A systematic review of task- shifting for HIV treatment and care in Africa View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-12

AUTHORS

Mike Callaghan, Nathan Ford, Helen Schneider

ABSTRACT

BACKGROUND: Shortages of human resources for health (HRH) have severely hampered the rollout of antiretroviral therapy (ART) in sub-Saharan Africa. Current rollout models are hospital- and physician-intensive. Task shifting, or delegating tasks performed by physicians to staff with lower-level qualifications, is considered a means of expanding rollout in resource-poor or HRH-limited settings. METHODS: We conducted a systematic literature review. Medline, the Cochrane library, the Social Science Citation Index, and the South African National Health Research Database were searched with the following terms: task shift*, balance of care, non-physician clinicians, substitute health care worker, community care givers, primary healthcare teams, cadres, and nurs* HIV. We mined bibliographies and corresponded with authors for further results. Grey literature was searched online, and conference proceedings searched for abstracts. RESULTS: We found 2960 articles, of which 84 were included in the core review. 51 reported outcomes, including research from 10 countries in sub-Saharan Africa. The most common intervention studied was the delegation of tasks (especially initiating and monitoring HAART) from doctors to nurses and other non-physician clinicians. Five studies showed increased access to HAART through expanded clinical capacity; two concluded task shifting is cost effective; 9 showed staff equal or better quality of care; studies on non-physician clinician agreement with physician decisions was mixed, with the majority showing good agreement. CONCLUSIONS: Task shifting is an effective strategy for addressing shortages of HRH in HIV treatment and care. Task shifting offers high-quality, cost-effective care to more patients than a physician-centered model. The main challenges to implementation include adequate and sustainable training, support and pay for staff in new roles, the integration of new members into healthcare teams, and the compliance of regulatory bodies. Task shifting should be considered for careful implementation where HRH shortages threaten rollout programmes. More... »

PAGES

8

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1478-4491-8-8

DOI

http://dx.doi.org/10.1186/1478-4491-8-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1044264376

