Task shifting

Task shifting features

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  HIV and TB in Practice for nurses: Starting ART for treatment and prevention in people with active TB and HIV

  This article provides information for nurses on starting HIV treatment for people with HIV and active TB....

  From:  HIV & AIDS treatment in practice

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  HIV and TB in Practice for nurses: TB symptom screening and linking to diagnosis and care

  This edition looks at the practicalities of symptom screening and keeping track of patients during the diagnostic process....

  From:  HIV & AIDS treatment in practice

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  HIV and TB in Practice for nurses: active TB case finding

  The role of nurses and community health workers in the identification of TB in people living with HIV and in the wider community. ...

  From:  HIV & AIDS treatment in practice

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  HIV and TB in Practice for nurses: cotrimoxazole prophylaxis

  Cotrimoxazole prophylaxis is the use of a common antiobiotic to prevent a range of infections that commonly affect people living with HIV. ...

  From:  HIV & AIDS treatment in practice

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  HIV and TB in Practice for nurses: non-communicable diseases, HIV and TB

  Conditions such as cancer, heart disease and diabetes in low- and middle-income countries, and awareness of these conditions in people living with HIV and/or TB. ...

  From:  HIV & AIDS treatment in practice

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  HIV and TB in Practice for nurses: integration and decentralisation

  The drive towards decentralisation and integration of HIV services from the point of view of those delivering those services, nurses and community health workers....

  From:  HIV & AIDS treatment in practice

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  HIV and TB in Practice for nurses

  This is the first of a special monthly edition of HATiP for nurses and other health care workers involved in task-shifting in sub-Saharan Africa....

  From:  HIV & AIDS treatment in practice

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  Operational research: diagnostics and task-shifting

  Widespread introduction of point-of-care (POC) CD4 cell tests that don’t require a laboratory technician but can be performed onsite by a nurse, providing results in...

  From:  HIV & AIDS treatment in practice

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  Access to HIV services can be increased by task shifting — but only with support and encouragement

  Several studies presented at the 5th South African AIDS Conference provided reassuring evidence that many health services, including the initiation and management of antiretoviral therapy (ART), can be...

  From:  HIV & AIDS treatment in practice

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  Task shifting to lay personnel

  As suggested by the STRETCH study, and the experience in Ugu district, to allow nurses to take on other duties, it will also be necessary to shift...

  From:  HIV & AIDS treatment in practice

Task shifting news from aidsmap

• Screening can reduce number of patients in need of a doctor's time in busy South African clinic

  Screening patients to identify those who are stable on treatment in a high-volume, large, urban, public-sector clinic in Johannesburg, South Africa has the potential to reduce total doctor visits by 40% (14,000 each year), ease clinic congestion, reduce the time ...

  29 January 2013 | Carole Leach-Lemens

• Circumcision taking off in several African countries, but more task-shifting needed

  Voluntary medical male circumcision (VMMC) programmes are expanding in several African countries and in a couple of locations have almost reached saturation point, with most of the eligible young male population circumcised, the 19th International AIDS Conference (AIDS 2012) in ...

  24 July 2012 | Gus Cairns

• Improved health, wish for normal life, main reason for loss to follow-up in Ugandan HIV patients

  Wanting to return to a ‘normal’ life after having experienced an improvement in health on HIV treatment was the key reason for loss to follow-up of three-quarters of patients who didn't return to a Kampala HIV clinic, according to ...

  17 April 2012 | Carole Leach-Lemens

• Task shifting for male medical circumcision safe: international review

  With proper training and supervision task shifting of medical male circumcision to non-physician clinicians in Africa can be done safely, according to researchers in South Africa and North America reporting in the advance online edition of AIDS. This systematic review and analysis ...

  06 January 2012 | Carole Leach-Lemens

• Task-shifting of HIV care to nurses: successes, but problems to watch out for

  “A nurse-led service can deliver ART care as effectively as a doctor-driven one, and even improves quality of care, but this pragmatic trial did not result in increased access to ART,” said Lara Fairall of the University of Cape ...

  21 July 2011 | Theo Smart

• Pharmacy staff also critical for keeping ART patients in care, Mozambique study suggests

  Pharmacy staff may be just as important as clinical staff in ensuring that patients in sub-Saharan Africa are not lost to follow-up, according to a large study of public sector HIV care and treatment clinics in Central Mozambique. Higher pharmacy staff ...

