The process of task sharing is rather simple - use whoever is available in the community. Train them to provide a range of healthcare interventions, while reallocating clinical specialists to supervise for capacity building and quality assurance.
- The first step is to define which elements of your intervention could be shared and the competencies needed.
- The next task is to define how to get people to acquire those skills.
- The third is how to maintain those skills.
Task sharing isn't a new idea. It dates back to the 1970s-80s where nurses in the Democratic Republic of Congo took on the role of providing healthcare due to a shortage of physicians. By the same token, Dr. Rani & Abhay Bang revolutionized healthcare for the poorest people in India in the 1980s-90s by training a group of local women in the basics of neonatal care.
BACKGROUND - MANAS TRIAL
The MANAS trial was undertaken nearly a decade ago to assess the effectiveness of collaborative stepped-care interventions led by lay health counsellors on patients' recovery from common mental disorders in primary health-care settings (both public primary health care center and private general practitioner settings) in Goa, India.