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Training in counselling skills and allocation of more time to the HIV component during the IMCI training may be an added advantage.
Due to current or predicted health workforce shortages, policy makers worldwide are addressing issues of task allocation, skill mix, and role substitution.
This looks at issues such as managing skill sets, resource allocation, building accountability and trust, and the interactional work with other actors in the health care setting.
Empirical evidence shows that given each person's comparative advantages (skills heterogeneity), in the resulting allocation some skills are rewarded more than others across jobs, and consequently workers can earn more than others with similar skills.
Technical skills as correct bag and mask ventilation, cardiac compressions and knowledge of emergency medication; non-technical skills as role allocation, leadership and communication (close-loop communication) and attenuation of anxiety regarding participation in future critical events were defined as learning objectives.
But it would hardly qualify as an advertisement for G.E.'s vaunted management and capital allocation skills.
Generally, the aforementioned local groundwater allocation skills seem to work well as animals would normally be grazing in the pasture lands in the mornings and would stop by to drink as they are trailed back to their sheds/closets/bomas in the evenings.
We found priority setting and resource allocation skills were very low at all levels starting with the district RCHS and district health system levels.
Differences in comparative advantage among workers to perform different tasks together with the market prices of different tasks as well as wages for different skills, lead workers to endogenously decide the optimal allocation of skills to tasks.
Mischel's conclusion, based on hundreds of hours of observation, was that the crucial skill was the "strategic allocation of attention".
Some of these questions, however, suggest that there is strong evidence that the current skill mix and task allocation are the most productively efficient, implying that task shifting represents a risk.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com