A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy
Journal of Human Resource Management
Volume 8, Issue 1, March 2020, Pages: 1-10
Received: Dec. 17, 2019;
Accepted: Dec. 30, 2019;
Published: Jan. 8, 2020
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Kanyesigye Rullonga Monicah1, Uganda Management Institute, Kampala, Uganda
Kaguhangire-Barifaijo Maria, Uganda Management Institute, Kampala, Uganda
Mohamed Sayeed Bayat, Department of Public Administration, University of Fort Hare and University of Lusaka, Lusaka, Zambia
With the increasing global health workers shortage, developing countries like Uganda are embracing task shifting as a form of availing health care amidst the growing population and increasing disease burden. This study examined the quality of healthcare delivered under task shifting in low and high task shifting environments from patients’ perspective in Kalangala and Bukomansimbi Districts respectively. An exploratory design was employed with both qualitative and quantitative approaches guided by Banduras theories of social learning and social cognitive. Bivariate analysis was carried out through cross-tabulations on associations between task shifting and quality of healthcare indicators to generate chi-square and p-values. Quality of care was assessed as generally good but much better in high task shifting environments because of the availability of simulations, supervision and mentorship programs which facilitate the health workers to learn even when they possess lower qualifications. The study asserts that good quality healthcare can be provided by virtually any person who is conditioned through training, supervision and mentoring. This has a huge implication for Human Resource for Health (HRH) planning, forecasting and development in the epoch of healthy worker shortage. The study designed and recommended a task shifting model that would facilitate the development of policy framework for task shifting implementation.
Kanyesigye Rullonga Monicah1,
Mohamed Sayeed Bayat,
A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy, Journal of Human Resource Management.
Vol. 8, No. 1,
2020, pp. 1-10.
WHO. (2013, November). Global Health Workforce shortage to reach 12.9 million in coming decades. Retrieved March 18, 2018, from http://www.who.int/medicenter/new/releases/2013/health-workforce-shortage/en/
WHO. (2007, March). Task shifting to tackle health workers shortage. Retrieved 2019 18, February, from http://www.who.int/healthsystem/taskshifting-booklet.pdf
WHO. (2004, March). Integrated management of adolescents and adult illness. Retrieved June 12, 2018, from A 3by5 initiative: www.who.int/3by5/publications/document/imai/eb/treat3millionpeopleby2005
Bandura, A. (1977). Social Learning theory. Engelewoods Cliffs: Prentice Hall, Inc.
Heller, R. (1978). Officiers de sante': The second class doctors of nineteenth century France. Medical History, 22 (1), 25-43.
Sidel, V. (1972). The barefoot doctors of the people's Republic of China. New England journal of medicine, 1292-13000.
Xu, S., & Hu, D. (2017). Barefoot doctors & the "health care revolution" in rural China. A study centered on Shandong province. Endavour, 136-145.
Ministry of Health. (2014). Annual health Sector Performance Report. Kampala: Government of Uganda.
Ministry of Heath. (2012). Human Resource Audit report 2011: Ministry of health Motivation and Retention strategy 2010/11-2014/15. Kampala: Ministry of Health.
Mainz, J. (2003). Defining and classifying clinical indicators of quality improvement. International Classification of quality of health care, 523-530.
Mildred, G., Lesilie, T., Don a, A., & Chris, J. (2013). What Management and Quality Theories are Best for Small Businesses? Jounral of Management and Marketing Research.
Shumbusho, F., Turate, I., Price, J., Lowrance, D., & Binagwaho, A. (2008). Task shifting to achieve universal acces to HIV care: evaluation of a pilot program of Antiretroviral treatment service delivery by nurses in Rwanda. HIV/AIDS Implementers meeting. Kampala.
Ministry of Health. (2016). Human Resource for Health Audit report. Kampala: Republic of Uganda.
Uganda Bureau of Statistics. (2015). Bukomansimbi Local Government Statistical Abstract. Kampala: Republic of Uganda.
Uganda Bureau of Statistics. (2016). 2014 Statistical Abstract. Kampala: Uganda Bureau of statistics.
BigEye. (2015, June 23). Retrieved November 28, 2015, from http://bigeye.ug/kalangala-district-receives-free-health-services/#sthash.wbgxjc4b.dpuf
Bindhe, E. (2012, Mar 29). Kalangala Health Centres Abandoned. Kalangala, Uganda.
Amin, A. (2005). Social Sciences Research, Conception, methodology and analysis. Kampala: Makerere University Printery.
Musisi, N. N. (2017, August 10). The deteriorating state of health care in Kalangala district. Retrieved February 01, 2018, from https://www.cehud.org
Bukomansimbi District Local Government and Uganda Bureau of statistics. (2016). Bukomansimbi District Local Government Statistical Abstract. Bukomansimbi: Governement of Uganda.
UBOS. (2018). 2018 Statistical Abstract. Kampala: Uganda Bureau of Stastistics.
Jouquet, G., Bemelmans, M., Massaquo, M., Arnould, L., Mwagomba, B., Beuernfeind, A., et al. (2009). Cost Analysis of an ARV care programme reaching universial access in Thyolo, Malawi. the IAS Conference on HIV Pathogens, Treatment and Prevention. Cape Town: TUAD 105.
Olikira, B., & Kasangaki, A. (2014). A scoping study on task shifting; the case of Uganda. BMC Health Services Research, 14: 184.
Thompson, A., & Strickland, A. (2004). Strategic management: concepts and cases. Singapore: McGraw -Hill Irwin.
Fulton, D., Scheffler, M., Sparkes, P., Auh, Y., Vujicic, M., & Soucat, A. (2011). Health workforce skills mix and task shifting in low income countries: a review of recent evidence. BioMed Central.
Olikira, B., Bugisha Beine, E., Kasangaki, A., & Mugisha, B. M. (2018). Task shifting in health service delivery from a decision & policy makers perspective: a case of Uganda. Bio Med Central, 284-7.