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20356363


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": "University of Toronto", 
          "id": "https://www.grid.ac/institutes/grid.17063.33", 
          "name": [
            "Department of Anthropology, University of Toronto, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Callaghan", 
        "givenName": "Mike", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Cape Town", 
          "id": "https://www.grid.ac/institutes/grid.7836.a", 
          "name": [
            "M\u00e9decins Sans Fronti\u00e8res, Cape Town, South Africa", 
            "Centre for Infectious Disease Epidemiology and Research, University of Cape Town, South Africa"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ford", 
        "givenName": "Nathan", 
        "id": "sg:person.01000400112.73", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01000400112.73"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Cape Town", 
          "id": "https://www.grid.ac/institutes/grid.7836.a", 
          "name": [
            "Centre for Infectious Disease Epidemiology and Research, University of Cape Town, South Africa"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Schneider", 
        "givenName": "Helen", 
        "id": "sg:person.01241710252.69", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01241710252.69"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1056/nejmsb071889", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000300663"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1017/s0025727300031720", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001190365"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(08)60687-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001549672"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejm197206152862404", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003348350"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.0737-1209.2005.220413.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004156809"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(06)69119-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004477622"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1466-7657.2008.00680.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005876657"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1744-8603-4-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006740873", 
          "https://doi.org/10.1186/1744-8603-4-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1017/s0025727300031732", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008750059"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1365-2834.1999.00113.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009778242"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1365-2834.1999.00113.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009778242"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.298.16.1888", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011573896"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1525-1446.2002.19003.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013120023"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1758-2652-12-23", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013796038", 
          "https://doi.org/10.1186/1758-2652-12-23"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00002030-200406003-00005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014384744"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00002030-200406003-00005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014384744"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejmc080048", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016691271"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1478-4491-6-15", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1016756005", 
          "https://doi.org/10.1186/1478-4491-6-15"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(07)60785-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017037731"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1471-2431-8-39", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017755311", 
          "https://doi.org/10.1186/1471-2431-8-39"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1478-4491-7-44", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018699194", 
          "https://doi.org/10.1186/1478-4491-7-44"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(06)69118-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019458658"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/09581590500186117", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021228851"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/09581590500186117", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021228851"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1365-3156.2008.02169.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021526510"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1478-4491-2-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023502501", 
          "https://doi.org/10.1186/1478-4491-2-7"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(08)61375-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023750931"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/qai.0b013e3181988375", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028732722"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/qai.0b013e3181988375", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028732722"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1371/journal.pone.0002204", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030370141"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(08)60307-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031085934"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/14651858.cd004015.pub2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031470306"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/14651858.cd001271.pub2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031601427"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1086/521122", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032673576"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1371/journal.pmed.1000163", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034139514"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(08)60345-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036305533"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(09)61674-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036328444"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0968-8080(06)27232-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037056463"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/heapol/czn006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037642484"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1472-6963-9-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039016560", 
          "https://doi.org/10.1186/1472-6963-9-5"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1086/521114", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042974599"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1478-4491-7-49", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1043123620", 
          "https://doi.org/10.1186/1478-4491-7-49"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1086/521123", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048415253"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2174/1874613600802010010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052107450"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2174/1874613600802010010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052107450"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2174/1874613600802010010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052107450"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.qai.0000243113.29412.dd", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053125523"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.qai.0000243113.29412.dd", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053125523"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.trstmh.2006.05.010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1054751336"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.trstmh.2008.09.019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1054751825"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/apc.2007.0234", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059228877"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/apc.2010.0349", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059229281"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077504395", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1083277244", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2010-12", 
    "datePublishedReg": "2010-12-01", 
    "description": "BACKGROUND: Shortages of human resources for health (HRH) have severely hampered the rollout of antiretroviral therapy (ART) in sub-Saharan Africa. Current rollout models are hospital- and physician-intensive. Task shifting, or delegating tasks performed by physicians to staff with lower-level qualifications, is considered a means of expanding rollout in resource-poor or HRH-limited settings.\nMETHODS: We conducted a systematic literature review. Medline, the Cochrane library, the Social Science Citation Index, and the South African National Health Research Database were searched with the following terms: task shift*, balance of care, non-physician clinicians, substitute health care worker, community care givers, primary healthcare teams, cadres, and nurs* HIV. We mined bibliographies and corresponded with authors for further results. Grey literature was searched online, and conference proceedings searched for abstracts.\nRESULTS: We found 2960 articles, of which 84 were included in the core review. 51 reported outcomes, including research from 10 countries in sub-Saharan Africa. The most common intervention studied was the delegation of tasks (especially initiating and monitoring HAART) from doctors to nurses and other non-physician clinicians. Five studies showed increased access to HAART through expanded clinical capacity; two concluded task shifting is cost effective; 9 showed staff equal or better quality of care; studies on non-physician clinician agreement with physician decisions was mixed, with the majority showing good agreement.\nCONCLUSIONS: Task shifting is an effective strategy for addressing shortages of HRH in HIV treatment and care. Task shifting offers high-quality, cost-effective care to more patients than a physician-centered model. The main challenges to implementation include adequate and sustainable training, support and pay for staff in new roles, the integration of new members into healthcare teams, and the compliance of regulatory bodies. Task shifting should be considered for careful implementation where HRH shortages threaten rollout programmes.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/1478-4491-8-8", 
    "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": "8"
      }
    ], 
    "name": "A systematic review of task- shifting for HIV treatment and care in Africa", 
    "pagination": "8", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "d2d8b5bc742a2a16ab243a3120093d7c4dc98e8021cf1b3db2de2b3076926c89"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "20356363"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101170535"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/1478-4491-8-8"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1044264376"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/1478-4491-8-8", 
      "https://app.dimensions.ai/details/publication/pub.1044264376"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T20:53", 
    "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_8684_00000551.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186%2F1478-4491-8-8"
  }
]
 

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.10.1186/1478-4491-8-8'

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

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1478-4491-8-8'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1478-4491-8-8'

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

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1478-4491-8-8'


 

