” generally refers to a process of delegation of tasks to health workers with lower qualifi cations. It may include task shifting ...
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ورودعنوان ژورنال:
- Lancet
دوره 380 9857 شماره
صفحات -
تاریخ انتشار 2012