Investigation on Task Shifting of HIV/AIDS Follow-Up Management Workers in New Launched Areas, China

Liu, Rong; Huang, Ling; Yang, Qidong; Hu, Qiang; Qing, Huang; Jiang, Xiaoqing; Zhu, Hui; Xie, Fei; Wen, Xiaotong; Liu, Xiaojun; Yuan, Zhigang; Lu, Yuanan

doi:10.3390/ijerph15102132

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…financial support, perceived heavy workloads, low wages, and high turnover of providers. 260 In the Philippines, a survey showed that delegating HIV counselling and testing to lower level health workers was feasible but not acceptable due to inadequate skills and patient perceptions. 261 Moreover, in many countries, it is not clear that there are sufficient numbers of other people to whom tasks could be shifted or shared.…”

Section: Expansion Of the Global Diagnostics Workforce Capacitymentioning

confidence: 99%

The Lancet Commission on diagnostics: transforming access to diagnostics

et al. 2021

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1 47% of the global population has little to no access to diagnostics. 2 Diagnostics are central and fundamental to quality health care. This notion is underrecognised, leading to underfunding and inadequate resources at all levels. 3 The level of primary health care is the diagnostic so-called last mile and particularly affects poor, rural, and marginalised communities globally; appropriate access is essential for equity and social justice. 4 The COVID-19 pandemic has emphasised the crucial role of diagnostics in health care and that without access to diagnostics, delivery of universal health coverage, antimicrobial resistance mitigation, and pandemic preparedness cannot be achieved. 5 Innovations within the past 15 years in many areas (eg, in financing, technology, and workforce) can reduce the diagnostic gap, improve access, and democratise diagnostics to empower patients. 6 As an example of the potential impact, 1•1 million premature deaths in low-income and middle-income countries could be avoided annually by reducing the diagnostic gap for six priority conditions: diabetes, hypertension, HIV, and tuberculosis in the overall population, and hepatitis B virus infection and syphilis for pregnant women. 7 The economic case for such investment is strong. The median benefit-cost exceeds one for five of the six priority conditions in middle-income countries, and exceeds one for four of the six priority conditions in low-income countries, with a range of 1•4:1 to 24:1.Given the depth and breadth of the problems, sustained access to quality, affordable diagnostics will require multi-decade prioritisation, commitment, and investment.Incorporating diagnostics into universal health coverage packages will begin this process.

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Section: Expansion Of the Global Diagnostics Workforce Capacitymentioning

confidence: 99%

The Lancet Commission on diagnostics: transforming access to diagnostics

et al. 2021

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Optimizing integrated imaging service delivery by tier in low-resource health systems

et al. 2021

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Access to imaging diagnostics has been shown to result in accurate treatment, management, and optimal outcomes. Particularly in low-income and low-middle-income countries (LICs, LMICs), access is limited due to a lack of adequate resources. To achieve Sustainable Development Goal (SDG) 3, access to imaging services is critical at every tier of the health system. Optimizing imaging services in low-resource settings is best accomplished by prescriptive, integrated, and coordinated tiered service delivery that takes contextual factors into consideration. To our knowledge, this is the first recommendation for optimized, specific imaging care delivery by tier. A model for tier-based essential imaging services informs and guides policymakers as they set priorities and make budgetary decisions. In this paper, we recommend a framework for tiered imaging services essential to reduce the global burden of disease and attain universal health coverage (UHC). A lack of access to basic imaging services, even at the lowest tier of the health system, can no longer be justified by cost. Worldwide, affordable modalities of modern ultrasound and X-ray are becoming an accessible mainstay for the investigation of common conditions such as pregnancy, pneumonia, and fractures, and are safely performed and interpreted by qualified professionals. Finally, given the vast gap in access to imaging resources between LMICs and high-income countries (HICs), a scale-up of tiered imaging services in low-resource settings has the potential to reduce health disparities between, and within countries. As the access to appropriately integrated imaging services improves, UHC may be achieved.

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Investigation on Task Shifting of HIV/AIDS Follow-Up Management Workers in New Launched Areas, China

Cited by 2 publications

References 27 publications

The Lancet Commission on diagnostics: transforming access to diagnostics

The Lancet Commission on diagnostics: transforming access to diagnostics

Optimizing integrated imaging service delivery by tier in low-resource health systems

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