Shining a Light on Task-Shifting Policy
Identifieur interne : 000312 ( Pmc/Corpus ); précédent : 000311; suivant : 000313Shining a Light on Task-Shifting Policy
Auteurs : Godfrey Katende ; Mary DonnellySource :
- Sultan Qaboos University Medical Journal [ 2075-051X ] ; 2016.
Abstract
In terms of disease burden, many low- and middle-income countries are currently experiencing a transition from infectious to chronic diseases. In Uganda, non-communicable diseases (NCDs) have increased significantly in recent years; this challenge is compounded by the healthcare worker shortage and the underfunded health system administration. Addressing the growing prevalence of NCDs requires evidence-based policies and strategies to reduce morbidity and mortality rates; however, the integration and evaluation of new policies and processes pose many challenges. Task-shifting is the process whereby specific tasks are transferred to health workers with less training and fewer qualifications. Successful implementation of a task-shifting policy requires appropriate skill training, clearly defined roles, adequate evaluation, an enhanced training capacity and sufficient health worker incentives. This article focuses on task-shifting policy as a potentially effective strategy to address the growing burden of NCDs on the Ugandan healthcare system.
Url:
DOI: 10.18295/squmj.2016.16.02.005
PubMed: 27226906
PubMed Central: 4868514
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PMC:4868514Le document en format XML
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<affiliation><nlm:aff id="af1-squmj1605-e161-167">Department of Adult Health & Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman;</nlm:aff>
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<author><name sortKey="Donnelly, Mary" sort="Donnelly, Mary" uniqKey="Donnelly M" first="Mary" last="Donnelly">Mary Donnelly</name>
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<author><name sortKey="Donnelly, Mary" sort="Donnelly, Mary" uniqKey="Donnelly M" first="Mary" last="Donnelly">Mary Donnelly</name>
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<front><div type="abstract" xml:lang="en"><p>In terms of disease burden, many low- and middle-income countries are currently experiencing a transition from infectious to chronic diseases. In Uganda, non-communicable diseases (NCDs) have increased significantly in recent years; this challenge is compounded by the healthcare worker shortage and the underfunded health system administration. Addressing the growing prevalence of NCDs requires evidence-based policies and strategies to reduce morbidity and mortality rates; however, the integration and evaluation of new policies and processes pose many challenges. Task-shifting is the process whereby specific tasks are transferred to health workers with less training and fewer qualifications. Successful implementation of a task-shifting policy requires appropriate skill training, clearly defined roles, adequate evaluation, an enhanced training capacity and sufficient health worker incentives. This article focuses on task-shifting policy as a potentially effective strategy to address the growing burden of NCDs on the Ugandan healthcare system.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Sultan Qaboos Univ Med J</journal-id>
<journal-id journal-id-type="iso-abbrev">Sultan Qaboos Univ Med J</journal-id>
<journal-title-group><journal-title>Sultan Qaboos University Medical Journal</journal-title>
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<issn pub-type="ppub">2075-051X</issn>
<issn pub-type="epub">2075-0528</issn>
<publisher><publisher-name>Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences</publisher-name>
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<article-id pub-id-type="publisher-id">squmj1605-e161-167</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Special Contribution</subject>
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<title-group><article-title>Shining a Light on Task-Shifting Policy</article-title>
<subtitle>Exploring opportunities for adaptability in non-communicable disease management programmes in Uganda</subtitle>
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<contrib-group><contrib contrib-type="author"><name><surname>Katende</surname>
<given-names>Godfrey</given-names>
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<xref ref-type="aff" rid="af1-squmj1605-e161-167"><sup>1</sup>
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<xref ref-type="corresp" rid="c1-squmj1605-e161-167"><sup>*</sup>
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<contrib contrib-type="author"><name><surname>Donnelly</surname>
<given-names>Mary</given-names>
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<xref ref-type="aff" rid="af2-squmj1605-e161-167"><sup>2</sup>
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<aff id="af1-squmj1605-e161-167"><label>1</label>
Department of Adult Health & Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman;</aff>
<aff id="af2-squmj1605-e161-167"><label>2</label>
Department of Acute & Chronic Care, School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA</aff>
<author-notes><corresp id="c1-squmj1605-e161-167"><label>*</label>
Corresponding Author e-mail: <email>katendeg@yahoo.com</email>
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<pub-date pub-type="ppub"><month>5</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>15</day>
<month>5</month>
<year>2016</year>
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<volume>16</volume>
<issue>2</issue>
<fpage>e161</fpage>
<lpage>e167</lpage>
<history><date date-type="received"><day>27</day>
<month>9</month>
<year>2015</year>
</date>
<date date-type="rev-request"><day>08</day>
<month>11</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><day>05</day>
<month>12</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>31</day>
<month>12</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© Copyright 2016, Sultan Qaboos University Medical Journal, All Rights Reserved</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract><p>In terms of disease burden, many low- and middle-income countries are currently experiencing a transition from infectious to chronic diseases. In Uganda, non-communicable diseases (NCDs) have increased significantly in recent years; this challenge is compounded by the healthcare worker shortage and the underfunded health system administration. Addressing the growing prevalence of NCDs requires evidence-based policies and strategies to reduce morbidity and mortality rates; however, the integration and evaluation of new policies and processes pose many challenges. Task-shifting is the process whereby specific tasks are transferred to health workers with less training and fewer qualifications. Successful implementation of a task-shifting policy requires appropriate skill training, clearly defined roles, adequate evaluation, an enhanced training capacity and sufficient health worker incentives. This article focuses on task-shifting policy as a potentially effective strategy to address the growing burden of NCDs on the Ugandan healthcare system.</p>
</abstract>
<kwd-group><kwd>Health Workforce</kwd>
<kwd>Physician Shortage Area</kwd>
<kwd>Community Health Planning</kwd>
<kwd>Delivery of Health Care</kwd>
<kwd>Uganda</kwd>
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