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Task Shifting for a Strategic Skill Mix

Author: Julia Bluestone 
InfoShare Partner: IntraHealth International
Publication Date: June 2006
Type of Document: Article/Report/Paper
Topics: Policy/Law, Service delivery
Region: Global
Language: English
Number of Pages: 4

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In countries with critical shortages of physicians
and nurses, the skill mix and distribution of
available health care workers are often out of
sync with national health care needs (WHO,
2006). Task shifting is increasingly considered
a promising intervention for strengthening
national health coverage by improving the
strategic skill mix in the country’s health care
system. In this technical brief, task shifting refers
to two processes: 1) shifting tasks from one
cadre of health care worker to an existing,
lower-level cadre and 2) shifting tasks to a new
cadre developed to meet specific health care
goals. Based on a review of the literature and
country examples, the brief describes why task
shifting is important and highlights some key
steps in planning for, developing and supporting
cadres involved in task shifting.