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Edson Eliah 1, Susan Lewallen 1, Michael Gichangi 2, Paul Courtright 1, Khumbo Kalua 3

Task shifting in eastern Africa: Attrition and productivity of cataract surgeons in Tanzania, Malawi, and Kenya. Edson Eliah 1, Susan Lewallen 1, Michael Gichangi 2, Paul Courtright 1, Khumbo Kalua 3.

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Edson Eliah 1, Susan Lewallen 1, Michael Gichangi 2, Paul Courtright 1, Khumbo Kalua 3

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  1. Task shifting in eastern Africa: Attrition and productivity of cataract surgeons in Tanzania, Malawi, and Kenya Edson Eliah 1, Susan Lewallen 1, Michael Gichangi 2, Paul Courtright 1, Khumbo Kalua 3 Affiliation: 1 Kilimanjaro Centre for Community Ophthalmology ,2 Ministry of Health, Kenya 3 Ministry of Health, Malawi

  2. Background • There is a shortage and mal distribution of health care workers in most Africa settings • To mitigate the problem health care planners resorted to ‘task shifting’ • ‘Task shifting’- distributing clinical duties from well specialised, relatively scarce health care workers to relatively more abundant, less specialised health care workers. Eg cataract surgeons

  3. Methodology- cohort • Identify all trained cataract surgeons (current and ongoing) • Base line survey of surgeons • Follow up semi annually (for attrition and reasons), annually (for productivity and associated factors) • In depth interviews in case of leaving post

  4. Conclusion/Recommendations • A significant proportion of the CS do not have basics (microscopes and cataract sets) • No point in training if they aren’t supported • Numbers of surgeries are highly variable • Outreach, reliable sources of consumables, having instruments and working equipment • Attrition is about 15 %

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