Task shifting in HIV/AIDS: opportunities, challenges and proposed actions for sub-Saharan Africa

Transactions of the Royal Society of Tropical Medicine and Hygiene

Volumn 103, Issue 6, 2009, Pages 549-558

  Zachariah, R ^a   Ford, N ^a   Philips, M ^b   S Lynch, ^a   Massaquoi, M ^a   Janssens, V ^a   Harries, A D ^c,d  

^a MÉDECINS SANS FRONTIÈRES   (Switzerland)

^b MÉDECINS SANS FRONTIÈRES   (Belgium)

^c INTERNATIONAL UNION AGAINST TUBERCULOSIS AND LUNG DISEASE   (France)

^d LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

Author keywords

AIDS; HIV; Human resources; Review; Sub Saharan Africa; Task shifting

Indexed keywords

ANTIRETROVIRUS AGENT;

ACQUIRED IMMUNE DEFICIENCY SYNDROME; AFRICA; COST BENEFIT ANALYSIS; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; LESOTHO; MALAWI; PATIENT SAFETY; PRESCRIPTION; PUBLIC HEALTH SERVICE; RESOURCE ALLOCATION; REVIEW; SCALE UP; SOUTH AFRICA; SURVIVAL RATE; WORKLOAD;

AFRICA SOUTH OF THE SAHARA; ATTITUDE OF HEALTH PERSONNEL; FEMALE; HEALTH RESOURCES; HIV INFECTIONS; HIV-1; HUMANS; MALE; NEEDS ASSESSMENT; PATIENT CARE TEAM;

EID: 67349183968     PISSN: 00359203     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.trstmh.2008.09.019     Document Type: Review

References (57)

