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Task shifting and task sharing in the health sector in sub-Saharan Africa: evidence, success indicators, challenges, and opportunities
Journal article   Open access   Peer reviewed

Task shifting and task sharing in the health sector in sub-Saharan Africa: evidence, success indicators, challenges, and opportunities

Brenda Mbouamba Yankam, Oluwafemi Adeagbo, Hubert Amu, Robert Kokou Dowou, Beryl Gillian Mbouamba Nyamen, Samuel Chinonso Ubechu, Pascal Georges Félix, Ngwayu Claude Nkfusai, Oluwaseun Badru and Luchuo Engelbert Bain
The Pan African medical journal, Vol.46, 11
2023
DOI: 10.11604/pamj.2023.46.11.40984
PMCID: PMC10683172
PMID: 38035152
url
https://doi.org/10.11604/pamj.2023.46.11.40984View
Published (Version of record) Open Access

Abstract

This review explores task shifting and task sharing in sub-Saharan African healthcare to address workforce shortages and cost-effectiveness. Task shifting allocates tasks logically, while task sharing involves more workers taking on specific duties. Challenges include supply chain issues, pay inadequacy, and weak supervision. Guidelines and success measures are lacking. Initiating these practices requires evaluating factors and ensuring sustainability. Task shifting saves costs but needs training and support. Task sharing boosts efficiency, enabling skilled clinicians to contribute effectively. To advance task shifting and sharing in the region, further research is needed to scale up effective initiatives. Clear success indicators, monitoring, evaluation, and learning plans, along with exploration of sustainability and appropriateness dimensions, are crucial elements to consider.

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