Task-shifting: experiences and opinions of health workers in Mozambique and Zambia View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-12

AUTHORS

Paulo Ferrinho, Mohsin Sidat, Fastone Goma, Gilles Dussault

ABSTRACT

BACKGROUND: This paper describes the task-shifting taking place in health centres and district hospitals in Mozambique and Zambia. The objectives of this study were to identify the perceived causes and factors facilitating or impeding task-shifting, and to determine both the positive and negative consequences of task-shifting for the service users, for the services and for health workers. METHODS: Data collection involved individual and group interviews and focus group discussions with health workers from the civil service. RESULTS: In both the Republic of Mozambique and the Republic of Zambia, health workers have to practice beyond the traditional scope of their professional practice to cope with their daily tasks. They do so to ensure that their patients receive the level of care that they, the health workers, deem due to them, even in the absence of written instructions.The "out of professional scope" activities consume a significant amount of working time. On occasions, health workers are given on-the-job training to assume new roles, but job titles and rewards do not change, and career progression is unheard of. Ancillary staff and nurses are the two cadres assuming a greater diversity of functions as a result of improvised task-shifting. CONCLUSIONS: Our observations show that the consequences of staff deficits and poor conditions of work include heavier workloads for those on duty, the closure of some services, the inability to release staff for continuing education, loss of quality, conflicts with patients, risks for patients, unsatisfied staff (with the exception of ancillary staff) and hazards for health workers and managers. Task-shifting is openly acknowledged and widespread, informal and carries risks for patients, staff and management. More... »

PAGES

34

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1478-4491-10-34

DOI

http://dx.doi.org/10.1186/1478-4491-10-34

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1041504235

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22985229


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Universidade Nova de Lisboa", 
          "id": "https://www.grid.ac/institutes/grid.10772.33", 
          "name": [
            "International Public Health & Biostatistics Unit and CMDT, WHO Collaborating Centre for Health Workforce Policy and Planning, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ferrinho", 
        "givenName": "Paulo", 
        "id": "sg:person.01343114647.57", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01343114647.57"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Eduardo Mondlane University", 
          "id": "https://www.grid.ac/institutes/grid.8295.6", 
          "name": [
            "International Public Health & Biostatistics Unit and CMDT, WHO Collaborating Centre for Health Workforce Policy and Planning, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal", 
            "Faculty of Medicine, Universidade Eduardo Mondlane, Maputo, Mozambique"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Sidat", 
        "givenName": "Mohsin", 
        "id": "sg:person.0647424023.12", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0647424023.12"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Lusaka", 
          "id": "https://www.grid.ac/institutes/grid.442693.e", 
          "name": [
            "Faculty of Medicine, University of Lusaka, Lusaka, Zambia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Goma", 
        "givenName": "Fastone", 
        "id": "sg:person.01063761225.45", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01063761225.45"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Universidade Nova de Lisboa", 
          "id": "https://www.grid.ac/institutes/grid.10772.33", 
          "name": [
            "International Public Health & Biostatistics Unit and CMDT, WHO Collaborating Centre for Health Workforce Policy and Planning, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Dussault", 
        "givenName": "Gilles", 
        "id": "sg:person.01225303622.57", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01225303622.57"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1186/1472-6963-10-272", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011519316", 
          "https://doi.org/10.1186/1472-6963-10-272"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1478-4491-9-30", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017613011", 
