TASK SHaring

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. 

  1. The first step is to define which elements of your intervention could be shared and the competencies needed.
  2. The next task is to define how to get people to acquire those skills.
  3. 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.