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Healthcare Professional Shortage and Task-Shifting to Prevent Cardiovascular Disease: Implications for Low- and Middle-Income Countries
Open accessAbstract
Cardiovascular diseases (CVD) account for 18 million of annual global deaths with more than three quarters of these deaths occurring in low- and middle-income countries (LMIC). In LMIC, the distribution of risk factors is heterogeneous, with urban areas being the worst affected. Despite the availability of effective CVD interventions in developed countries, many poor countries still struggle to provide care due to lack of resources. In addition, many LMIC suffer from staff shortages which pose additional burden to the healthcare system. Regardless of these challenges, there are potentially effective strategies such as task-shifting which have been used for chronic conditions such as HIV to address the human resource crisis. We propose that through task-shifting, certain tasks related to prevention be shifted to non-physician health workers as well as non-nurse health workers such as community health workers. Such steps will allow better coverage of segments of the underserved population. We recognise that for task-shifting to be effective, issues such as clearly defined roles, evaluation, on-going training, and supervision must be addressed.
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Metadata
- Authors
- Tsolekile, L. P., Abrahams-Gessel, S., & Puoane, T.
- Affiliations
- University of the Western Cape (ZA)
- Corresponding author
- Puoane, Thandi
- Venue
- Current Cardiology Reports
- Published
- 2015-10-19
- Volume
- 17
- Issue
- 12
- Pages
- 115-115
- ISSN
- 1523-3782 (ISSN-L)
- 1534-3170
- PMC
- PMC13718040
- OpenAlex
- W1782685580
- Cited by
- 52
- References
- 35
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2023: 7 · 2022: 9 · 2021: 8 · 2020: 6 · 2019: 4 · 2018: 4 · 2016: 2
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- green
- pmc.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Cardiology Reports (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health Workforce Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- task shifting, cardiovascular disease prevention, health workforce shortage, community health workers, non-physician health workers, low- and middle-income countries, health worker training and supervision, underserved populations
- MeSH terms
- Attitude of Health Personnel, Cardiovascular Diseases, Community Health Workers, Cost-Benefit Analysis, Delivery of Health Care, Developing Countries, Health Workforce, Health Priorities, Health Services Accessibility, Humans
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