Exploring task-shifting practices in antiretroviral treatment facilities in the Free State Province, South Africa

被引：11

作者：

de Wet, Katinka ^{[1
]}

Wouters, Edwin ^{[1
,2
]}

Engelbrecht, Michelle ^{[1
]}

机构：

[1] Univ Orange Free State, Ctr Hlth Syst Res & Dev, ZA-9301 Bloemfontein, South Africa

[2] Univ Antwerp, Edegem, Belgium

来源：

JOURNAL OF PUBLIC HEALTH POLICY | 2011年 / 32卷

关键词：

task shifting; nurses; community health workers; human resources; HIV/AIDS; South Africa; PROGRAM;

D O I：

10.1057/jphp.2011.30

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

There is good progress with the implementation of South Africa's antiretroviral treatment program. The country, however, faces human resource shortages that could be addressed through appropriate task shifting. During 2009, we studied task shifting from nurses to community health workers (CHWs) for HIV treatment and care at 12 primary health-care clinics in Free State Province, South Africa. We found inefficiency in nurse deployment, and nurses spent considerable time on training, counseling, and administrative tasks that could be shifted to CHWs. Such a shift will require the South African Ministry of Health to recognize CHWs formally in the health system. Journal of Public Health Policy (2011) 32, S94-S101. doi:10.1057/jphp.2011.30

引用

页码：S94 / S101

页数：8

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