Challenges: In contrast to implementation of task-shifting at facility-level, community-level task-shifting worked well, since it preceded the emergence of the GHIs and did not interfere with existing power and hierarchies amongst professional HRH.
Despite the fact that some member states already operate the single buyer model (e.g. the National Balancing Point in the UK and Title Transfer Facility in the Netherlands), such a move at the community level would task the Commission to negotiate gas contracts on behalf of the EU.
The switch to the community level also makes the tasks of identifying these characteristics and of obtaining relevant data easier.
Delegation of tasks to community level health workers has more recently been considered as a response to the global shortage in human resources for health and a key strategy to improve access to quality health services [ 2].
Currently, HSA tasks at community level include: child (and mother) vaccination, growth monitoring, sanitation, water source protection and water treatment, disease surveillance, village and business inspection, health and nutrition talks, and supervising traditional birth attendants and village health and water committees.
The Ndere CHWs were also assisted in their tasks at the community level by the CHC members.
In fact, it was many of us in Congress who sought to develop a drug, antidrug task force at the community level.
A number of policymakers, SCHMT members and facility managers felt additional tasks could be shared at community level, but opinions ranged on who should conduct these CHEWs or CHWs.
An important, yet often tricky, task is the evaluation of prevention efforts at the community level.
The initiation of PEP by lower cadre health care workers is still a hindrance to completing the task-shifting of post-rape care activities to the community level.
For Programme Managers, the two tiered community level health cadre system is recommended as it ensures an equitable distribution of tasks between health promotion through home visits and curative service provision.