          "https://doi.org/10.1186/1478-4491-9-30"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1478-4491-8-15", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027296856", 
          "https://doi.org/10.1186/1478-4491-8-15"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1471-0528.2007.01443.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031585842"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1478-4491-8-14", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037559340", 
          "https://doi.org/10.1186/1478-4491-8-14"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1526-9523(01)00142-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040971684"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/heapol/czp038", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045208032"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1526-9523(01)00221-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045901873"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.nedt.2003.10.001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047754685"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/17531050701218841", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049852092"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/13576280600937911", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1058384112"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1075100956", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2012-12", 
    "datePublishedReg": "2012-12-01", 
    "description": "\nBACKGROUND: This paper describes the task-shifting taking place in health centres and district hospitals in Mozambique and Zambia. The objectives of this study were to identify the perceived causes and factors facilitating or impeding task-shifting, and to determine both the positive and negative consequences of task-shifting for the service users, for the services and for health workers.\nMETHODS: Data collection involved individual and group interviews and focus group discussions with health workers from the civil service.\nRESULTS: In both the Republic of Mozambique and the Republic of Zambia, health workers have to practice beyond the traditional scope of their professional practice to cope with their daily tasks. They do so to ensure that their patients receive the level of care that they, the health workers, deem due to them, even in the absence of written instructions.The \"out of professional scope\" activities consume a significant amount of working time. On occasions, health workers are given on-the-job training to assume new roles, but job titles and rewards do not change, and career progression is unheard of. Ancillary staff and nurses are the two cadres assuming a greater diversity of functions as a result of improvised task-shifting.\nCONCLUSIONS: Our observations show that the consequences of staff deficits and poor conditions of work include heavier workloads for those on duty, the closure of some services, the inability to release staff for continuing education, loss of quality, conflicts with patients, risks for patients, unsatisfied staff (with the exception of ancillary staff) and hazards for health workers and managers. Task-shifting is openly acknowledged and widespread, informal and carries risks for patients, staff and management.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/1478-4491-10-34", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1032052", 
        "issn": [
          "0859-8037", 
          "1478-4491"
        ], 
        "name": "Human Resources for Health", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "10"
      }
    ], 
    "name": "Task-shifting: experiences and opinions of health workers in Mozambique and Zambia", 
    "pagination": "34", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "c5b6e04deb4ffdc940121f594be9ed36fff871936a054ef848e9f8874d3e3023"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "22985229"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101170535"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/1478-4491-10-34"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1041504235"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/1478-4491-10-34", 
      "https://app.dimensions.ai/details/publication/pub.1041504235"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T20:04", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8681_00000551.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186%2F1478-4491-10-34"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1478-4491-10-34'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1478-4491-10-34'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1478-4491-10-34'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1478-4491-10-34'


