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The Lay Counselor Cadre in Botswana
Ministerial Instruction Number 20/40 of 10/09/2009 determining conditions and modalities for therapeutic care for people living with HIV and AIDS.
The shortage of human resources for health, and in particular physicians, is one of the major barriers to achieve universal access to HIV care and treatment. In September 2005, a pilot program of nurse-centered antiretroviral treatment (ART) prescription was launched in three rural primary health ce ... more
Expanding access to quality health services through task sharing
Background Asthma education, a key component of long-term asthma management, is challenging in resource-limited settings with shortages of clinical staff. Task-shifting educational roles to lay (no ... more
Lancet Glob Health 2020Published OnlineNovember 27, 2020 https://doi.org/10.1016/S2214-109X(20)30449-6
Over one third of all deaths in Kenya in 2019 were attributed to NCDs (Vos et al., 2020). The four major NCDs – CVDs, cancer, diabetes and chronic respiratory diseases – accounted for 57% of these deaths. Furthermore, the direct and indirect economic impact of NCDs is significant- Kenya is sai ... more
AIDS Research and Therapy, vol.22 (2025) article no. 48. A 2025 research article reports on task shifting HIV disclosure support from clinical staff to caregiver peer supporters — indicating a sca ... more

PMTCT in Humanitarian Settings. Part I: Lessons Learned and Recommendations

Becher, H. Interagency Task Team HIV in Humanitarian Emergencies (2015)
front cover © Hannah Maule-Ffinch/Save the Children

PMTCT in Humanitarian Settings. Part II: Implementation Guide

Becher, H.; et al. Interagency Task Team HIV in Humanitarian Emergencies (2015)
front cover © Jonathan Hyams/Save the Children
Planned and regulated task shifting and task sharing can have a range of benefits. It can ensure a rational optimization of the available health workforce, address health system shortages of special ... more
Lessons learned from an M&E task-shifting initiative in Botswana
This research aims to identify a core set of clinical skills for working in a Community Based Rehabilitation (CBR) setting, and to discuss whether they are appropriate for task shifting to a new or ... more
In 2014, GHS/NACP, with support from UNICEF and other partners, conducted a situation analysis on paediatric HIV care and treatment in Ghana. The purpose of this analysis was to identify the gaps within the current delivery of paediatric HIV care and support system and develop a road map for effecti ... more
Many low-resource settings have a shortage of physicians and health workers. (1) In order to provide patient-centred continuous care more effectively, primary care systems can include team-based care strategies in their clinic workflows and protocols. Team-based care uses multidisciplinary teams (wh ... more
Policy Brief. 24 June 2022. This policy brief, one of two on the updated hepatitis C (HCV) guidelines, focuses on the new recommendations on simplified service delivery for a public health approach to HCV testing, care and treatment. These recommendations include decentralization, integration and ta ... more
These guidelines provide updated evidence-based recommendations on the priority HCV-related topics from the 2018 WHO Guidelines for the care and treatment of persons diagnosed with chronic hepatitis C infection and the 2017 WHO Guidelines on hepatitis B and C testing. These priority areas are: ... more