1. WHO. The World Health Report 2006. Working together for health (2006), World Health Organization, Geneva
2. Dovlo D. Using mid-level cadres as substitutes for internationally mobile health professionals in Africa. A desk review. Human Res Health 2 (2004) 1-12
3. Dovlo D. Taking more than a fair share? The migration of health professionals from poor to rich countries. Plos Med 2 (2005) e109
4. WHO. World Health Statistics 2007. Geneva: World Health Organization; 2007. http://www.who.int/whosis/whostat2007/en/index.html [accessed 28 February 2008].
5. Samb B., Celletti F., Holloway J., van Damme W., de Cock K.M., and Dybul M. Rapid expansion of the health workforce in response to the HIV epidemic. N Engl J Med 357 (2007) 2510-2514
6. Van Damme W., Kober K., and Laga M. The real challenges for scaling up ART in sub-Saharan Africa. AIDS 20 (2006) 653-656
7. Harries A.D., Schouten E.J., and Libamba E. Scaling up antiretroviral treatment in resource-poor settings. Lancet 367 (2006) 1870-1872
8. Médecins Sans Frontières. Help wanted. Confronting the healthcare worker crisis to expand access to HIV/AIDS treatment. Lausanne: Médecins Sans Frontières; 2008. http://www.msf.org/msfinternational/invoke.cfm?component=report&obje ctid=AD90630F-15C5-F00A-25723C556AA2E57E&method=full_html [accessed 14 February 2008].
9. Vaz F., Bergstrom S., Vaz M., Langa J., and Bugalho A. Training medical assistants for surgery. Policy and practice. Bull World Health Organ 77 (1999) 688-691
10. White S.M., Thorpe R.G., and Maine D. Emergency obstetric surgery performed by nurses in Zaire. Lancet 2 (1987) 612-613
11. Berman P.A., Gwatkin D.R., and Burger S.E. Community-based health workers: head start or false start towards health for all?. Soc Sci Med 25 (1987) 443-459
12. Mullan F., and Frehywot S. Non-physician clinicians in 47 sub-Saharan African countries. Lancet 370 (2007) 2158-2163
13. WHO. Treat Train Retrain. Task shifting: Global recommendations and guidelines. Geneva: World Health Organization; 2007. http://data.unaids.org/pub/Manual/2007/ttr_taskshifting_en.pdf [accessed 28 April 2008].
14. Libamba E., Makombe S., Harries A.D., Chimzizi R., Salaniponi F.M.L., Schouten E.J., et al. Scaling up antiretroviral therapy in Africa: learning from tuberculosis control programs: the case of Malawi. Int J Tuberc Lung Dis 9 (2005) 1062-1071
15. Department of Health. HIV/AIDS and STI strategic plan for South Africa, 2007-2011 (2007), Department of Health, Pretoria
16. Buchan J., and Dal Poz M.R. Skill mix in the health care workforce: reviewing the evidence. Bull World Health Organ 80 (2002) 575-580
17. Miles K., Clutterbuck D.J., Seitio O., Sebego M., and Riley A. Antiretroviral treatment roll-out in a resource-constrained setting: capitalizing on nursing resources in Botswana. Bull World Health Organ 85 (2007) 555-560
18. Gimbel-Sherr S., Micek M.A., Gimbel-Sherr K.H., Koepsell T., Hughes J.P., Thomas K.K., et al. Using nurses to identify HAART eligible patients in the Republic of Mozambique: results of a time series analysis. Human Res Health 5 (2007) 1-9
19. Bedelu M., Ford N., Hilderbrand K., and Reuter H. Implementing antiretroviral therapy in rural communities: The Lusikisiki model of decentralized HIV/AIDS care. J. Infect Dis 196 (2007) S464-S468
20. Sazawal S., and Black R.E. Effect of pneumonia case management on mortality in neonates, infants and preschool children: a meta-analysis of community-based trials. Lancet Infect Dis 3 (2003) 547-556
21. Kidane G., and Morrow R.H. Teaching mothers to provide home treatment of malaria in Tigray, Ethiopia: a randomized trial. Lancet 356 (2000) 550-555
22. Lewin SA, Dick J, Pond P. Lay health workers in primary and community health care. Cochrane Database Syst Rev 2005;1:CD004015.
23. Zachariah R., Teck R., Buhendwa L., Labana S., Chinji C., Humblet P., et al. How can the community contribute in the fight against HIV/AIDS and tuberculosis? An example from a rural district of Malawi. Trans R Soc Trop Med Hyg 100 (2006) 167-175
24. Zachariah R., Teck R., Buhendwa L., Fitzgerald M., Labana S., Harries A.D., et al. Community support is associated with better antiretroviral treatment outcomes in a resource-limited rural district in Malawi. Trans R Soc Trop Med Hyg 101 (2007) 79-84
25. Zachariah R., Spielmann M.P., Harries A.D., and Nkhoma W. Motives, sexual behaviour and risk factors associated with HIV in individuals seeking voluntary counselling and testing in a rural district of Malawi. Trop Doct 33 (2003) 88-91
26. Coetzee D., Boulle A., Hildebrand K., Asselman V., van Cutsem G., and Goemaere E. Promoting adherence to antiretroviral therapy: the experience from a primary care setting in Khayelitsha, South Africa. AIDS 18 Suppl 3 (2004) S27-31
27. Kumphitak A, Kasi-Sedapan S, Wilson D, Ford N, Adpoon P, Kaethaew S, et al. Perspectives and practice in antiretroviral treatment: Involvement of people living with HIV/AIDS in treatment preparedness in Thailand. Geneva: World Health Organization; 2004. http://www.who.int/hiv/pub/prev_care/en/thailand.pdf [accessed 26 February 2008].
28. Calmy A., Klement E., Teck R., Berman D., and Pécoul B. Simplifying and adapting antiretroviral treatment in resource-poor settings: a necessary step to scaling up. AIDS 18 (2004) 2353-2360
29. Deribe K., Hailekiros F., Biadgilign S., Amberbir A., and Beyene B.K. Defaulters from antiretroviral treatment in Jimma University Specialized Hospital, southwest Ethiopia. Trop Med Int Health 13 (2008) 328-333
