This study uses trends in HIV and non-HIV service workloads in Zambia to illustrate ‘task sharing’, where staff take on additional clinical responsibilities.

We formed CHWs into 15-20 member peer support groups based on the Care Group model, and trained the groups to conduct community mobilization and behaviour change communication at the household level.

The Health System Strengthening for Equity: The Power and Potential of Mid- Level Providers (HSSE) project sought to document the current use of nurses, nurse-midwives and NPCs in delivering EmOC in Malawi, Mozambique, and Tanzania. One of the main aims of the project was to explore actual performance of EmOC and other related maternal and newborn health services by health workers who provided at least one of the EmOC signal functions in the previous three months preceding data collection in hospitals and health centres throughout Malawi, Mozambique, and Tanzania.

The study aimed at exploring the background of the advanced vocational curriculum management for pharmacy technicians (PTs) among nine institutions under the Ministry of Public Health (MOPH)supervision. In addition, this study also focused on situations of loss and gain in public hospitals and measured the level of routine job satisfaction among PTs.

The HSSE project aimed to support health system strengthening for equity in Africa by building an evidence base on the role of mid-level providers (MLP) in maternal and neonatal health and promoting greater political leaderships and critical policy action on this issue. One of the key research questions was ‘What are the factors that will optimise and support mid-level provider performance?’

This study was conducted in the frame of the QUALMAT research project which seeks to improve the quality of Maternal and Neonatal health (MNH) care in rural sub-Saharan Africa. It was undertaken in Tanzania to gain a detailed insight into the influences on MNH provider motivation, performance and job satisfaction.

The QUALMAT project seeks to improve the quality of maternal and neonatal health (MNH) care in rural sub- Saharan Africa. Provider skills and motivation levels are considered to hold the key to their performance. An incentive scheme and a Clinical Decision Support System will be piloted at selected primary level facilities. Here the development of an instrument to monitor the effects of these interventions on MNH provider motivation in Ghana is described.