ArticleBMJ global health2018
Task-shifting for cardiovascular risk factor management: lessons from the Global Alliance for Chronic Diseases.
Article in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 6 of them syntheses that pooled it.
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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.
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Who cites it
46 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Global evidence on the effectiveness of task-shifting and task-sharing strategies for managing individuals with multimorbidity: systematic review and meta-analysis.Family medicine and community health · 2025Pooled it
- Role of Health Care Professionals in the Success of Blood Pressure Control Interventions in Patients With Hypertension: A Meta-Analysis.Circulation. Cardiovascular quality and outcomes · 2024Pooled it
- Task-sharing interventions for improving control of diabetes in low-income and middle-income countries: a systematic review and meta-analysis.The Lancet. Global health · 2021Pooled it
- Effectiveness of community health workers involvement in smoking cessation programme: A systematic review.PloS one · 2020Pooled it
- Utilising Digital Health Technology to Support Patient-Healthcare Provider Communication in Fragility Fracture Recovery: Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2019Pooled it
- Task sharing with non-physician health-care workers for management of blood pressure in low-income and middle-income countries: a systematic review and meta-analysis.The Lancet. Global health · 2019Pooled it
- Cognitive function and telemedicine-based, village doctor-led care for atrial fibrillation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026Trial
- Community health worker-facilitated telehealth for moderate-severe hypertension care in Kenya and Uganda: A randomized controlled trial.PLoS medicine · 2025Trial
- Task-shifting to improve asthma education for Malawian children: a qualitative analysis.Human resources for health · 2021Trial
- Barriers and facilitators of implementing cardiovascular health assessment in children and adolescents in primary care settings in Malaysia: a qualitative study.BMC primary care · 2026Article
- Examining resilience, moral sensitivity, and work engagement among Chinese anesthesia nurses.Frontiers in psychology · 2026Article
- Implementation of the World Health Organization's Package of Essential Noncommunicable Disease Interventions: an overview of reviews.Public health reviews · 2026Review
- Implementation and Strategies to Support Adoption of the World Heart Federation Roadmap on Cardiac Rehabilitation: A Pathway to Improve Lifelong Cardiovascular Health.Global heart · 2026Review
- Hypertension care performance in Indonesia: evidence from three waves of nationally representative cross-sectional surveys.BMJ open · 2025Article
- Rethinking global statin guidelines for older adults in resource-diverse settings.Journal of global health · 2025Article
- A knowledge, attitude and practice-based integrative literature review of community health worker training on stroke and cardiovascular diseases in low-and middle-income countries.BMC primary care · 2025Review
- Are Economic Evaluations of Task Shifting Too Narrow in Focus? A Rapid Review.PharmacoEconomics · 2025Review
- Primary health care in the context of the COVID-19 pandemic in 10 South-East Asian countries: a cross-case synthesis with lessons for future health systems strengthening.BMJ global health · 2025Article
- Implementation of the Extension for Community Healthcare Outcomes Model for Hypertension Education of Frontline Health Care Workers in the Federal Capital Territory, Nigeria: Explanatory Sequential Mixed Methods Evaluation.Journal of medical Internet research · 2025Article
- Empowering Community Health Workers With Scripted Medicine: Design Science Research Study.JMIR human factors · 2025Article
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Authors and funding
17 authors.
Funding
Abstract
Task-shifting to non-physician health workers (NPHWs) has been an effective model for managing infectious diseases and improving maternal and child health. There is inadequate evidence to show the effectiveness of NPHWs to manage cardiovascular diseases (CVDs). In 2012, the Global Alliance for Chronic Diseases funded eight studies which focused on task-shifting to NPHWs for the management of hypertension. We report the lessons learnt from the field. From each of the studies, we obtained information on the types of tasks shifted, the professional level from which the task was shifted, the training provided and the challenges faced. Additionally, we collected more granular data on 'lessons learnt ' throughout the implementation process and 'design to implementation' changes that emerged in each project. The tasks shifted to NPHWs included screening of individuals, referral to physicians for diagnosis and management, patient education for lifestyle improvement, follow-up and reminders for medication adherence and appointments. In four studies, tasks were shifted from physicians to NPHWs and in four studies tasks were shared between two different levels of NPHWs. Training programmes ranged between 3 and 7 days with regular refresher training. Two studies used clinical decision support tools and mobile health components. Challenges faced included system level barriers such as inability to prescribe medicines, varying skill sets of NPHWs, high workload and staff turnover. With the acute shortage of the health workforce in low-income and middle-income countries (LMICs), achieving better health outcomes for the prevention and control of CVD is a major challenge. Task-shifting or sharing provides a practical model for the management of CVD in LMICs.
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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.