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Task shifting in maternal and newborn health care: Key components from policy to implementation
Author(s) -
Deller Barbara,
Tripathi Vandana,
Stender Stacie,
Otolorin Emmanuel,
Johnson Peter,
Carr Catherine
Publication year - 2015
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.03.005
Subject(s) - task (project management) , remuneration , key (lock) , referral , incentive , service delivery framework , work (physics) , service (business) , process management , psychology , nursing , medicine , knowledge management , public relations , business , computer science , political science , marketing , engineering , computer security , management , economics , mechanical engineering , finance , microeconomics
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.

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