Journal of Public Health Policy

, Volume 32, Supplement 1, pp S94–S101

Exploring task-shifting practices in antiretroviral treatment facilities in the Free State Province, South Africa

  • Katinka de Wet
  • Edwin Wouters
  • Michelle Engelbrecht
Original Article

DOI: 10.1057/jphp.2011.30

Cite this article as:
de Wet, K., Wouters, E. & Engelbrecht, M. J Public Health Pol (2011) 32: S94. doi:10.1057/jphp.2011.30

Abstract

There is good progress with the implementation of South Africa's antiretroviral treatment program. The country, however, faces human resource shortages that could be addressed through appropriate task shifting. During 2009, we studied task shifting from nurses to community health workers (CHWs) for HIV treatment and care at 12 primary health-care clinics in Free State Province, South Africa. We found inefficiency in nurse deployment, and nurses spent considerable time on training, counseling, and administrative tasks that could be shifted to CHWs. Such a shift will require the South African Ministry of Health to recognize CHWs formally in the health system.

Keywords

task shiftingnursescommunity health workershuman resourcesHIV/AIDSSouth Africa

Copyright information

© Palgrave Macmillan, a division of Macmillan Publishers Ltd 2011

Authors and Affiliations

  • Katinka de Wet
    • 1
  • Edwin Wouters
    • 1
    • 2
  • Michelle Engelbrecht
    • 1
  1. 1.Centre for Health Systems Research & Development, University of the Free State, South AfricaBloemfonteinSouth Africa
  2. 2.University of AntwerpEdegemBelgium