BACKGROUND In the future, 'delegation' as task shifting from general practitioners (GPs) to non-physicians will be important in primary care. Therefore, the aim of this study was to evaluate the attitudes towards the concept of task shifting and to identify predictors of a positive attitude towards task shifting from the perspective of GPs. METHODS This cross-sectional questionnaire study ana...

recent proposals for re-defining the roles africa’s health workforce are a continuation of the discussions that have been held since colonial times. the proposals have centred on basing the continent’s healthcare delivery on non-physician clinicians (npcs) who can be quickly trained and widely distributed to treat majority of the common diseases. whilst seemingly logical, the success of these p...

Abstract Background Task shifting and sharing (TS/S) involves the redistribution of health tasks within workforces communities. Conceptual frameworks lay out key factors, constructs, variables involved in a given phenomenon, as well relationships between those factors. Though TS/S is leading strategy to address worker shortages improve access services worldwide, conceptual framework for this ap...

BACKGROUND In the quest to achieve early HIV treatment goals, national HIV treatment programmes dependent on international funding have been dramatically redesigned over the last 5 years. Bottlenecks in treatment provision are conceived of as health system problems to be addressed via structural and logistical fixes (routine HIV testing, point-of-care equipment, nurse-led antiretroviral treatme...

AIMS AND OBJECTIVES To review systematically, qualitative literature covering the implementation of task shifting in sub-Saharan Africa to address the growing interest in interventions of this kind. This review aims to distil the key practical findings to both guide a specific project aiming to improve the quality of neonatal care in Kenya and to contribute to the broader literature. BACKGROU...

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 ...

BACKGROUND Task shifting has been implemented in Uganda for decades with little documentation. This study's objectives were to; gather evidence on task-shifting experiences in Uganda, establish its acceptability and perceptions among health managers and policymakers, and make recommendations. METHODS This was a qualitative study. Data collection involved; review of published and gray literatu...

BACKGROUND Task shifting has become an increasingly popular way to increase access to health services, especially in low-resource settings. Research has demonstrated that task shifting, including the use of community health workers (CHWs) to deliver care, can improve population health. This systematic review investigates whether task shifting in low-income and middle-income countries (LMICs) re...

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...