  01 April 2011 | Carole Leach-Lemens

• Self-forming patient groups in Mozambique succesfully distribute ARVs, monitor treatment

  Self-forming groups of patients which distribute antiretroviral drugs to those on treatment have proved highly successful in retaining patients in care in Mozambique, and drastically reduced the need for patients to travel to health facilities, according to Tom Decroo and ...

  13 January 2011 | Carole Leach-Lemens

• Scale up of treatment linked to rise in loss to follow-up, but those in care continue to do well

  Low death rates and high rates of viral load suppression have been sustained throughout the seven years of scale-up in a community-based antiretroviral treatment service in a poor area of Cape Town, South Africa. However, the cumulative probabilities of loss ...

  05 January 2011 | Carole Leach-Lemens

• HIV screening outside specialist settings is feasible, acceptable and effective in UK

  The universal offer of a HIV test in UK general practice and hospital settings is highly feasible and acceptable to patients, researchers have concluded. Moreover, when conducted in areas of relatively high HIV prevalence, the interventions ...

  08 December 2010 | Roger Pebody

• Mobile phone messages improve adherence and HIV control in Kenyan trial

  A text message from a clinic each week resulted in better adherence and a higher level of viral load suppression among people with HIV after starting antiretroviral treatment in Kenya, a randomised controlled trial has shown. The results were published ...

  10 November 2010 | Keith Alcorn

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Task shifting news selected from other sources

• South Africa: Private Sector Funding to Train Doctors

  Health minister Dr Aaron Motsoaledi has established a fund in partnership with 23 of South Africa's largest private medical aid, pharmacy, drug and hospital companies in an effort to bolster human resource capacity in the public sector.

  09 November 2012 | AllAfrica

• ZIMBABWE: Nurses step up to initiate HIV treatment

  HARARE, 16 October 2012 (PLUSNEWS) - Faced with the ambitious target of reaching 85 percent of people in need of HIV treatment by the end of 2012, the Zimbabwean government has announced that nurses will be trained to prescribe and manage antiretroviral (ARV) drug treatment.

  17 October 2012 | IRIN Plus News

• Zimbabwe: 'Nurses Now Allowed to Put Patients On ART'

  NURSES can now put HIV-positive patients on antiretroviral drugs, a task that was previously reserved for doctors.

  16 August 2012 | AllAfrica

• Nurses As Effective As Doctors In Treatment Of HIV Patients

  Nurse-centred care of HIV patients can be just as safe and effective as care delivered by doctors and has a number of specific health benefits, according to a new study led by the University of East Anglia (UEA) and the University of Cape Town (UCT).

  15 August 2012 | HIV / AIDS News From Medical News Today

• PEPFAR Launches Labs For Life with Partners

  The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), led by the Office of the Global AIDS Coordinator in the U.S. Department of State, and Becton, Dickinson and Company (BD), a leading global medical technology company, today announced Labs for Life, a new collaboration to help strengthen healthcare and laboratory systems in the developing world along with U.S. Department of Health and Human Services’ Centers for Disease Control and Prevention (CDC).

  27 July 2012 | US State Department

• The Manchester Malawian medic myth

  Are there more doctors from Malawi in the British city of Manchester than there are in Malawi itself? Many people have made this claim - including the authors of an international study of health workers, and the head of Malawi's main nursing union.

  15 January 2012 | BBC Health

• Agnes Binagwahois: Male circumcision and the path to an AIDS-free generation

  Whereas a surgical circumcision can take 20 minutes per patient, the PrePex non-surgical device reduces procedure time to 3 minutes, meaning we can circumcise more men faster and without compromising their safety or the device’s effectiveness.

  13 December 2011 | Washington Post

• South Africa loses $1.4 billion training doctors who emigrated

  South Africa, the nation with the highest number of people living with HIV/AIDS, has spent more than $1.4 billion training doctors, only to see them emigrate overseas for jobs. It's part of a massive flow of expertise from from poor and developing countries to rich nations such as the United States, Canada, Britain and Australia.

  26 November 2011 | Los Angeles Times

• Overcrowding at clinics deter men from early testing for TB and HIV

  During a recent door to door campaign, TAC Khayelitsha found that most men are not keen to test for TB or HIV because of long waiting periods associated with overcrowding at the local clinics. Imagine what strides would be made in better healthcare

  01 July 2011 | TAC

• South Africa: How we're re-engineering the health system - Motsoaledi

  South Africa's Health Minister Aaron Motsoaledi reviews progress on health reform in a speech to the South African parliament, highlighting progress on HIV and TB treatment.

  31 May 2011 | PoliticsWeb

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