Use of surgical task shifting to scale up essential surgical services: A feasibility analysis at facility level in Uganda

BMC Health Services Research

Volumn 13, Issue 1, 2013, Pages

  Galukande, Moses ^a   Kaggwa, Sam ^a   Sekimpi, Patrick ^a   Kakaire, Othman ^a   Katamba, Achilles ^a   Munabi, Ian ^a   Runumi, Francis Mwesigye ^b   Mills, Ed ^c   Hagopian, Amy ^d   Blair, Geoffrey ^e   Barnhart, Scott ^d   Luboga, Sam ^a  

^a MAKERERE UNIVERSITY   (Uganda)

^b MINISTRY OF HEALTH   (Uganda)

^c UNIVERSITY OF WASHINGTON   (United States)

^d UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^e UNIVERSITY OF OTTAWA   (Canada)

Author keywords

Human Resource for Health crisis; Surgical; Task shifting; Uganda

Indexed keywords

ARTICLE; FEASIBILITY STUDY; GENERAL SURGERY; HEALTH CARE DELIVERY; HEALTH CENTER; HOSPITAL; HUMAN; INFORMATION PROCESSING; MANPOWER; PERSONNEL MANAGEMENT; QUALITATIVE RESEARCH; RURAL HEALTH CARE; UGANDA;

COMMUNITY HEALTH CENTERS; FEASIBILITY STUDIES; FOCUS GROUPS; GENERAL SURGERY; HEALTH SERVICES ACCESSIBILITY; HOSPITALS; HUMANS; PERSONNEL STAFFING AND SCHEDULING; QUALITATIVE RESEARCH; RURAL HEALTH SERVICES; UGANDA;

EID: 84880954299     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-13-292     Document Type: Article

References (19)

1. Surgery. Debas H, Gosselin RA, McCord C, Thind A, et al. Disease Control priorities in developing countries New York: Oxford University Press, Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, 2 2006 1245 1259 Available: http://www.dcp2.org/pubs/DCP/67/FullText. Accessed 9 April 2009
2. The "other" neglected diseases in global public health: surgical conditions in sub-Saharan Africa. Ozgediz D, Riviello R, PLoS Med 2008 5 121 10.1371/journal.pmed.0050121 18532875 (Pubitemid 351919102)
3. Essential surgery at the district hospital: a retrospective descriptive analysis in the three African countries. Galukande M, von Schreeb J, Wladis A, Mbembati N, de Miranda H, et al. PLoS Med 2010 7 3 10000243
4. Efficacy of major general surgery performed by non physician clinical at a central hospital in Malawi. Wilhelm TJ, Thame IK, Mwatibu B, Mothes H, Post S, Trop Doct 2011 41 2 71 75 10.1258/td.2010.100272 21303987
5. Forecasting the global shortage of physicians: an economic- and needs-based approach. Scheffler RMJ, Liu X, et al. Bull World Health Organ 2008 86 7 516 523B 10.2471/BLT.07.046474 18670663 (Pubitemid 351931211)
6. The neglect of the global surgical workforce: experience and evidence from Uganda. Ozgediz D, Galukande M, Mabweijano J, Kijjambu S, Mijumbi C, et al. World J Surg 2008 32 1208 1215 10.1007/s00268-008-9473-4 18299920
7. Randomised, controlled intervention trial of male circumcision for reduction of HIV risk: the ANRS 1265 Trial. Auvert B, Taljaard D, Largarde E, Sobngwi-Tambe Kpu J, Sitta R, et al. PLoS Med 2005 298 10.1371/journal.pmed. 0020298 (Pubitemid 41735779)
8. Male circumcision for HIV prevention in men in Rakai, Uganda: a randomized trial. Gray R, Kigozi G, Serwadda D, Makumbi F, Watya S, et al. Lancet 2007 369 657 666 10.1016/S0140-6736(07)60313-4 17321311
9. Task shifting: the answer to human resources crisis in Africa? Lehmann U, Van Damme W, Barten F, Sanders D, Hum Resour Heal 2009 7 49 10.1186/1478-4491-7-49
10. Health workforce skill mix and task shifting in low income countries: a review of recent evidence. Fulton BD, Scheffler RM, Sparkes SP, Auh EY, Vuyicic M, Soucat A, Hum Resour Heal 2011 9 1 10.1186/1478-4491-9-1
11. Taskshifting to tackle health worker shortages-Global recommendations and Guidelines. http://www.who.int/healthsystems/task-shifting/en/
12. Surgery in Malawi-A national survey of activity in rural and urban Hospitals. Lavy C, Tindall A, Steinlechner C, Mkandawire N, Chimangeni S, Ann R Coll Surg Engl 2007 89 722 724 10.1308/003588407X209329 17959015 (Pubitemid 47577789)
13. Non-physician clinicians in 47 sub-Saharan African countries. Mullan F, Frehywot S, Lancet 2007 370 2158 2163 10.1016/S0140-6736(07)60785-5 17574662 (Pubitemid 350301983)
14. Meeting the need for emergency obstetric care in Mozambique: work performance and histories of medical doctors and assistant medical officers trained for surgery. Pereira C, Cumbi A, Malalane R, Vaz F, McCord C, et al. BJOG 2007 114 1530 1533 10.1111/j.1471-0528.2007.01489.x 17877775 (Pubitemid 350077422)
15. Postoperative outcome of caesarean sections and other major emergency obstetric surgery by clinical officers and medical officers in Malawi. Chilopora G, Pereira C, Kamwendo F, Chimbiri A, Malunga E, Bergström S, Hum Resour Heal 2007 5 17 10.1186/1478-4491-5-17
16. Training medical assistants for surgery. Vaz F, Bergstrom S, Vaz MDL, Langa J, Bagalho A, Bulletin of the WHO 1999 77 8
17. Major surgery delegation to mid level health practitioners in Mozambique: health professionals' perceptions. Cumbi A, Pereira C, Malalane R, Vaz F, Mc Cord C, Bacci A, Bergstrom S, Hum Resour Heal 2007 5 27 10.1186/1478-4491-5-27
18. Motivation, money and respect: a mixed method study of Tanzanian non physician Clinicians. Chandler CI, Chonya S, Mtei F, Reyburn H, Whitty CJ, Soc Sci Med 2009 68 11 2078 2088 10.1016/j.socscimed.2009.03.007 19328607
19. Increasing community health work force productivity and effectiveness: a review of the influence of the work environment. Jackie Wicz W, Tulenko K, Hum Resour Health 2012 10 38 10.1186/1478-4491-10-38 23017131