báo cáo sinh học:" Task shifting: the answer to the human resources crisis in Africa?"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Task shifting: the answer to the human resources crisis in Africa? | Human Resources for Health BioMed Central Open Access Task shifting the answer to the human resources crisis in Africa Uta Lehmann 1 Wim Van Damme2 Francoise Barten3 and David Sanders1 Address 1School of Public Health University of the Western Cape Bellville South Africa 2Department of Public Health Institute of Tropical Medicine Antwerp Belgium and international Health Department of Primary Care and Community Care Radboud University Nijmegen the Netherlands Email Uta Lehmann - ulehmann@ Wim Van Damme - wvdamme@ Francoise Barten - David Sanders - dsanders@ Corresponding author Published 21 June 2009 Received 30 January 2008 Human Resources for Health 2009 7 49 doi l478-449l-7-49 Accepted 21 June 2009 This article is available from http content 7 l 49 2009 Lehmann et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ Ever since the 2006 World Health Report advocated increased community participation and the systematic delegation of tasks to less-specialized cadres there has been a great deal of debate about the expediency efficacy and modalities of task shifting. The delegation of tasks from one cadre to another previously often called substitution is not a new concept. It has been used in many countries and for many decades either as a response to emergency needs or as a method to provide adequate care at primary and secondary levels especially in understaffed rural facilities to enhance quality and reduce costs. However rapidly increasing care needs generated by the HIV AIDS epidemic and accelerating human resource crises in many African countries

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