Use of surgical task shifting to scale up essential surgical services: a feasibility analysis at facility level in Uganda

by Moses Galukande, Sam Kaggwa, Patrick Sekimpi et al.
BMC Health Services Research 2013, 13:292 (1 August 2013)

14 pp. 141 kB:
http://www.biomedcentral.com/content/pdf/1472-6963-13-292.pdf

The shortage and mal-distribution of surgical specialists in sub-Saharan African countries is born out of shortage of individuals choosing a surgical career, limited training capacity, inadequate remuneration, and reluctance on the part of professionals to work in rural and remote areas, among other reasons. This study set out to assess the views of clinicians and managers on the use of task shifting as an effective way of alleviating shortages of skilled personnel at a facility level. The authors conclude that whereas surgical task shifting was viewed as a short-term measure alongside efforts to train and retain adequate numbers of surgical specialists, efforts to upscale its use were widely encouraged.

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