 

This table displays all metadata directly associated to this object as RDF triples.

136 TRIPLES      21 PREDICATES      41 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/1478-4491-10-34 schema:about anzsrc-for:11
2 anzsrc-for:1117
3 schema:author N0743b90ce5eb467f9e9b422595f8cfcd
4 schema:citation sg:pub.10.1186/1472-6963-10-272
5 sg:pub.10.1186/1478-4491-8-14
6 sg:pub.10.1186/1478-4491-8-15
7 sg:pub.10.1186/1478-4491-9-30
8 https://app.dimensions.ai/details/publication/pub.1075100956
9 https://doi.org/10.1016/j.nedt.2003.10.001
10 https://doi.org/10.1016/s1526-9523(01)00142-8
11 https://doi.org/10.1016/s1526-9523(01)00221-5
12 https://doi.org/10.1080/13576280600937911
13 https://doi.org/10.1080/17531050701218841
14 https://doi.org/10.1093/heapol/czp038
15 https://doi.org/10.1111/j.1471-0528.2007.01443.x
16 schema:datePublished 2012-12
17 schema:datePublishedReg 2012-12-01
18 schema:description BACKGROUND: This paper describes the task-shifting taking place in health centres and district hospitals in Mozambique and Zambia. The objectives of this study were to identify the perceived causes and factors facilitating or impeding task-shifting, and to determine both the positive and negative consequences of task-shifting for the service users, for the services and for health workers. METHODS: Data collection involved individual and group interviews and focus group discussions with health workers from the civil service. RESULTS: In both the Republic of Mozambique and the Republic of Zambia, health workers have to practice beyond the traditional scope of their professional practice to cope with their daily tasks. They do so to ensure that their patients receive the level of care that they, the health workers, deem due to them, even in the absence of written instructions.The "out of professional scope" activities consume a significant amount of working time. On occasions, health workers are given on-the-job training to assume new roles, but job titles and rewards do not change, and career progression is unheard of. Ancillary staff and nurses are the two cadres assuming a greater diversity of functions as a result of improvised task-shifting. CONCLUSIONS: Our observations show that the consequences of staff deficits and poor conditions of work include heavier workloads for those on duty, the closure of some services, the inability to release staff for continuing education, loss of quality, conflicts with patients, risks for patients, unsatisfied staff (with the exception of ancillary staff) and hazards for health workers and managers. Task-shifting is openly acknowledged and widespread, informal and carries risks for patients, staff and management.
19 schema:genre research_article
20 schema:inLanguage en
21 schema:isAccessibleForFree true
22 schema:isPartOf N13ed7ee277a64cc6ad43e236462494be
23 Nd9b209753301411fab718d3b923da0fb
24 sg:journal.1032052
25 schema:name Task-shifting: experiences and opinions of health workers in Mozambique and Zambia
26 schema:pagination 34
27 schema:productId N5a6e5df554e84edb9e6e4bfdf8efbf6f
28 N8553cacadfaa413cb6cc1aa7c89e322f
29 N8d32325d9127414485580b97799bc7ef
30 N92c744a15a9343cfaa6b66bc6e5d194d
31 Ncd36c93776954f0492217e7ab690e0b2
32 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041504235
33 https://doi.org/10.1186/1478-4491-10-34
34 schema:sdDatePublished 2019-04-10T20:04
35 schema:sdLicense https://scigraph.springernature.com/explorer/license/
36 schema:sdPublisher N5568ce202fb240c48f8129a21913f3c1
37 schema:url http://link.springer.com/10.1186%2F1478-4491-10-34
38 sgo:license sg:explorer/license/
39 sgo:sdDataset articles
40 rdf:type schema:ScholarlyArticle
41 N0743b90ce5eb467f9e9b422595f8cfcd rdf:first sg:person.01343114647.57
42 rdf:rest N87e49ff7ce744ea5ac0571bffefa24b7
43 N13ed7ee277a64cc6ad43e236462494be schema:issueNumber 1
44 rdf:type schema:PublicationIssue
45 N47a0db8ca4ae4bf8b283a39e70e847dc rdf:first sg:person.01063761225.45
46 rdf:rest N62519b72b5d3411a80760e46b3e09c08
47 N5568ce202fb240c48f8129a21913f3c1 schema:name Springer Nature - SN SciGraph project
48 rdf:type schema:Organization
49 N5a6e5df554e84edb9e6e4bfdf8efbf6f schema:name readcube_id
50 schema:value c5b6e04deb4ffdc940121f594be9ed36fff871936a054ef848e9f8874d3e3023
51 rdf:type schema:PropertyValue
52 N62519b72b5d3411a80760e46b3e09c08 rdf:first sg:person.01225303622.57
53 rdf:rest rdf:nil
54 N8553cacadfaa413cb6cc1aa7c89e322f schema:name nlm_unique_id
55 schema:value 101170535
56 rdf:type schema:PropertyValue
57 N87e49ff7ce744ea5ac0571bffefa24b7 rdf:first sg:person.0647424023.12
58 rdf:rest N47a0db8ca4ae4bf8b283a39e70e847dc
