Task shifting

Task shifting features

• 

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

  This is the fourth edition of HATiP written for nurses and other healthcare workers involved in task shifting in sub-Saharan Africa, kindly supported by the Stop TB Department...

  From:HIV & AIDS treatment in practice

• 

  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

• 

  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

• 

  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

• 

  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

• 

  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

• 

  Adherence and retention in HIV care in resource-limited settings

  Recent research on adherence to HIV treatment and retention in HIV care in resource-limited settings....

  From:HIV & AIDS treatment in practice

• 

  The whether forecast: HIV services in the cutback era

  Some HIV experts are wondering not what our services will look like in the future but in some areas, whether there will be any HIV-specific services at all....

  From:HIV treatment update

• 

  Bridging the divide: HIV and health systems

  This edition reports on the debate over how HIV programmes can contribute to health system strengthening and in particular, how better integration can be achieved....

  From:HIV & AIDS treatment in practice

• 

  Caring for the caregivers in the face of HIV and TB: a clinical review (part two)

  This article is the 2nd part (part one #128) of an indepth look at supporting the health care worker in resource-poor settings. ...

  From:HIV & AIDS treatment in practice

Task shifting news from aidsmap

• 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

• Nurse attitudes, clinic experience, key to improving care and retention in ARV programmes

  Campbell C et al. A ‘good hospital’: nurse and patient perceptions of good clinical care for HIV-positive people on antiretroviral treatment in rural Zimbabwe - a mixed-methods qualitative study. Int J Nurs Stud, 2010. doi:10.1016/j.ijnurstu.2010.07.019 ...

  28 October 2010 | Carole Leach-Lemens

• Malawi plans 'test and treat' approach for pregnant women to cut mother-to-child HIV transmission

  Malawi’s Ministry of Health is planning to provide triple-drug antiretroviral therapy (ART) to all pregnant women with HIV as the most practical way for the country’s impoverished health system to quickly reduce transmission of HIV from mother to child – ...

  22 July 2010 | Keith Alcorn

More news

Task shifting news selected from other sources

• 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

• Kenya: Staff Sackings Leave Siaya Aids Patients Unattended

  HIV/Aids patients yesterday jammed the Siaya District Hospital after failing to be attended to for the second day, following the sacking of over 20 support staff. Peer educators who carry out support tasks in the clinic were sacked this week after protesting overwork and delays in payment.
  

  08 April 2011 | Moreover.com HIV/AIDS feed

• Kenya: Rush to seek Aids drugs strains clinics

  In less than a year, more than 70,000 people have joined the HIV treatment programme, exerting massive pressure on drugs, facilities and personnel.

  30 March 2011 | Daily Nation

• Swaziland nurses strike, closing public hospitals

  A Swaziland union official says public hospitals closed for three days this week after nurses went on strike in the country with the highest rate of HIV in the world.

  14 March 2011 | Seattle Times

• US funding program to increase quality, quantity of health care workers in Africa

  The top U.S. AIDS official says the U.S. will fund training for 140,000 African health care workers in an initiative to "transform and dramatically increase" medical education and research on the continent.

  08 March 2011 | Yahoo News / AP

• ZAMBIA: Better health comes in containers

  New technologies are helping Zambia make the most of its scarce health workers and laboratories in the fight against tuberculosis (TB), and showing that there may be more to a container than meets the eye.

  27 January 2011 | IRIN Plus News

More news