Task-sharing has frequently been proposed as a strategy to overcome
human resource shortages in order to scale up mental health care.
Although evidence suggests this approach is effective, to date, no
review has been conducted to assess its acceptability and feasibility
amongst service users and health care practitioners.
This review summarises current findings and provides evidence-based
recommendations to improve the success and sustainability of
task-sharing approaches. The review highlights that task-sharing is not
an outright solution for overcoming human resource shortages in low and
middle income countries (LMIC). A number of factors need to be
considered in order for task-sharing to be acceptable and feasible, for
example, the incidence of distress experienced by the task-sharing
workforce, their self perceived level of competence, the acceptance of
the workforce by other health care professionals and the incentives
provided to ensure workforce retention.
Policy brief based on published research by Padmanathan P and De Silva,
M (2013). Title: The acceptability and feasibility of task-sharing for
mental healthcare in low-and middle-income countries: a systematic
review. Social Science and Medicine. Vol 97. Nov 2013. Pages 82-86.
Padmanathan, P.; De Silva, M. PRIME Policy Brief 4. The acceptability and feasibility of task sharing for mental healthcare in low and middle-income countries: a systematic review. PRIME, University of Cape Town, Rondebosch, South Africa (2013) 4 pp.
PRIME Policy Brief 4. The acceptability and feasibility of task sharing for mental healthcare in low and middle-income countries: a systematic review