Shining a Light on Task-Shifting Policy Exploring opportunities for adaptability in non-communicable disease management programmes in Uganda
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 2
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 signifcantly 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 specifc tasks are transferred to health workers with less training and fewer qualifcations. Successful implementation of a task-shifting policy requires appropriate skill training, clearly defned roles, adequate evaluation, an enhanced training capacity and sufcient health worker incentives. Tis article focuses on task-shifting policy as a potentially effective strategy to address the growing burden of NCDs on the Ugandan healthcare system.
Authors and Affiliations
Godfrey Katende| Department of Adult Health & Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman, Mary Donnelly| Department of Acute & Chronic Care, School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA
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