A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy

Kanyesigye Rullonga Monicah; Kaguhangire-Barifaijo Maria; Mohamed Sayeed Bayat

doi:doi:10.11648/j.jhrm.201200801.11

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A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy

Kanyesigye Rullonga Monicah, Kaguhangire-Barifaijo Maria, Mohamed Sayeed Bayat

Published in Journal of Human Resource Management (Volume 8, Issue 1)

Received: 17 December 2019 Accepted: 30 December 2019 Published: 8 January 2020

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Abstract

With the increasing global health workers shortage, developing countries like Uganda are embracing task shifting as a form of availing health care amidst the growing population and increasing disease burden. This study examined the quality of healthcare delivered under task shifting in low and high task shifting environments from patients’ perspective in Kalangala and Bukomansimbi Districts respectively. An exploratory design was employed with both qualitative and quantitative approaches guided by Banduras theories of social learning and social cognitive. Bivariate analysis was carried out through cross-tabulations on associations between task shifting and quality of healthcare indicators to generate chi-square and p-values. Quality of care was assessed as generally good but much better in high task shifting environments because of the availability of simulations, supervision and mentorship programs which facilitate the health workers to learn even when they possess lower qualifications. The study asserts that good quality healthcare can be provided by virtually any person who is conditioned through training, supervision and mentoring. This has a huge implication for Human Resource for Health (HRH) planning, forecasting and development in the epoch of healthy worker shortage. The study designed and recommended a task shifting model that would facilitate the development of policy framework for task shifting implementation.

Published in	Journal of Human Resource Management (Volume 8, Issue 1)
DOI	10.11648/j.jhrm.201200801.11
Page(s)	1-10
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Human Resource for Health, Quality of Healthcare, Task Shifting

References

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[22]	Jouquet, G., Bemelmans, M., Massaquo, M., Arnould, L., Mwagomba, B., Beuernfeind, A., et al. (2009). Cost Analysis of an ARV care programme reaching universial access in Thyolo, Malawi. the IAS Conference on HIV Pathogens, Treatment and Prevention. Cape Town: TUAD 105.
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APA Style

Kanyesigye Rullonga Monicah, Kaguhangire-Barifaijo Maria, Mohamed Sayeed Bayat. (2020). A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy. Journal of Human Resource Management, 8(1), 1-10. https://doi.org/10.11648/j.jhrm.201200801.11

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ACS Style

Kanyesigye Rullonga Monicah; Kaguhangire-Barifaijo Maria; Mohamed Sayeed Bayat. A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy. J. Hum. Resour. Manag. 2020, 8(1), 1-10. doi: 10.11648/j.jhrm.201200801.11

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AMA Style

Kanyesigye Rullonga Monicah, Kaguhangire-Barifaijo Maria, Mohamed Sayeed Bayat. A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy. J Hum Resour Manag. 2020;8(1):1-10. doi: 10.11648/j.jhrm.201200801.11

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@article{10.11648/j.jhrm.201200801.11,
  author = {Kanyesigye Rullonga Monicah and Kaguhangire-Barifaijo Maria and Mohamed Sayeed Bayat},
  title = {A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy},
  journal = {Journal of Human Resource Management},
  volume = {8},
  number = {1},
  pages = {1-10},
  doi = {10.11648/j.jhrm.201200801.11},
  url = {https://doi.org/10.11648/j.jhrm.201200801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jhrm.201200801.11},
  abstract = {With the increasing global health workers shortage, developing countries like Uganda are embracing task shifting as a form of availing health care amidst the growing population and increasing disease burden. This study examined the quality of healthcare delivered under task shifting in low and high task shifting environments from patients’ perspective in Kalangala and Bukomansimbi Districts respectively. An exploratory design was employed with both qualitative and quantitative approaches guided by Banduras theories of social learning and social cognitive. Bivariate analysis was carried out through cross-tabulations on associations between task shifting and quality of healthcare indicators to generate chi-square and p-values. Quality of care was assessed as generally good but much better in high task shifting environments because of the availability of simulations, supervision and mentorship programs which facilitate the health workers to learn even when they possess lower qualifications. The study asserts that good quality healthcare can be provided by virtually any person who is conditioned through training, supervision and mentoring. This has a huge implication for Human Resource for Health (HRH) planning, forecasting and development in the epoch of healthy worker shortage. The study designed and recommended a task shifting model that would facilitate the development of policy framework for task shifting implementation.},
 year = {2020}
}

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TY  - JOUR
T1  - A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy
AU  - Kanyesigye Rullonga Monicah
AU  - Kaguhangire-Barifaijo Maria
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JF  - Journal of Human Resource Management
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AB  - With the increasing global health workers shortage, developing countries like Uganda are embracing task shifting as a form of availing health care amidst the growing population and increasing disease burden. This study examined the quality of healthcare delivered under task shifting in low and high task shifting environments from patients’ perspective in Kalangala and Bukomansimbi Districts respectively. An exploratory design was employed with both qualitative and quantitative approaches guided by Banduras theories of social learning and social cognitive. Bivariate analysis was carried out through cross-tabulations on associations between task shifting and quality of healthcare indicators to generate chi-square and p-values. Quality of care was assessed as generally good but much better in high task shifting environments because of the availability of simulations, supervision and mentorship programs which facilitate the health workers to learn even when they possess lower qualifications. The study asserts that good quality healthcare can be provided by virtually any person who is conditioned through training, supervision and mentoring. This has a huge implication for Human Resource for Health (HRH) planning, forecasting and development in the epoch of healthy worker shortage. The study designed and recommended a task shifting model that would facilitate the development of policy framework for task shifting implementation.
VL  - 8
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Author Information

