The purpose of this study was to examine examples of task-shifting programs in Uganda with the aim of generating data that could inform the development of task-shifting policies, guidelines, and practices. The overall purpose of the study was to contribute to the growing knowledge base about task-shifting by describing the service delivery approaches of three purposively selected major AIDS service organizations (ASOs) in Uganda that have adopted task-shifting. The study showed that in the three ASOs, almost all key tasks in antiretroviral therapy (ART), including determining eligibility, initiating ART, and dispensing antiretrovirals, can be feasibly shifted to lower-level cadres or facilities. It also identified training gaps in specific areas of competence among professional health workers and lay health workers currently providing ART in task-shifted services. Findings from this study provide important insight on costs and outcomes associated with task-shifting in facility-based versus outreach/community-based service environments. The report concludes with a number of recommendations based on these findings.
Kalibala, Sam, Jerry Okal, Brady Zieman, Nrupa Jani, Lung Vu, Josephine Birungi, Stephen Okoboi, Jonathan Wangisi, Christine Nabiryo, Joanne Lyavala Okullu, Michael Etukoit, Lydia Buzaalirwa, Augustine Lubanga, Paul Kiyingi, Jonathan Ikapule, Syson Nakyeyune, Stephen Nakibinge, Penninah Lutung, Samuel Waliggo, Joseph Nsamba, Yashien Wamanga, Joseph Kamya, Robina Sentongo, and Robert Yiga. 2016. "Retrospective review of task-shifting community-based programs supporting ARV treatment and retention in Uganda," HIVCore Final Report. Washington, DC: USAID | Project Search: HIVCore.
HIVCore: Strengthening HIV and AIDS Treatment, Care, and Support and PMTCT Service Delivery Programs