30. Pereira C., Cumbi A., Malalane R., Vaz F., McCord C., Bacci A., et al. Meeting the need for obstetric care in Mozambique: work performance and histories of medical doctors and assistant medical officers trained for surgery. BJOG 114 (2007) 1530-1533
31. Lin Y, Franco LM. Assessing malaria treatment and control at peer facilities in Malawi. Quality Assurance Project Case Study. Bethesda, MD: Quality Assurance Project; 2000. http://www.qaproject.org/pubs/PDFs/BIMI.PDF [accessed 14 December 2007].
32. Wilson I.B., Landon B.E., Hirschhorn L.R., McInnes K., Ding L., Marsden P.V., et al. Quality of HIV care provided by nurse practitioners, physician assistants and physicians. Ann Int Med 143 (2005) 729-736
33. Rowe A.K., Onikpo F., Mama M., Cokou F., and Deming M.S. Management of childhood illness at health facilities in Benin: Problems and their causes. Am J Public Health 91 (2001) 1625-1635
34. Rowe A.K., Lama M., Onikpo F., and Deming M.S. Risk and protective factors for two types of error in the treatment of children with fever at outpatient health facilities in Benin. Int J Epidemiol 32 (2003) 296-303
35. Ofori-Adjei D., and Arhinful D. Effect of training on the clinical management of malaria by medical assistants in Ghana. Soc Sci Med 42 (1996) 1169-1176
36. Chopra M., Munro S., Lavis J., Vist G., and Bennett S. Effects of policy options for human resources for health: an analysis of systematic reviews. Lancet 371 (2008) 668-674
37. James C.D., Hanson K., McPake B., Balabanova D., Gwatkin D., Hopwood I., et al. To retain or remove user fees? Reflections on the current debate in low- and middle-income countries. Appl Health Econ Health Policy 5 (2006) 137-153
38. Daviaud E., and Chopra M. How much is not enough? Human resource requirements for primary health care: A case study from South Africa. Bull World Health Organ 86 (2008) 46-51
39. Sibbald B., Chen J., and McBride A. Changing the skill-mix of the healthcare workforce. J Health Serv Res Policy 9 (2004) S28-38
40. Lanata C. Human resources in developing countries. Lancet 369 (2007) 1238-1239
41. Vujicic M., Zurn P., Diallo K., Adams O., and Dal Poz M.R. The role of wages in the migration of health care professionals from developing countries. Human Res Health 2 (2004) 3
42. McCoy D., Bennett S., Witter S., Pond B., Baker B., Gowe J., et al. Salaries and incomes of health workers in sub-Saharan Africa. Lancet 371 (2008) 675-681
43. Rowe A.K., de Savigny D., Lanata C.F., and Victora C.G. How can we achieve and maintain high-quality performance of health workers in low-resource settings?. Lancet 366 (2005) 1026-1035
44. Harries A.D., Salaniponi F.M., Nunn P.P., and Raviglione M. Performance-related allowances within the Malawi National Tuberculosis Control Programme. Int J Tuberc Lung Dis 9 (2005) 138-144
45. Egger D, Ollier L. Strengthening management in low-income countries: Lessons from Uganda. Geneva: World Health Organization; 2007.WHO/HSS/healthsystems/2007.4. http://www.who.int/management/workingpaper11.pdf [accessed 28 February 2008].
46. Schneider H., Hlophe H., and Rensburg D. Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects. Health Policy Plann 23 (2008) 179-187
47. Lehmann S, Sander D. Community health workers. What do we know about them. Geneva: World Health Organization; 2007. http://www.who.int/hrh/documents/community_health_workers.pdf [accessed 28 April 2008].
48. Walt G., and Heggenhougen K. Are large scale volunteer community health worker programmes feasible? The case of Sri Lanka. Soc Sci Med 29 (1989) 599-608
49. Kironde S., and Khasen S. What motivates lay volunteers in high burden but resource-limited tuberculosis control programmes? Perceptions from the Northern Cape Province, South Africa. Int J Tuberc Lung Dis 6 (2002) 104-110
50. Lehman U, Friedman I, Sander D. Review of the utilisation and effectiveness of community-based health workers in Africa. Global Health Trust, Joint Learning Initiative on Human Resources for Health and Development (JLI), JLI Working Paper 4-1; 2004. http://www.webcitation.org/query.php?url=http://www.globalhealthtrust.or g/doc/abstracts/WG4/LehmannFINAL.pdf&refdoi=10.1186/1475-2875-6-11 [accessed 12 September 2008].
51. Knippenberg R., Alihonon E., and Soucat A. Implementation of the Bamako Initiative: strategies in Benin and Guinea. Int J Health Plann Manage 12 (1997) 29-47
52. Feeley F. Fight AIDS as well as the brain drain. Lancet 368 (2006) 435-436
53. UNAIDS. AIDS in Africa: country by country (2000), Joint United Nations Programme on HIV/AIDS, Geneva
54. Harries A.D., Hargreaves N.J., Gausi F., Kwanjana J.H., and Salaniponi F.M. High death rates in health workers and teachers in Malawi. Trans R Soc Trop Med Hyg 96 (2002) 34-37
55. Tawfik L., and Kinoti S. The impact of HIV/AIDS on health systems and the health workforce in sub-Saharan Africa (2003), US Agency for International Development (USAID) Bureau for Africa, Washington, DC
56. Makombe S.D., Jahn A., Tweya H., Chuka S., Yu J.K., Hochgesang M., et al. A national survey of the impact of rapid scale-up of antiretroviral therapy on health-care workers in Malawi: effects on human resources and survival. Bull World Health Organ 85 (2007) 851-857
57. Philips M., Zachariah R., and Venis S. Task shifting for antiretroviral treatment in sub-Saharan Africa: not a panacea. Lancet 371 (2008) 682-684