Kanyesigye Rullonga Monicah

Uganda Management Institute, Kampala, Uganda
Kaguhangire-Barifaijo Maria

Uganda Management Institute, Kampala, Uganda
Mohamed Sayeed Bayat

Department of Public Administration, University of Fort Hare and University of Lusaka, Lusaka, Zambia

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APA Style

Kanyesigye Rullonga Monicah, Kaguhangire-Barifaijo Maria, Mohamed Sayeed Bayat. (2020). A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy. Journal of Human Resource Management, 8(1), 1-10. https://doi.org/10.11648/j.jhrm.201200801.11

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ACS Style

Kanyesigye Rullonga Monicah; Kaguhangire-Barifaijo Maria; Mohamed Sayeed Bayat. A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy. J. Hum. Resour. Manag. 2020, 8(1), 1-10. doi: 10.11648/j.jhrm.201200801.11

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AMA Style

Kanyesigye Rullonga Monicah, Kaguhangire-Barifaijo Maria, Mohamed Sayeed Bayat. A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy. J Hum Resour Manag. 2020;8(1):1-10. doi: 10.11648/j.jhrm.201200801.11

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@article{10.11648/j.jhrm.201200801.11,
  author = {Kanyesigye Rullonga Monicah and Kaguhangire-Barifaijo Maria and Mohamed Sayeed Bayat},
  title = {A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy},
  journal = {Journal of Human Resource Management},
  volume = {8},
  number = {1},
  pages = {1-10},
  doi = {10.11648/j.jhrm.201200801.11},
  url = {https://doi.org/10.11648/j.jhrm.201200801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jhrm.201200801.11},
  abstract = {With the increasing global health workers shortage, developing countries like Uganda are embracing task shifting as a form of availing health care amidst the growing population and increasing disease burden. This study examined the quality of healthcare delivered under task shifting in low and high task shifting environments from patients’ perspective in Kalangala and Bukomansimbi Districts respectively. An exploratory design was employed with both qualitative and quantitative approaches guided by Banduras theories of social learning and social cognitive. Bivariate analysis was carried out through cross-tabulations on associations between task shifting and quality of healthcare indicators to generate chi-square and p-values. Quality of care was assessed as generally good but much better in high task shifting environments because of the availability of simulations, supervision and mentorship programs which facilitate the health workers to learn even when they possess lower qualifications. The study asserts that good quality healthcare can be provided by virtually any person who is conditioned through training, supervision and mentoring. This has a huge implication for Human Resource for Health (HRH) planning, forecasting and development in the epoch of healthy worker shortage. The study designed and recommended a task shifting model that would facilitate the development of policy framework for task shifting implementation.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - A Comparative Analysis of Quality of Health Care Delivered in Low and High Task Shifting Environments in Uganda: Implications for Policy
AU  - Kanyesigye Rullonga Monicah
AU  - Kaguhangire-Barifaijo Maria
AU  - Mohamed Sayeed Bayat
Y1  - 2020/01/08
PY  - 2020
N1  - https://doi.org/10.11648/j.jhrm.201200801.11
DO  - 10.11648/j.jhrm.201200801.11
T2  - Journal of Human Resource Management
JF  - Journal of Human Resource Management
JO  - Journal of Human Resource Management
SP  - 1
EP  - 10
PB  - Science Publishing Group
SN  - 2331-0715
UR  - https://doi.org/10.11648/j.jhrm.201200801.11
AB  - With the increasing global health workers shortage, developing countries like Uganda are embracing task shifting as a form of availing health care amidst the growing population and increasing disease burden. This study examined the quality of healthcare delivered under task shifting in low and high task shifting environments from patients’ perspective in Kalangala and Bukomansimbi Districts respectively. An exploratory design was employed with both qualitative and quantitative approaches guided by Banduras theories of social learning and social cognitive. Bivariate analysis was carried out through cross-tabulations on associations between task shifting and quality of healthcare indicators to generate chi-square and p-values. Quality of care was assessed as generally good but much better in high task shifting environments because of the availability of simulations, supervision and mentorship programs which facilitate the health workers to learn even when they possess lower qualifications. The study asserts that good quality healthcare can be provided by virtually any person who is conditioned through training, supervision and mentoring. This has a huge implication for Human Resource for Health (HRH) planning, forecasting and development in the epoch of healthy worker shortage. The study designed and recommended a task shifting model that would facilitate the development of policy framework for task shifting implementation.
VL  - 8
IS  - 1
ER  -

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