Task shifting in maternal and newborn health care: Key components from policy to implementation

Barbara Deller, Vandana Tripathi, Stacie Stender, Emmanuel Otolorin, Peter Johnson, Catherine Carr

Research output: Contribution to journalArticle

Abstract

Task shifting in various forms has been adopted extensively around the world in an effort to expand the reach of lifesaving services to the women, newborns, and families who need them. The emerging global literature, as well as Jhpiego's field experiences, supports the importance of addressing several key components that facilitate effective task shifting in maternal and newborn health care. These components include: (1) policy and regulatory support; (2) definition of roles, functions, and limitations; (3) determination of requisite skills and qualifications; (4) education and training; and (5) service delivery support, including management and supervision, incentives and/or remuneration, material support (e.g. commodities), and referral systems. Jhpiego's experiences with task shifting also provide illustrations of the complex interplay of these key components at work in the field. Task shifting should be considered as a part of the larger health system that needs to be designed to equitably meet the needs of mothers, newborns, children, and families.

Original languageEnglish (US)
Pages (from-to)S25-S31
JournalInternational Journal of Gynecology and Obstetrics
Volume130
Issue numberS2
DOIs
StatePublished - Jun 1 2015

Keywords

  • Health worker
  • Human resources for health
  • Maternal and newborn health
  • Task sharing
  • Task shifting

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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