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

233 TRIPLES      21 PREDICATES      76 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/1478-4491-8-8 schema:about anzsrc-for:11
2 anzsrc-for:1117
3 schema:author Nbaa6b31ef25f440f807e38cd799e6407
4 schema:citation sg:pub.10.1186/1471-2431-8-39
5 sg:pub.10.1186/1472-6963-9-5
6 sg:pub.10.1186/1478-4491-2-7
7 sg:pub.10.1186/1478-4491-6-15
8 sg:pub.10.1186/1478-4491-7-44
9 sg:pub.10.1186/1478-4491-7-49
10 sg:pub.10.1186/1744-8603-4-8
11 sg:pub.10.1186/1758-2652-12-23
12 https://app.dimensions.ai/details/publication/pub.1077504395
13 https://app.dimensions.ai/details/publication/pub.1083277244
14 https://doi.org/10.1001/jama.298.16.1888
15 https://doi.org/10.1002/14651858.cd001271.pub2
16 https://doi.org/10.1002/14651858.cd004015.pub2
17 https://doi.org/10.1016/j.trstmh.2006.05.010
18 https://doi.org/10.1016/j.trstmh.2008.09.019
19 https://doi.org/10.1016/s0140-6736(06)69118-6
20 https://doi.org/10.1016/s0140-6736(06)69119-8
21 https://doi.org/10.1016/s0140-6736(07)60785-5
22 https://doi.org/10.1016/s0140-6736(08)60307-4
23 https://doi.org/10.1016/s0140-6736(08)60345-1
24 https://doi.org/10.1016/s0140-6736(08)60687-x
25 https://doi.org/10.1016/s0140-6736(08)61375-6
26 https://doi.org/10.1016/s0140-6736(09)61674-3
27 https://doi.org/10.1016/s0968-8080(06)27232-x
28 https://doi.org/10.1017/s0025727300031720
29 https://doi.org/10.1017/s0025727300031732
30 https://doi.org/10.1046/j.1365-2834.1999.00113.x
31 https://doi.org/10.1046/j.1525-1446.2002.19003.x
32 https://doi.org/10.1056/nejm197206152862404
33 https://doi.org/10.1056/nejmc080048
34 https://doi.org/10.1056/nejmsb071889
35 https://doi.org/10.1080/09581590500186117
36 https://doi.org/10.1086/521114
37 https://doi.org/10.1086/521122
38 https://doi.org/10.1086/521123
39 https://doi.org/10.1089/apc.2007.0234
40 https://doi.org/10.1089/apc.2010.0349
41 https://doi.org/10.1093/heapol/czn006
42 https://doi.org/10.1097/00002030-200406003-00005
43 https://doi.org/10.1097/01.qai.0000243113.29412.dd
44 https://doi.org/10.1097/qai.0b013e3181988375
45 https://doi.org/10.1111/j.0737-1209.2005.220413.x
46 https://doi.org/10.1111/j.1365-3156.2008.02169.x
47 https://doi.org/10.1111/j.1466-7657.2008.00680.x
48 https://doi.org/10.1371/journal.pmed.1000163
49 https://doi.org/10.1371/journal.pone.0002204
50 https://doi.org/10.2174/1874613600802010010
51 schema:datePublished 2010-12
52 schema:datePublishedReg 2010-12-01
53 schema:description BACKGROUND: Shortages of human resources for health (HRH) have severely hampered the rollout of antiretroviral therapy (ART) in sub-Saharan Africa. Current rollout models are hospital- and physician-intensive. Task shifting, or delegating tasks performed by physicians to staff with lower-level qualifications, is considered a means of expanding rollout in resource-poor or HRH-limited settings. METHODS: We conducted a systematic literature review. Medline, the Cochrane library, the Social Science Citation Index, and the South African National Health Research Database were searched with the following terms: task shift*, balance of care, non-physician clinicians, substitute health care worker, community care givers, primary healthcare teams, cadres, and nurs* HIV. We mined bibliographies and corresponded with authors for further results. Grey literature was searched online, and conference proceedings searched for abstracts. RESULTS: We found 2960 articles, of which 84 were included in the core review. 51 reported outcomes, including research from 10 countries in sub-Saharan Africa. The most common intervention studied was the delegation of tasks (especially initiating and monitoring HAART) from doctors to nurses and other non-physician clinicians. Five studies showed increased access to HAART through expanded clinical capacity; two concluded task shifting is cost effective; 9 showed staff equal or better quality of care; studies on non-physician clinician agreement with physician decisions was mixed, with the majority showing good agreement. CONCLUSIONS: Task shifting is an effective strategy for addressing shortages of HRH in HIV treatment and care. Task shifting offers high-quality, cost-effective care to more patients than a physician-centered model. The main challenges to implementation include adequate and sustainable training, support and pay for staff in new roles, the integration of new members into healthcare teams, and the compliance of regulatory bodies. Task shifting should be considered for careful implementation where HRH shortages threaten rollout programmes.
54 schema:genre research_article
55 schema:inLanguage en
56 schema:isAccessibleForFree true
57 schema:isPartOf N4bbca32a95de43e1b635af42c2d1ba6a
58 N83d67e1a36504f64a1fdce1ad16e5944
59 sg:journal.1032052
60 schema:name A systematic review of task- shifting for HIV treatment and care in Africa
61 schema:pagination 8
62 schema:productId N03a26d21a968401ca4a3809428b4eb91
63 N1ea4fb17c8e4403f80b713d4fdaa6fa7
64 N7c67fed763bb4ec48f0595013c5db369
65 N81b0e94853604c4f9b46ae62ff93b20a
66 Nb0b205eede714f83928eb1029c528a3f
