Shining a light on task-shifting policy : exploring opportunities for adaptability in non-communicable disease management programmes in Uganda

Abstract EN

In terms of disease burden, many low- and middle-income countries are currently experiencing a transition from infectious to chronic diseases.

In Uganda, non-communicable diseases (NCDs) have increased significantly in recent years; this challenge is compounded by the healthcare worker shortage and the underfunded health system administration.

Addressing the growing prevalence of NCDs requires evidence-based policies and strategies to reduce morbidity and mortality rates; however, the integration and evaluation of new policies and processes pose many challenges.

Task-shifting is the process whereby specific tasks are transferred to health workers with less training and fewer qualifications.

Successful implementation of a task-shifting policy requires appropriate skill training, clearly defined roles, adequate evaluation, an enhanced training capacity and sufficient health worker incentives.

This article focuses on task-shifting policy as a potentially effective strategy to address the growing burden of NCDs on the Ugandan healthcare system.