Akinyemi O O, Somoye A, Oladoyin V O
Department of Health Policy and Management, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Nigeria.
Association for Reproductive and Family Health, Port-Harcourt, Nigeria.
Ann Ib Postgrad Med. 2020 Jun;18(1):18-23.
Task shifting, the balanced reallocation of tasks usually from a higher cadre to a lower cadre among the health workforce team, has been proposed as a possible solution to the serious shortage of human resource in the health sector is being experienced in many developing countries. This study aimed to assess the views and experiences of nurses on task shifting in family planning services in Ibadan, Southwest Nigeria.
A descriptive cross-sectional study of 400 nurses with at least a year experience in providing family planning services at purposively selected tetiary, secondary and primary facilities in Ibadan was carried out using an intervieweradministered questionnaire. Chi-square test was used to determine association between categorical variables at 5% level of significance.
Mean age of the respondents was 41.1±8.7 years and 62% of the respondents were registered nurses/registered midwives. Although majority (91.5%) of the respondents were aware of the concept of task shifting, only 52.2% were willing to task shift family planning services to lower cadre staff and only 38.5% have actually task shifted family planning services to lower cadre staff. Age, educational status and awareness about task shifting were predictors of willingness to task shift family planning services.
Older registered nurses or registered midwives who were aware of the concept of task shifting were more willing to task shift family planning services. Also, a combination of both awareness and willingness to task shift among married women enhances the practice of task shifting of family planning services.
任务转移，即在卫生人力团队中通常将任务从高职称人员重新平衡分配给低职称人员，已被提议作为解决许多发展中国家卫生部门人力资源严重短缺问题的一种可能办法。本研究旨在评估尼日利亚西南部伊巴丹护士对计划生育服务中任务转移的看法和经验。
采用访谈式问卷调查，对在伊巴丹经目的抽样选取的三级、二级和一级医疗机构中至少有一年计划生育服务经验的400名护士进行描述性横断面研究。采用卡方检验确定分类变量之间在5%显著性水平上的关联。
受访者的平均年龄为41.1±8.7岁，62%的受访者为注册护士/注册助产士。虽然大多数（91.5%）受访者知晓任务转移的概念，但只有52.2%愿意将计划生育服务任务转移给低职称人员，只有38.5%实际已将计划生育服务任务转移给低职称人员。年龄、教育程度和对任务转移的知晓情况是愿意转移计划生育服务任务的预测因素。
知晓任务转移概念的年长注册护士或注册助产士更愿意转移计划生育服务任务。此外，已婚女性中对任务转移的知晓和意愿相结合可促进计划生育服务任务转移的实践。
