Task shifting: global recommendations and guidelines
The global recommendations and guidelines on task shifting propose the adoption or expansion of a task shifting approach as one method of strengthening and expanding the health workforce to rapidly increase access to HIV and other health services.
The recommendations and guidelines stress that task shifting should be implemented alongside other strategies that are designed to increase the total numbers of health workers in all cadres. They also stress that task shifting is proposed as an efficient approach but one that will require significant investment and that should not be seen as a substitute for other investments in human resources for health.
The recommendations and guidelines identify and define the key elements that must be in place if the approach is to prove safe, efficient, effective, equitable and sustainable. They cover the need for consultation, situation analysis and national endorsement, and for an enabling regulatory framework. They specify the quality assurance mechanisms, including standardized training, supportive supervision, and certification and assessment, that will be important to ensure quality of care. They cover the elements that will need to be considered for the purpose of ensuring adequate resources for implementation and offer advice on the organization of clinical care services under a task shifting approach.