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Table 1 Facilitating Factors and Barriers to Task Shifting in Uganda

From: Policy and programmatic implications of task shifting in Uganda: a case study

Facilitating factors Barriers
• Policy on task shifting • The name task shifting
• Standard Operating procedures • Poor health worker pay and conditions of service
• Better candidates entering the professions • Lack of awareness
• Evidence of successful task shifting • Lack of legal protection
• Lax regulatory environment • Lack of policy and guidelines
• Poor law enforcement • Corruption
• Institutional or programmatic guidelines • Poor planning, unregulated task shifting
• High demand for health services • Professional boundaries and regulation
• Scarcity of skills • Poor community attitude
• Focussed initiatives, e.g. home based management of fever • Professional protectionism
• International commitments, e.g. MDGs • Heavy workload and high disease burden
• Functioning referral chain • Reluctance to change
• Greater awareness on what task shifting was all about • Limited knowledge and skills
• A task shifting champion • Unemployment or lack of job opportunities for health professionals