Task shifting involves moving tasks from health workers with higher levels of training to health workers with lower levels of training. In this way, access to key health services can be increased in areas where there are currently shortages of health workers. This optimization might involve, for instance, transferring tasks from nurses to auxiliary nurses or from specialist doctors to general practitioners.
The recommendations were developed through a structured process, including a thorough review of available evidence. This work was carried out by a team from the WHO and the Norwegian Knowledge Centre for the Health Services, with support from Norad (the Norwegian Agency for Development Cooperation) and with participation from an international panel.
The recommendations are intended for decision-makers at regional, national and international levels. Decision makers in each setting need to assess the recommendations in relation to their local context and health system, and to use those interventions regarded as relevant to increasing their populations’ access to key maternal and newborn interventions.
Metin Gülmezoglu, lead specialist in the Department of Reproductive Health and Research, WHO and WHO lead for the development of the recommendations, noted that: “Our overall objective is to ensure that every mother and child who needs attention and care receives the best option. And we hope that the policies recommended in the WHO guideline will help countries achieve this.”
Claire Glenton and Simon Lewin, senior researchers in the Norwegian Knowledge Centre for the Health Services and responsible for technical work on the guideline, commented that: “These evidence-based recommendations aim to help policymakers find the best solution for delivering care for mothers and babies. The recommendations should not be perceived as promoting second class health services. Rather these recommendations focus on what is considered to be safe and effective, regardless of context. Ultimately, we hope that the recommendations will help to reduce health inequities and promote universal access to health care".