SynthesisAfrican health sciences2012
A systematic review evaluating the impact of task shifting on access to antiretroviral therapy in sub-Saharan Africa.
Synthesis in African health sciences, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Non-physician clinician provided HIV treatment results in equivalent outcomes as physician-provided care: a meta-analysis.Journal of the International AIDS Society · 2013Pooled it
- Tuberculosis immune reconstitution inflammatory syndrome in A5221 STRIDE: timing, severity, and implications for HIV-TB programs.Journal of acquired immune deficiency syndromes (1999) · 2014Trial
- Task Shifting: Need for a more Cautious and Nuanced Approach.Acta medica Philippina · 2023Article
- The role of job aids in supporting task sharing family planning services to community pharmacists and patent proprietary medicine vendors in Kaduna and Lagos, Nigeria.BMC health services research · 2022Article
- Uptake of care and treatment amongst a national cohort of HIV positive infants diagnosed at primary care level, South Africa.BMC infectious diseases · 2019Observational
- Addressing Depression Comorbid With Diabetes or Hypertension in Resource-Poor Settings: A Qualitative Study About User Perception of a Nurse-Supported Smartphone App in Peru.JMIR mental health · 2019Article
- Can task-shifting work at scale?: Comparing clinical knowledge of non-physician clinicians to physicians in Nigeria.BMC health services research · 2018Article
- Comparison of survival in adult antiretroviral treatment naïve patients treated in primary health care centers versus those treated in hospitals: retrospective cohort study; Oromia region, Ethiopia.BMC health services research · 2016Article
- Potential for task-sharing to Lady Health Workers for identification and emergency management of pre-eclampsia at community level in Pakistan.Reproductive health · 2016Article
- Patient and Provider Satisfaction With a Comprehensive Strategy to Improve Prevention of Mother-to-Child HIV Transmission Services in Rural Nigeria.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Trends in task shifting in HIV treatment in Africa: Effectiveness, challenges and acceptability to the health professions.African journal of primary health care & family medicine · 2015Review
- HIV/AIDS health care challenges for cross-country migrants in low- and middle-income countries: a scoping review.HIV/AIDS (Auckland, N.Z.) · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTask shifting, defined for this review as the shifting of ART initiation and management from physicians to nurses, has been proposed as a possible method to increase access to HIV treatment in Sub-Saharan Africa.
objectiveTo critically evaluate the literature on task shifting, determining if there is evidence to support this view.
methodsA systematic search of the literature was undertaken, with both peer reviewed publications and conference abstracts presenting original data eligible for inclusion. Studies were evaluated according to methodology and discussion of confounding factors.
resultsWe identified 25 articles which evaluated the effect of task shifting on access to ART. The evidence was mixed. Although there is a significant body of field reports indicating that task shifting increases access, these studies were of low methodological quality. The only randomized controlled trial included in this review did not find that task shifting increased in access.
conclusionTask shifting appears to be most effective at increasing access when combined with other interventions and financial support. There is a need for more research into the effects of task shifting policies, especially randomized controlled trials and high quality cohort studies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.