67 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044264376
68 https://doi.org/10.1186/1478-4491-8-8
69 schema:sdDatePublished 2019-04-10T20:53
70 schema:sdLicense https://scigraph.springernature.com/explorer/license/
71 schema:sdPublisher N91ec83936da742dc8d5866942d3747cc
72 schema:url http://link.springer.com/10.1186%2F1478-4491-8-8
73 sgo:license sg:explorer/license/
74 sgo:sdDataset articles
75 rdf:type schema:ScholarlyArticle
76 N0199b0b016da445da76efa1cd03ddbc5 rdf:first sg:person.01241710252.69
77 rdf:rest rdf:nil
78 N03a26d21a968401ca4a3809428b4eb91 schema:name nlm_unique_id
79 schema:value 101170535
80 rdf:type schema:PropertyValue
81 N07e4726c218f4674900fd15662e69ee2 schema:affiliation https://www.grid.ac/institutes/grid.17063.33
82 schema:familyName Callaghan
83 schema:givenName Mike
84 rdf:type schema:Person
85 N1ea4fb17c8e4403f80b713d4fdaa6fa7 schema:name pubmed_id
86 schema:value 20356363
87 rdf:type schema:PropertyValue
88 N4bbca32a95de43e1b635af42c2d1ba6a schema:issueNumber 1
89 rdf:type schema:PublicationIssue
90 N7c67fed763bb4ec48f0595013c5db369 schema:name dimensions_id
91 schema:value pub.1044264376
92 rdf:type schema:PropertyValue
93 N81b0e94853604c4f9b46ae62ff93b20a schema:name doi
94 schema:value 10.1186/1478-4491-8-8
95 rdf:type schema:PropertyValue
96 N83d67e1a36504f64a1fdce1ad16e5944 schema:volumeNumber 8
97 rdf:type schema:PublicationVolume
98 N91ec83936da742dc8d5866942d3747cc schema:name Springer Nature - SN SciGraph project
99 rdf:type schema:Organization
100 Nb0b205eede714f83928eb1029c528a3f schema:name readcube_id
101 schema:value d2d8b5bc742a2a16ab243a3120093d7c4dc98e8021cf1b3db2de2b3076926c89
102 rdf:type schema:PropertyValue
103 Nbaa6b31ef25f440f807e38cd799e6407 rdf:first N07e4726c218f4674900fd15662e69ee2
104 rdf:rest Nc8818ac4ae7b4581bc3542b9d7f97f61
105 Nc8818ac4ae7b4581bc3542b9d7f97f61 rdf:first sg:person.01000400112.73
106 rdf:rest N0199b0b016da445da76efa1cd03ddbc5
107 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
108 schema:name Medical and Health Sciences
109 rdf:type schema:DefinedTerm
110 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
111 schema:name Public Health and Health Services
112 rdf:type schema:DefinedTerm
113 sg:journal.1032052 schema:issn 0859-8037
114 1478-4491
115 schema:name Human Resources for Health
116 rdf:type schema:Periodical
117 sg:person.01000400112.73 schema:affiliation https://www.grid.ac/institutes/grid.7836.a
118 schema:familyName Ford
119 schema:givenName Nathan
120 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01000400112.73
121 rdf:type schema:Person
122 sg:person.01241710252.69 schema:affiliation https://www.grid.ac/institutes/grid.7836.a
123 schema:familyName Schneider
124 schema:givenName Helen
125 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01241710252.69
126 rdf:type schema:Person
127 sg:pub.10.1186/1471-2431-8-39 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017755311
128 https://doi.org/10.1186/1471-2431-8-39
129 rdf:type schema:CreativeWork
130 sg:pub.10.1186/1472-6963-9-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039016560
131 https://doi.org/10.1186/1472-6963-9-5
132 rdf:type schema:CreativeWork
133 sg:pub.10.1186/1478-4491-2-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023502501
134 https://doi.org/10.1186/1478-4491-2-7
135 rdf:type schema:CreativeWork
136 sg:pub.10.1186/1478-4491-6-15 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016756005
137 https://doi.org/10.1186/1478-4491-6-15
138 rdf:type schema:CreativeWork
139 sg:pub.10.1186/1478-4491-7-44 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018699194
140 https://doi.org/10.1186/1478-4491-7-44
141 rdf:type schema:CreativeWork
142 sg:pub.10.1186/1478-4491-7-49 schema:sameAs https://app.dimensions.ai/details/publication/pub.1043123620
143 https://doi.org/10.1186/1478-4491-7-49
144 rdf:type schema:CreativeWork
145 sg:pub.10.1186/1744-8603-4-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006740873
146 https://doi.org/10.1186/1744-8603-4-8
147 rdf:type schema:CreativeWork
148 sg:pub.10.1186/1758-2652-12-23 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013796038
149 https://doi.org/10.1186/1758-2652-12-23
150 rdf:type schema:CreativeWork
151 https://app.dimensions.ai/details/publication/pub.1077504395 schema:CreativeWork
152 https://app.dimensions.ai/details/publication/pub.1083277244 schema:CreativeWork
153 https://doi.org/10.1001/jama.298.16.1888 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011573896
154 rdf:type schema:CreativeWork
155 https://doi.org/10.1002/14651858.cd001271.pub2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031601427
156 rdf:type schema:CreativeWork
157 https://doi.org/10.1002/14651858.cd004015.pub2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031470306
158 rdf:type schema:CreativeWork
159 https://doi.org/10.1016/j.trstmh.2006.05.010 schema:sameAs https://app.dimensions.ai/details/publication/pub.1054751336
160 rdf:type schema:CreativeWork
161 https://doi.org/10.1016/j.trstmh.2008.09.019 schema:sameAs https://app.dimensions.ai/details/publication/pub.1054751825
162 rdf:type schema:CreativeWork
