WHO recommendations: optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting

Published by WHO on Apr 4, 2025

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Abstract

WHO Library Cataloguing-in-Publication Data 

 

WHO recommendations: optimizing health worker roles to improve access to key maternal and newborn health interventions through task shifting. 

 

1.Maternal welfare. 

2.Patient care. 

3.Health personnel. 

4.Health manpower – organization and administration.  

5.Infant, Newborn. 

6.Health services administration. 

7.Guideline. 

 

I.World Health Organization. ISBN 978 92 4 150484 3    

 

© World Health Organization 2012 (NLM classification: WA 310) 

 

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Language

en-gb

PICOS

PICO 190.1

Population
Women in labour
Intervention
Continuous support from lay health workers
Comparator
Usual care
Outcomes

PICO 190.2

Population
Pregnant women with breech presentation at term
Intervention
External cephalic version with midwives
Comparator
Control with midwives
Outcomes

PICO 190.3

Population
Pregnant women who use health services
Intervention
Midwives
Comparator
Obstetricians/doctors + midwives
Outcomes

PICO 190.4

Population
All presenting patients in primary care
Intervention
Substitution of nurses for doctors (nurse-led primary care)
Comparator
Routine care provided by doctors (doctor-led primary care)
Outcomes

PICO 190.5

Population
Pregnant women breastfeeding
Intervention
Lay health workers
Comparator
Usual care
Outcomes

PICO 190.6

Population
Infants and children <5 years
Intervention
Lay health workers
Comparator
Usual care
Outcomes

PICO 190.7

Population
Pregnant woman
Intervention
Lay health workers
Comparator
Usual care
Outcomes

PICO 190.8

Population
Mothers with young infants
Intervention
Lay health workers
Comparator
Usual care
Outcomes

PICO 190.9

Population
Children < 2 years whose vaccination is not up to date
Intervention
Lay health workers
Comparator
Usual care
Outcomes

PICO 190.10

Population
Women of reproductive age who require contraception
Intervention
LHWs delivering injectable contraceptives
Comparator
Usual care
Outcomes

PICO 190.11

Population
Pregnant women and neonates
Intervention
Trained TBAs
Comparator
Untrained TBAs
Outcomes

PICO 190.12

Population
Pregnant woman undergoing a caesarean section
Intervention
Non-physician clinicians
Comparator
Doctors
Outcomes

PICO 190.13

Population
All women of reproductive age without abnormal gynaecologic findings requesting an IUD
Intervention
IUD insertion by nurses
Comparator
IUD insertion by doctors
Outcomes

PICO 190.14

Population
All interested women in villages that requested an IUD.
Intervention
IUD insertion by auxiliary nurse midwives
Comparator
IUD insertion by doctors
Outcomes

PICO 190.15

Population
Postpartum women after normal vaginal delivery
Intervention
Tubal ligation by nurse-midwives.
Comparator
Tubal ligation by doctors
Outcomes