59 N8d32325d9127414485580b97799bc7ef schema:name dimensions_id
60 schema:value pub.1041504235
61 rdf:type schema:PropertyValue
62 N92c744a15a9343cfaa6b66bc6e5d194d schema:name doi
63 schema:value 10.1186/1478-4491-10-34
64 rdf:type schema:PropertyValue
65 Ncd36c93776954f0492217e7ab690e0b2 schema:name pubmed_id
66 schema:value 22985229
67 rdf:type schema:PropertyValue
68 Nd9b209753301411fab718d3b923da0fb schema:volumeNumber 10
69 rdf:type schema:PublicationVolume
70 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
71 schema:name Medical and Health Sciences
72 rdf:type schema:DefinedTerm
73 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
74 schema:name Public Health and Health Services
75 rdf:type schema:DefinedTerm
76 sg:journal.1032052 schema:issn 0859-8037
77 1478-4491
78 schema:name Human Resources for Health
79 rdf:type schema:Periodical
80 sg:person.01063761225.45 schema:affiliation https://www.grid.ac/institutes/grid.442693.e
81 schema:familyName Goma
82 schema:givenName Fastone
83 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01063761225.45
84 rdf:type schema:Person
85 sg:person.01225303622.57 schema:affiliation https://www.grid.ac/institutes/grid.10772.33
86 schema:familyName Dussault
87 schema:givenName Gilles
88 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01225303622.57
89 rdf:type schema:Person
90 sg:person.01343114647.57 schema:affiliation https://www.grid.ac/institutes/grid.10772.33
91 schema:familyName Ferrinho
92 schema:givenName Paulo
93 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01343114647.57
94 rdf:type schema:Person
95 sg:person.0647424023.12 schema:affiliation https://www.grid.ac/institutes/grid.8295.6
96 schema:familyName Sidat
97 schema:givenName Mohsin
98 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0647424023.12
99 rdf:type schema:Person
100 sg:pub.10.1186/1472-6963-10-272 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011519316
101 https://doi.org/10.1186/1472-6963-10-272
102 rdf:type schema:CreativeWork
103 sg:pub.10.1186/1478-4491-8-14 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037559340
104 https://doi.org/10.1186/1478-4491-8-14
105 rdf:type schema:CreativeWork
106 sg:pub.10.1186/1478-4491-8-15 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027296856
107 https://doi.org/10.1186/1478-4491-8-15
108 rdf:type schema:CreativeWork
109 sg:pub.10.1186/1478-4491-9-30 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017613011
110 https://doi.org/10.1186/1478-4491-9-30
111 rdf:type schema:CreativeWork
112 https://app.dimensions.ai/details/publication/pub.1075100956 schema:CreativeWork
113 https://doi.org/10.1016/j.nedt.2003.10.001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047754685
114 rdf:type schema:CreativeWork
115 https://doi.org/10.1016/s1526-9523(01)00142-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1040971684
116 rdf:type schema:CreativeWork
117 https://doi.org/10.1016/s1526-9523(01)00221-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045901873
118 rdf:type schema:CreativeWork
119 https://doi.org/10.1080/13576280600937911 schema:sameAs https://app.dimensions.ai/details/publication/pub.1058384112
120 rdf:type schema:CreativeWork
121 https://doi.org/10.1080/17531050701218841 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049852092
122 rdf:type schema:CreativeWork
123 https://doi.org/10.1093/heapol/czp038 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045208032
124 rdf:type schema:CreativeWork
125 https://doi.org/10.1111/j.1471-0528.2007.01443.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1031585842
126 rdf:type schema:CreativeWork
127 https://www.grid.ac/institutes/grid.10772.33 schema:alternateName Universidade Nova de Lisboa
128 schema:name International Public Health & Biostatistics Unit and CMDT, WHO Collaborating Centre for Health Workforce Policy and Planning, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal
129 rdf:type schema:Organization
130 https://www.grid.ac/institutes/grid.442693.e schema:alternateName University of Lusaka
131 schema:name Faculty of Medicine, University of Lusaka, Lusaka, Zambia
132 rdf:type schema:Organization
133 https://www.grid.ac/institutes/grid.8295.6 schema:alternateName Eduardo Mondlane University
134 schema:name Faculty of Medicine, Universidade Eduardo Mondlane, Maputo, Mozambique
135 International Public Health & Biostatistics Unit and CMDT, WHO Collaborating Centre for Health Workforce Policy and Planning, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal
136 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...