163 https://doi.org/10.1016/s0140-6736(06)69118-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019458658
164 rdf:type schema:CreativeWork
165 https://doi.org/10.1016/s0140-6736(06)69119-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004477622
166 rdf:type schema:CreativeWork
167 https://doi.org/10.1016/s0140-6736(07)60785-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017037731
168 rdf:type schema:CreativeWork
169 https://doi.org/10.1016/s0140-6736(08)60307-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031085934
170 rdf:type schema:CreativeWork
171 https://doi.org/10.1016/s0140-6736(08)60345-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036305533
172 rdf:type schema:CreativeWork
173 https://doi.org/10.1016/s0140-6736(08)60687-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1001549672
174 rdf:type schema:CreativeWork
175 https://doi.org/10.1016/s0140-6736(08)61375-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023750931
176 rdf:type schema:CreativeWork
177 https://doi.org/10.1016/s0140-6736(09)61674-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036328444
178 rdf:type schema:CreativeWork
179 https://doi.org/10.1016/s0968-8080(06)27232-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1037056463
180 rdf:type schema:CreativeWork
181 https://doi.org/10.1017/s0025727300031720 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001190365
182 rdf:type schema:CreativeWork
183 https://doi.org/10.1017/s0025727300031732 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008750059
184 rdf:type schema:CreativeWork
185 https://doi.org/10.1046/j.1365-2834.1999.00113.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1009778242
186 rdf:type schema:CreativeWork
187 https://doi.org/10.1046/j.1525-1446.2002.19003.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1013120023
188 rdf:type schema:CreativeWork
189 https://doi.org/10.1056/nejm197206152862404 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003348350
190 rdf:type schema:CreativeWork
191 https://doi.org/10.1056/nejmc080048 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016691271
192 rdf:type schema:CreativeWork
193 https://doi.org/10.1056/nejmsb071889 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000300663
194 rdf:type schema:CreativeWork
195 https://doi.org/10.1080/09581590500186117 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021228851
196 rdf:type schema:CreativeWork
197 https://doi.org/10.1086/521114 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042974599
198 rdf:type schema:CreativeWork
199 https://doi.org/10.1086/521122 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032673576
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1086/521123 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048415253
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1089/apc.2007.0234 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059228877
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1089/apc.2010.0349 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059229281
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1093/heapol/czn006 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037642484
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1097/00002030-200406003-00005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014384744
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1097/01.qai.0000243113.29412.dd schema:sameAs https://app.dimensions.ai/details/publication/pub.1053125523
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1097/qai.0b013e3181988375 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028732722
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1111/j.0737-1209.2005.220413.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1004156809
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1111/j.1365-3156.2008.02169.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1021526510
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1111/j.1466-7657.2008.00680.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1005876657
220 rdf:type schema:CreativeWork
221 https://doi.org/10.1371/journal.pmed.1000163 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034139514
222 rdf:type schema:CreativeWork
223 https://doi.org/10.1371/journal.pone.0002204 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030370141
224 rdf:type schema:CreativeWork
225 https://doi.org/10.2174/1874613600802010010 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052107450
226 rdf:type schema:CreativeWork
227 https://www.grid.ac/institutes/grid.17063.33 schema:alternateName University of Toronto
228 schema:name Department of Anthropology, University of Toronto, Canada
229 rdf:type schema:Organization
230 https://www.grid.ac/institutes/grid.7836.a schema:alternateName University of Cape Town
231 schema:name Centre for Infectious Disease Epidemiology and Research, University of Cape Town, South Africa
232 Médecins Sans Frontières, Cape Town, South Africa
233 rdf:type schema:Organization
 




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


...