Tamayo Reiner Lorenzo J, Reyes Katherine Ann V
Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila.
Alliance for Improving Health Outcomes, Inc., Quezon City, Philippines.
Acta Med Philipp. 2023 Dec 18;57(12):12-17. doi: 10.47895/amp.vi0.6316. eCollection 2023.
The primary objective of this study was to explore the acceptability of task shifting to volunteer barangay health workers (BHWs) in the implementation of community-based Diabetes Self-Management Education (DSME) in the Philippines.
This study employed a descriptive qualitative study design. Data were collected through semi-structured interviews with twelve stakeholders. The study was conducted in the urban city of Marikina which has a high prevalence of diabetes, and high death rates for diabetes and cerebrovascular disease relative to the regional and national rates. A purposive sampling technique was used in selecting participants.
Task shifting Diabetes Self-Management Education to BHWs is generally acceptable to the participants. Expanding the roles of BHWs should be supported by adequate training, compensation, supervision, and financial and non-financial incentives. Ensuring adequate support and resources to execute BHWs' duties and responsibilities as volunteer health workers can promote the effective implementation of task shifting DSME in primary care.
Findings from this study provide preliminary evidence of the acceptability of task shifting to BHWs in the management of diabetes mellitus. The study highlights the importance of institutionalizing task shifting in the health system to promote acceptance and sustainability.
本研究的主要目的是探讨在菲律宾实施基于社区的糖尿病自我管理教育（DSME）过程中，将任务转移给志愿的 barangay 卫生工作者（BHWs）的可接受性。
本研究采用描述性定性研究设计。通过对 12 名利益相关者进行半结构化访谈收集数据。该研究在糖尿病患病率高、糖尿病和脑血管疾病死亡率相对于地区和国家水平较高的城市马里基纳进行。采用目的抽样技术选择参与者。
将糖尿病自我管理教育任务转移给 BHWs 总体上为参与者所接受。扩大 BHWs 的职责应得到充分培训、补偿、监督以及财务和非财务激励措施的支持。确保为志愿卫生工作者履行 BHWs 的职责提供足够的支持和资源，可促进在初级保健中有效实施任务转移的 DSME。
本研究结果为在糖尿病管理中将任务转移给 BHWs 的可接受性提供了初步证据。该研究强调了在卫生系统中将任务转移制度化以促进接受度和可持续性的重要性。
