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Bridging the human resource gap in surgical and anesthesia care in low-resource countries: a review of the task sharing literature

Journal Article
(Published October, 2017)
Ashengo, T.A. (Author),
Skeels, A. (Author),
Hurwitz, E.J.H. (Author),
Thuo, E. (Author),
Sanghvi, H. (Author)
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Authors identified 40 published articles describing task sharing in surgery and anesthesia in 39 low-resource countries in Africa and Asia. All countries had a cadre of non-specialists providing anesthesia services, while 13 had cadres providing surgical services. Six countries had non-specialists performing major procedures, including Cesarean sections and open abdominal surgeries. While most cadres were recognized by their governments as service providers, very few had scopes of practice that included task sharing of surgery or anesthesia. Key challenges to effective task sharing include specialists’ concern about safety, weak training strategies, poor or unclear career pathways, regulatory constraints, and service underutilization. Concrete recommendations are offered.

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Citation: 
Ashengo T, Skeels A, Hurwitz EJH, Thuo E, Sanghvi H. Bridging the human resource gap in surgical and anesthesia care in low-resource countries: a review of the task sharing literature. Human resources for health. 2017;15(1):77.