Resource Spotlight: Evaluation of a Well-Established Task-Shifting Initiative: The Lay Counselor Cadre in Botswana
While evidence supports task shifting to address health worker shortages, there is a need to learn from large-scale, established programs to identify ways to achieve the largest, most sustainable impact. Several recent literature reviews have highlighted this gap in the literature and accentuated the need to better understand how to make the best use of the task-shifting approach and how to use task shifting to achieve the strongest impact.
This study examined the role of lay counselors in the provision of HIV services in Botswana's health facilities from 2002 to 2010 to identify factors related to the effectiveness of the cadre and their contribution to the health workforce. Specifically, the objectives of this evaluation were to: describe the demographic characteristics and duties of the lay counselor cadre; examine the performance of the lay counselors in terms of their knowledge, skills, and their contribution to the health workforce; and explore factors related to the performance of the cadre. [from author]
View this resource.
The HRH Global Resource Center has other resources on this topic including:
- Global Will Clinical Associates be Effective for South Africa
- Experiences, Opportunities and Challenges of Implementing Task Shifting in Underserved Remote Settings: The Case of Kongwa District, Central Tanzania
- Policy and Programmatic Implications of Task Shifting in Uganda: A Case Study
Past Resource Spotlights
- Labor Market for Health Workers in Africa: A New Look at the Crisis
- mHealth for Midwives: A Call to Action
- Scaling up Health Worker Production: The Bottlenecks and Best Buys Approach