Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT05952843 |
| Other study ID # |
Task sharing |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
October 1, 2023 |
| Est. completion date |
November 2024 |
Study information
| Verified date |
July 2023 |
| Source |
Assiut University |
| Contact |
Marwa Alithy, PHD |
| Phone |
01064532017 |
| Email |
ahmedmakarem[@]yahoo.com |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
Support client's access to reproductive and family planning services through preferred and
convenient service delivery points and overcoming barriers to accessing family planning
related to the shortage of healthcare provider through strengthening the contraceptive
system, capacity building of the Ministry of health personnel and training of nurses and
targeting weak points in the contraceptive system through research for bridging gaps in the
systems .
Description:
The Sustainable Development Goals aim to meet 75% of the global demand for contraception by
2030.To meet these goals, national programs will need to bring together many components,
including social and behavior change, a gender and rights perspective, commodities, and
quality service provision by adequately trained health providers .
The current unmet needs for health workers that disproportionately affect low- and
middle-income countries are anticipated to remain unaddressed for the next decade . It is
projected that by 2030, there will be a shortage of 15 million health workers globally . In
addition, inequities in the distribution of the existing health workforce within countries,
with important rural versus urban differentials in both number and qualification, are
worsening the coverage of services in the most deprived, yet high demand areas.
World Health Organization like many other stakeholders evolved the concept of "task sharing,"
as a promising strategy for addressing the critical lack of health care workers to provide
reproductive, maternal, newborn care, enhancing equity in access to birth spacing methods, to
obtain the desired method from their nearest service delivery point and protection against
unintended pregnancies and thereby avoid costs associated with such pregnancies and of course
induced / unsafe abortion.
Task sharing involves the safe expansion of tasks and procedures that are usually performed
by higher-level staff to lay- and mid-level healthcare professionals such as midwives,
nurses, auxiliaries, clinical officers, and community health workers, especially for the
poorer segments of the society .
Task share reflects the intention to include cadres who do not normally have competencies for
specific tasks to deliver them and to thereby increase levels of health care access.
Moreover, it emphasizes the need for training and continued educational support of all cadres
of health workers for them to undertake the tasks they are to perform .
Task shifting/sharing has been highlighted as an important strategy to optimize health worker
performance in resource poor settings ; World Health Organization recommended the guidelines
describe a package of technical resources for dissemination and implementation, that includes
new and existing job aids, counseling tools, information sheets, sample training packages and
post-training support, that must be adapted to the local context to facilitate this program .
The agencies of Family Planning Training Resource Package has been developed to be a resource
for training modules on various contraceptive methods and tools. In addition, all services
and guidelines should be centered in a rights-based approach that respects individual needs
and preferences .
- In Burkina Faso, an increase in new users during the implementation of task sharing for
family planning.
- In Ethiopia, contraceptive prevalence rate has doubled every five years from 2000
,contraceptive prevalence rate = 6.1% to 2019 contraceptive prevalence rate = 41%.
Another supporting point is the decline in total fertility rate which fell from 6.0 to
4.6 in the same period. Similarly, unmet contraceptive needs were higher in 2011 ,25.3%
as compared to 2019 ,22% . From another study, anecdotal evidence health care provider
observations, suggests that the back-up strategy likely positively affected client
satisfaction, as they no longer needed to travel long distances to health centers to
receive their method of choice.
- In Ghana, Contraception prevalence rate among married women increased from 18.6% in 2008
to 19.8% in 2014 among rural residents and from 15.1% in 2008 to 24.6% in 2014 among
urban women.
- In Nigeria, Implementation of the task sharing policy for family planning increased the
uptake of long-acting reversible contraception .
Egypt's population in 2022, grew by nearly 1.6 million people to reach a total of about 104.4
million at the start of this year. A baby was born every 14.4 seconds on average, according
to the country's statistics agency Capmas .
The population continues to grow at a pace that presents significant challenges to social
stability and the economy, especially in the governorates with the highest birth rates are
mainly in Upper Egypt, including Assiut, Sohag, Qena, Minya and Beni Suef .
Egypt and United Nations Population Fund in the 10th Country Program Action Plan 2018-2022
have decided to focus on Assiut and Sohag, the 2 governorates with poor maternal health,
poverty and health human resources indicators .
To stem the total fertility rate through improving the quality of voluntary family planning
services and information, United States Agency for International Development works with the
Egyptian government through the Ministry of Health and Population /Family Planning Sector and
National Population Council . Strengthening Egypt Family Planning Program is implemented by
John Snow, for technical assistance and training to decelerate Egypt's rapid population
growth by reducing the unmet need of women and men for family planning counseling services
and methods. Prioritizing its support in the nine governorates (Aswan, Luxor, Qena, Sohag,
Assiut, Minya, Beni Suef, Fayoum, Giza ) and 11 slum areas in Cairo and Alexandria, where the
need for increased access to family planning.
Accordingly, in Apri ,Strengthening Egypt's Family Planning Program , program year 2 covering
the period October, 2018 to September, 2019, met the Central family planning Sector to
develop a roadmap and addressing task sharing as one of Strengthening Egypt's Family Planning
Program's activities related to strengthening the quality of family planning services .
That after completing the task-sharing training, nurses can provide counseling, two modern
contraceptive methods to clients and others health and reproductive services , through
task-share program training and about 188 nurses in 141 primary health care units in
September 2022, in Egypt .
Trained nurses provide counseling and family planning services including receiving pills and
injectable contraception for clients. These family planning methods contributed significantly
to the country's couple year protection, this makes pills and injections the second and third
most used modern contraceptive methods in Egypt among ever-married women aged 15-49 after
intra uterine devices .
In Assuit governorate, the program applied in 17 health units within four districts (
Elbadarey - El qousia - Dairout - Manflout ) .
In Egypt, the public health system faces many challenges such as underfunding, low-quality
care, lack of medical equipment, and shortage of qualified personnel .
Nations population Fund is partnering with reproductive health sector of the Egyptian
Ministry of Health to expand family planning use to help decrease total fertility rate. The
cooperation includes strengthening the contraceptive system, capacity building of the
Ministry of Health personnel and training of nurses and targeting weak points in the
contraceptive system through research for closing gaps in the systems .
