Implementation pack · Section 7.11
Optimizing the Health Workforce for Universal Health Coverage
National task-shifting and task-sharing policies to close workforce gaps and reduce physician-only bottlenecks.
Framework only Framework guidance for this domain
Status
Implementation pack in development
This implementation pack is in development. The framework content for the domain is published and available now.
01Purpose
National task-shifting and task-sharing policies to close workforce gaps and reduce physician-only bottlenecks.
02ASQAT direction
Within 24 months, ASQAT should recommend national task-shifting and task-sharing policy reforms, including scope-of-practice guidelines and competency-based certification pathways for participating cadres.
03Desired institutional state
The desired institutional state for this domain has not been approved yet. The priority components below describe what the framework asks institutions to be able to show.
04Priority components
- 01Enable nurses to lead triage, chronic disease monitoring, and maternal and child health services, including the administration of intravenous medications to improve adherence, patient safety, and outcomes, supported by defined guidelines, protocols, and qualification requirements where current scope of practice does not already permit this
- 02Enable pharmacists to provide immunizations, point-of-care testing, NCD screening, contraceptive services, and medication management at the Primary Health Care level
- 03Enable community health extension workers to conduct nutrition screening and referral under supervision
- 04Establish new advanced practice cadres and legally protect their scope of practice to reduce physician-only bottlenecks
05Initial actions
A recommended action sequence will be published once approved. Actions are not invented beyond approved ASQAT content.
06Leadership responsibilities
Leadership responsibilities for this domain are in development.
07Workforce responsibilities
Workforce responsibilities for this domain are in development.
08Measurement
Measurement specifications for this domain are being developed. Indicator definitions are published only once the numerator, denominator and data source are agreed.
09Evidence expectations
Evidence expectations for this domain are being defined with the measurement specifications.
10Tools and resources
Implementation resources for this domain are currently in development. Approved policies, procedures, checklists and tools will be released through the resource library.
11Related domains
12Implementation evidence
No approved implementation evidence has been published for this domain yet. Case studies are published only after review of what was measured and how.