Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation?

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dc.contributor.authorWatson, Estelle D.
dc.contributor.authorMoosa, Shabir
dc.contributor.authorJanse Van Rensburg, Dina C.
dc.contributor.authorSchwellnus, Martin
dc.contributor.authorLambert, Estelle V.
dc.contributor.authorStoutenberg, Mark
dc.date.accessioned2023-09-14T13:18:59Z
dc.date.available2023-09-14T13:18:59Z
dc.date.issued2023-08-29
dc.date.updated2023-09-08T12:44:42Z
dc.description.abstractBackground: In low-to-middle income countries (LMICs), there is a growing burden of non-communicable diseases (NCDs) placing strain on the facilities and human resources of healthcare systems. Prevention strategies that include lifestyle behavior counseling have become increasingly important. We propose a potential solution to the growing burden of NCDs through an expansion of the role for community health workers (CHWs) in prescribing and promoting physical activity in public health settings. This discussion paper provides a theoretical model for task-shifting of assessment, screening, counseling, and prescription of physical activity to CHWs. Five proposed tasks are presented within a larger model of service delivery and provide a platform for a structured, standardized, physical activity prevention strategy aimed at NCDs using CHWs as an integral part of reducing the burden of NCDs in LMICs. However, for effective implementation as part of national NCD plans, it is essential that CHWs received standardized, ongoing training and supervision on physical activity and other lifestyle behaviors to optimally impact community health in low resource settings.
dc.identifierdoi: 10.3390/ijerph20176675
dc.identifier.apacitationWatson, Estelle D., Moosa, S., Janse Van Rensburg, Dina C., Schwellnus, M., Lambert, Estelle V., & Stoutenberg, M. (2023). Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation?. <i>International journal of Environmental Research and Public Health</i>, 20(17), 6675. http://hdl.handle.net/11427/38640en_ZA
dc.identifier.chicagocitationWatson, Estelle D., Shabir Moosa, Dina C. Janse Van Rensburg, Martin Schwellnus, Estelle V. Lambert, and Mark Stoutenberg "Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation?." <i>International journal of Environmental Research and Public Health</i> 20, 17. (2023): 6675. http://hdl.handle.net/11427/38640en_ZA
dc.identifier.citationWatson, Estelle D., Moosa, S., Janse Van Rensburg, Dina C., Schwellnus, M., Lambert, Estelle V. & Stoutenberg, M. 2023. Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation?. <i>International journal of Environmental Research and Public Health.</i> 20(17):6675. http://hdl.handle.net/11427/38640en_ZA
dc.identifier.ris TY - Journal Article AU - Watson, Estelle D. AU - Moosa, Shabir AU - Janse Van Rensburg, Dina C. AU - Schwellnus, Martin AU - Lambert, Estelle V. AU - Stoutenberg, Mark AB - Background: In low-to-middle income countries (LMICs), there is a growing burden of non-communicable diseases (NCDs) placing strain on the facilities and human resources of healthcare systems. Prevention strategies that include lifestyle behavior counseling have become increasingly important. We propose a potential solution to the growing burden of NCDs through an expansion of the role for community health workers (CHWs) in prescribing and promoting physical activity in public health settings. This discussion paper provides a theoretical model for task-shifting of assessment, screening, counseling, and prescription of physical activity to CHWs. Five proposed tasks are presented within a larger model of service delivery and provide a platform for a structured, standardized, physical activity prevention strategy aimed at NCDs using CHWs as an integral part of reducing the burden of NCDs in LMICs. However, for effective implementation as part of national NCD plans, it is essential that CHWs received standardized, ongoing training and supervision on physical activity and other lifestyle behaviors to optimally impact community health in low resource settings. DA - 2023-08-29 DB - OpenUCT DP - University of Cape Town IS - 17 J1 - International journal of Environmental Research and Public Health LK - https://open.uct.ac.za PY - 2023 T1 - Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation? TI - Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation? UR - http://hdl.handle.net/11427/38640 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/38640
dc.identifier.vancouvercitationWatson Estelle D, Moosa S, Janse Van Rensburg Dina C, Schwellnus M, Lambert Estelle V, Stoutenberg M. Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation?. International journal of Environmental Research and Public Health. 2023;20(17):6675. http://hdl.handle.net/11427/38640.en_ZA
dc.publisherMultidisciplinary Digital Publishing Institute
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceInternational journal of Environmental Research and Public Health
dc.source.journalissue17
dc.source.journalvolume20
dc.source.pagination6675
dc.source.urihttps://www.mdpi.com/journal/ijerph
dc.titleTask-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation?
dc.typeJournal Article
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