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E. IWU 1,2,3 I. Ekwede 1 , I. Ezebuihe 1 , O. Caroline 1 , E. Umaru 3 , A. Gomwalk 3 ,

Task Shifting - A strategic response to Human Resource for Health crisis: Qualitative Evaluation of Hospital based HIV Clinics in North Central Nigeria. E. IWU 1,2,3 I. Ekwede 1 , I. Ezebuihe 1 , O. Caroline 1 , E. Umaru 3 , A. Gomwalk 3 ,

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E. IWU 1,2,3 I. Ekwede 1 , I. Ezebuihe 1 , O. Caroline 1 , E. Umaru 3 , A. Gomwalk 3 ,

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  1. Task Shifting - A strategic response to Human Resource for Health crisis: Qualitative Evaluation of Hospital based HIV Clinics in North Central Nigeria E. IWU1,2,3 I. Ekwede1, I. Ezebuihe1, O. Caroline1, E. Umaru3, A. Gomwalk3, M. Etiebet2,3, U. Gebi3, B. Mairiga3, M. Moen1, R. Riel4, J. Johnson1 University of Maryland, School of Nursing, Baltimore, Maryland, USA University of Maryland , Institute of Human Virology, Baltimore , Maryland USA Institute of Human Virology Nigeria, Abuja, Nigeria

  2. Needs Assessment & F/up Findings • Lack of National Policy & Legislation • Physicians’ reluctance to give up traditional roles • Resistance to Organizational Change & Lack of Buy-in - Due to long standing defined roles. • Nurses’ reported increased work burden with Expanded Role • Need For: • Balancing “stable” & “non stable” patient loads for provider groups • Training - Staff expressed frustration with insufficient preparation • Clarity of Roles & Coordination • Certification, Legal Justification & Proof of Competency for new roles • Performance Enhancement & Staff Retention strategies Nurses expressed need for organizational support to improve work conditions & CE opportunities • Funds, Equipment, Supplies & Infrastructure - E.g. Lack of space & material resources were notable barriers

  3. IMPACT Hours

  4. Recommendations & Discussion Participatory implementation - increase awareness & improve buy in Communication, Team building & Mentoring skills are critical components Nurses require additional clinical training & mentoring for ARV refill and monitoring Doctors will benefit from Task Shifting & Mentoring training Multi-disciplinary training and clearly defined roles are important Certification through institutions or national processes 7. Built-in incentives to enhance performance & retention 8. Continued Government & stakeholder engagement to develop approaches to raise funds for material & infrastructural support

  5. Acknowledgement • University of Abuja Teaching Hospital, Administration & Staff, Gwagwalada FCT, Nigeria • Federal Medical Center Administration & Staff, Keffi, Nassarawa State, Nigeria • Institute of Human Virology Nigeria Administration & Staff, Abuja, Nigeria • Institute of Human Virology , University of Maryland, School of Medicine, Baltimore, MD, USA • School of Nursing, University of Maryland, Offices of Global Health & Research, Baltimore, MD, USA

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