Coronavirus Illness 2019 (COVID-19)



The coronavirus illness 2019 (COVID-19) pandemic has positioned a considerable burden on many healthcare techniques worldwide as they wrestle to deal with each COVID-19 sufferers and preserve important major care companies. The burden could also be even better in low-resource non-US settings, the place healthcare techniques are sometimes already overtaxed and struggling to supply companies to sufferers in want attributable to a scarcity within the healthcare workforce.

The World Well being Group (WHO) outlines two approaches to develop and guarantee entry to important well being companies by optimizing the usage of the prevailing healthcare workforce: process shifting and process sharing1 2. Process shifting and process sharing enable for the shifting of duties from extremely certified healthcare employees (HCWs) to HCWs with much less coaching and fewer {qualifications} and the sharing of duties with an equally certified cadre of HCWs, respectively. This enables for extra environment friendly use of accessible human assets working in overburdened well being techniques through the COVID-19 pandemic.

These two methods could also be one half of a bigger technique to develop and strengthen well being system capability to extend entry to COVID-19 care whereas sustaining important well being companies. Moreover, these methods will help defend and preserve the well being and wellbeing of the healthcare workforce by decreasing their workload and strategically utilizing employees who’re at increased danger of extreme sickness from COVID-19 in a method that decreases their danger of publicity to the virus that causes COVID-19.

Goal Viewers

These concerns are supposed for international locations the place entry to primary important well being companies is constrained as a result of COVID-19 pandemic, which have an underlying well being workforce scarcity, and which can be contemplating implementation of a process shifting or sharing method to strengthen and develop the well being workforce for the supply of COVID-19 care and different important well being companies. Primarily this doc is aimed toward well being care coverage makers, program managers and employees in Ministries of Well being who handle human assets for well being together with native and worldwide organizations offering important well being companies which were affected by the pandemic.


Process shifting and process sharing mirror the identical intention – to incorporate cadres who don’t usually have competencies for particular duties to ship them and to thereby enhance ranges of well being care entry. Each emphasize the necessity for coaching and continued academic assist of all cadres of well being employees to ensure that them to undertake the duties they’re to carry out. Moreover, routine supportive supervision and a well-functioning referral system are important preconditions for fulfillment.  The recommendations on this doc typically apply to process sharing and process shifting approaches.

Process shiftingexterior icon is the method of delegation whereby duties are moved, the place applicable, to much less specialised HCWs1. This reorganization of the workforce, together with expanded coaching and retention applications, can enable a well being system to extra effectively use the prevailing workforce and ease bottlenecks in service supply whereas additionally increasing workforce capability1 2.

Process sharing will increase the classes of HCWs who can ship sure well being companies. With process sharing, duties usually are not taken away from one cadre or set of HCWs and given to a different, however they’re shared throughout teams2. Process sharing permits low- and mid-level well being professionals to carry out duties and procedures that might usually be restricted to increased stage well being professionals, thereby liberating up time for these higher-level suppliers inside a well being system.

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