Optimizing health worker roles for maternal and newborn health
Human resource shortages are a threat to the attainment of the health-related Millennium Development Goals (MDGs). A more rational distribution of tasks and responsibilities among cadres of health-care workers is seen as a promising strategy for improving access and cost-effectiveness within health systems.
Such task-shifting may be particularly attractive to countries that lack the means to improve access to care within the time available until the MDG deadlines.
A more rational distribution of tasks and responsibilities among cadres of health-care workers is seen as a promising strategy for improving access and cost-effectiveness within health systems.
The objective of these guidelines is to offer evidence-based recommendations to facilitate universal access to key, effective maternal and newborn interventions through the optimization of health worker roles. These recommendations are intended for health policy-makers, managers and other stakeholders at a regional, national and international level. By providing this broad guidance internationally, WHO assumes that countries will adapt and implement these recommendations keeping in mind the context of the national political and health systems.
Annex 1: Cadre definitions used in the project
Annex 2: List of participants in the scoping and two final panel meetings
Annex 3: The scoping questions
Annex 4: The criteria used in moving from evidence to recommendations (the DECIDE framework)
Annex 5: Frameworks related to lay health workers
Annex 6: Frameworks related to the other cadres (auxiliary nurses, auxiliary nurse midwives, midwives, nurses, associate clinicians, advanced level associate clinicians, non-specialist doctors)
Annex 7: Evidence base (GRADE evidence profile, summaries of findings for reviews of qualitative evidence, and citations for included reviews)
Annex 8: Contextualizing the guidelines – workbook