From: The development of task sharing policy and guidelines in Kenya
Chapter | Description of chapter |
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Chapter 1: Introduction | Presents background information on Kenya’s health indicators, overview of the health system, and the health worker shortage crisis; thus, making a case for why introducing task sharing in Kenya would be beneficial to addressing the workforce shortages. The chapter also discusses the global evidence-based recommendations for task sharing from the WHO |
Chapter 2: Legal, Regulatory and Policy Framework | Highlights various Kenyan laws, regulations and policies, and reviews whether they enable or restrict the implementation of task sharing in the country, while urging harmonization of Kenya’s laws, regulations, and other policies in support of task sharing |
Chapter 3: Training and Education | Presents an overview of health training in Kenya and summarizes the training provided to select cadres and addresses the need for specialized training and continuing education for these cadres to facilitate implementation of task sharing |
Chapter 4: Task Sharing by Cadre and Level | Presents targeted cadres and a large number and variety of tasks that may be shared by each cadre after ensuring competency to perform the task. See Appendix B for a list of cadres targeted for task sharing To facilitate implementation, the information is presented in tables that are easy to read and interpret. These tables constitute approximately half of the entire document, as several hundred tasks are listed alongside the evidence base for sharing each task with each cadre. These tasks include HIV rapid testing, HIV treatment, HIV Pre-Exposure Prophylaxis, medical male circumcision, TB case identification, malaria rapid diagnostic testing, micronutrient supplementation, and provision of immunizations, among many others. See Appendix C for an example of the HIV testing and counseling table included in the TSP document |
Chapter 5: Monitoring and Evaluation (M&E) | Describes the areas that M&E of the TSP will cover as well as the guiding principles and M&E framework of the TSP |
Chapter 6: Recommendations | Makes suggestions for the way forward, centering around five key areas: (i) adoption and implementation, (ii) harmonization of laws, policies and regulations, (iii) training, (iv) service delivery, and (v) monitoring and evaluation of TSP implementation |