ReviewThe Pan African medical journal2023
Task shifting and task sharing in the health sector in sub-Saharan Africa: evidence, success indicators, challenges, and opportunities.
Review in The Pan African medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
What it found
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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
43 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Feasibility, efficacy and effectiveness of community health worker-facilitated hearing aid provision: a systematic review.BMJ open · 2025Pooled it
- Patient perspectives on group problem management plus for adults with major depressive disorder in rural Malawi.Global health action · 2025Trial
- Artificial Intelligence for Chronic Disease Prevention and Management in Sub-Saharan Africa: A World Health Organization Health Systems Building Blocks Perspective.Mayo Clinic proceedings. Digital health · 2026Review
- Health-system barriers and missed opportunities in cardiovascular care in Sierra Leone: a scoping review.Communications medicine · 2026Article
- Primary care provider's barriers to effective management of apparently resistant hypertension in Malaysian public primary health care and strategies to overcome them: a qualitative study.BMC primary care · 2026Article
- The MeHPriC project in Lagos, Nigeria: a mixed methods study on policy, governance, and sustainability of mental health integration.The Lancet regional health. Africa · 2026Article
- External validation of a nomogram for predicting tubulointerstitial lesions in IgA nephropathy: a cross-regional study in China.Clinics (Sao Paulo, Brazil) · 2026Article
- A Pilot Study to Advance Task-Sharing of Gastroschisis Management in Uganda.Annals of global health · 2026Article
- Assessing the approach to perinatal mental health screening and treatment in maternal-child health clinics in Western Kenya.PLOS global public health · 2026Article
- Healthcare workers' perspectives on HIV pre-exposure prophylaxis delivery in Sub-Saharan Africa: implications for injectable formulation rollout-a narrative review.Frontiers in public health · 2026Review
- Changes in depression, anxiety, and post-traumatic stress symptoms among children and adolescents exposed to adverse childhood experiences following participation in the PROACT intervention in Nairobi, Kenya.Frontiers in psychiatry · 2026Article
- Enhancing Access to Family Planning Services in Uganda Through Community Health Extension Workers: Protocol for a Pilot Evaluation.JMIR research protocols · 2025Article
- 'Empowerment' as a proximal implementation outcome for task shifting with informal cadres: findings from a qualitative study with traditional healers in rural Uganda.Implementation science communications · 2025Article
- Nurses experiences with an intervention enhancing skill-mix in Kenyan neonatal units with severe workforce deficits: A qualitative study.International journal of nursing studies · 2025Article
- Are Economic Evaluations of Task Shifting Too Narrow in Focus? A Rapid Review.PharmacoEconomics · 2025Review
- Level of understanding and community-level barriers to the management of hypertension: a qualitative study in eight coastal communities in Ghana.BMJ global health · 2025Article
- Practices and challenges of supervision and delegation in nursing in Africa: a scoping review.BMC nursing · 2025Article
- Assessing the impact of physician supply inequality on mortality in China: implications for global health.International journal for equity in health · 2025Article
- Seizing the moment: the potential of PrEP choice and innovation to transform HIV prevention.Journal of the International AIDS Society · 2025Article
- Strengthening healthcare readiness: Lessons from frontline nurses in a South African tertiary hospital for future pandemic preparedness.International emergency nursing · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This review explores task shifting and task sharing in sub-Saharan African healthcare to address workforce shortages and cost-effectiveness. Task shifting allocates tasks logically, while task sharing involves more workers taking on specific duties. Challenges include supply chain issues, pay inadequacy, and weak supervision. Guidelines and success measures are lacking. Initiating these practices requires evaluating factors and ensuring sustainability. Task shifting saves costs but needs training and support. Task sharing boosts efficiency, enabling skilled clinicians to contribute effectively. To advance task shifting and sharing in the region, further research is needed to scale up effective initiatives. Clear success indicators, monitoring, evaluation, and learning plans, along with exploration of sustainability and appropriateness dimensions, are crucial elements to consider.
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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.