Task shifting and sharing in Tigray, Ethiopia, to achieve comprehensive emergency obstetric care

Gessessew, Amanuel; Barnabas, Gebre Ab; Prata, Ndola; Weidert, Karen

doi:10.1016/j.ijgo.2010.10.023

Cited by 86 publications

(83 citation statements)

References 17 publications

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“…In task shifting or task sharing, it is assumed that with adequate training, the less specialized health workers can provide competent services. Therefore these methods are in the interest of most systems to address their human resource shortage (2,6,8) which experienced for example in providing HIV/AIDS care (9,10), mental healthcare (11), family planning (12) and obstetric care (13). This approach also is applied in maternity care in which midwife tasks are moved to lay health workers (14).…”

Section: Key Messagesmentioning

confidence: 99%

The effect of mutual task sharing on the number of needed health workers at the Iranian Health Posts; Does task sharing increase efficiency?

Fakhri

Aryankhesal

2015

Int J Health Policy Manag

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Background: Nowadays task sharing is a way to optimize utilization of human resources for health. This study was designed to assess the effect of task sharing, mutually between midwives and Family Health Workforces (FHWs), on the number of needed staff across the Iranian Health Posts. Methods: The workload and required number of midwives and FHWs in a Health Post were calculated and compared in two different scenarios of task division using a combined approach for estimating the number of required staff. In the first scenario, the midwives and FHWs provide their specialized services and in the second one, using mutual task sharing, a midwife provides all services traditionally delivered by FHWs and each FHW provides prenatal care in addition to the special tasks. Sensitivity analysis was performed to estimate the effects of different hypotheses. Results: By applying mutual task sharing, the required number of staff for Health Posts was one midwife and two FHWs for a standard population of 12,500; one FHW less than that when no task sharing was applied. Sensitivity analysis illustrated that the number of needed staff is the same in both scenarios when different demographic, epidemiologic, cultural and organizational conditions were applied. Conclusion: Task sharing can reduce the required number of health workers which increases efficiency and productivity at health facilities. However, apart from a need to consider quality, acceptability, and feasibility of care, increasing efficiency must be judged against the contextual circumstances. Original ArticleFull list of authors' affiliations is available at the end of the article.http://ijhpm.com Int J Health Policy Manag 2015, 4(8), 511-516 doi 10.15171/ijhpm.2015 Implications for policy makers• Task sharing is an approach to deal with human resource shortages, but it could also be used in a healthcare system with sufficient workforces to increase productivity with a regard to the demographic, epidemiologic, cultural, organizational and other circumstances.• Mutual task sharing is a way to deal with the inappropriate distribution of workload between staff in health facilities.• Although efficiency and access, two main goals of the healthcare system, could be attained through mutual task sharing, quality, the other key goal, should not be sacrificed in this type of task division.

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Section: Key Messagesmentioning

confidence: 99%

The effect of mutual task sharing on the number of needed health workers at the Iranian Health Posts; Does task sharing increase efficiency?

Fakhri

Aryankhesal

2015

Int J Health Policy Manag

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“…• on-off payments to cover costs of transport to hospital, 32,46 • task-shifting policies in which non-physician clinicians are trained to perform a significant proportion of emergency obstetric procedures with similar post-operative outcomes to physicians, as in programmes in Mozambique, Tanzania, Malawi and India, 47,48 • use of radio-telephones or solar-powered VHF radio communication systems, which have reduced transport delays and improved communication and access to information and advice between, for example, general practitioners and traditional birth attendants, and women patients and health services, 49 • geographic information systems, designed to work with all types of geographically referenced data, used to trace geographic difficulties in reaching emergency obstetric care, 50 and…”

Section: Interventions Based On the Frameworkmentioning

confidence: 99%

The role of delays in severe maternal morbidity and mortality: expanding the conceptual framework

Pacagnella¹,

Cecatti²,

Osis³

et al. 2012

Reproductive Health Matters

175

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“…16 Studies assessing outcomes of emergency obstetric surgery have shown that trained non-clinicians have as good results as trained clinicians. 17,18 Surgery and the global health agenda Outside of obstetrics and gynaecology, NPCs have also been trained in provision of orthopaedic care. For example, in Malawi, Orthopaedic Clinical Officers have been trained since 1985 in the conservative management of common traumatic and non-traumatic conditions.…”

Section: Task Shifting/task Sharingmentioning

confidence: 99%

Surgery and the global health agenda

Grimes

Lane

2013

J R Soc Med

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Task shifting and sharing in Tigray, Ethiopia, to achieve comprehensive emergency obstetric care

Cited by 86 publications

References 17 publications

The effect of mutual task sharing on the number of needed health workers at the Iranian Health Posts; Does task sharing increase efficiency?

The effect of mutual task sharing on the number of needed health workers at the Iranian Health Posts; Does task sharing increase efficiency?

The role of delays in severe maternal morbidity and mortality: expanding the conceptual framework

Surgery and the global health agenda

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