The Call to Action
Task sharing is the systematic delegation of tasks to a broader set of health professionals to more equitably allocate and maximize the efficient use of human resources. Task sharing strategies for increasing contraceptive access optimize the skills and competencies health workers at all levels bring to contraception and women’s health. We all have a role to play in this effort.
This Call to Action was developed to urge global health and development partners to adopt task sharing as a key solution for increasing access to contraception. This call to action is in support of Family Planning 2020 goals. Its development benefitted from extensive inputs from the Family Planning Task Sharing Technical Working Group and other partner organizations.
Task Sharing to Increase Access to Contraception: A Proven Strategy that Makes a Difference
Why Task Sharing? Why Now?
- Offering contraception through a wider range of providers better meets the needs of clients. Youth, particularly young men, often prefer accessing contraception through pharmacies and drug shops, which are more convenient and discreet than health clinics. Providers with direct links to communities, such as midwives and community health workers, may be more approachable, speak the same language and understand local customs better than doctors or nurses.
- Evidence and experience show that a wide variety of health workers can safely and effectively provide contraception. The World Health Organization has guidelines on how to optimize the roles of health workers through task sharing of family planning services.
- Access to contraception is part of a comprehensive package of sexual and reproductive health care for all women. Task sharing of family planning helps achieve gender equality and reproductive rights for all women—rural, urban, poor and rich.
- The current allocation of human resources for health is failing to meet the needs of growing populations. Despite efforts to increase the coverage of health workers, the number of additional providers needed to meet global health demands is increasing. Of the 1.6 billion women of reproductive age (15-49) living in low- and middle-income countries about half of them (885 million) want to avoid or postpone child rearing; however, 214 million of these women are not using a modern contraceptive method. Further, nearly 89 million pregnancies in low- and middle-income countries in 2017 were unintended.
- Outdated policies prevent effective use of the skills and competencies of the health workforce. Many countries still restrict contraceptive provision to relatively few cadres, such as doctors and nurses, who typically live and practice in urban areas. Other health providers, such as midwives, nursing aides, pharmacists and community health workers, have the skills to provide a range of contraceptive methods, are based in high-need rural and low-income areas and are much more likely to remain in their communities once trained.
Task Sharing Technical Working Group Resources
The Family Planning Task-Sharing Technical Working Group (TSTWG) links research, policy and service delivery organizations to promote evidence- based approaches to task-sharing. The aim of the group is to support the dissemination of the World Health Organization’s family planning task-shifting guidelines, identify research gaps and emerging areas of task-sharing family planning, and promote collaboration and coordination among stakeholders.
Members of the TSTWG include: U.S. Agency for International Development, the World Health Organization, Abt Associates, EngenderHealth, FHI 360, Family Planning 2020, Ibis Reproductive Health, International Planned Parenthood Federation, JSI Research & Training Institute, Inc., London School of Hygiene and Tropical Medicine, Marie Stopes International, Pathfinder International, Population Council, and Population Services International
The TSTWG have developed these resources to enhance collaboration and knowledge sharing with the global community on family planning task sharing.
Resources in English
Task Sharing Research
Task sharing increases contraceptive access for women and men and helps countries follow through on their commitments to meet contraceptive needs. Here are just a few examples of where task sharing is improving family planning services:
- In Ethiopia, heath extension workers, who provide pills, condoms and injectable contraceptives through health posts and doorstep services, are credited with doubling the country’s modern contraceptive prevalence rate between 2005 and 2011. Health extension workers now insert Implanon implants as well.
- Bangladesh’s trained and supported Blue Star drug shop staff safely provide injectable contraceptives and other quality contraceptives. Nearly a third of all contraceptive users access services through these outlets.
- In Malawi, clinical officers provide over 40,000 tubal ligation services per year in rural facilities. Consequently, the prevalence of tubal ligation in Malawi is relatively high at 7.5 percent.1 In neighboring Zambia, where only doctors can provide tubal ligation, the prevalence of tubal ligation is only 1.4 percent.1
What Can You Do?
Endorse the Statement
- Complete this form to endorse the statement and show your support
- Learn more about task sharing to improve access to family planning/contraception.
- Learn more about the current policies and initiatives addressing task sharing in your country.
- Identify opportunities in which task sharing can contribute to expanding contraceptive access and can better utilize the skills and competencies of a range of health care providers.
- Participate in, support or organize an educational tour of a country or program where task sharing is happening.
- Know what task sharing research is happening in your country and the region by checking out our task sharing research map on the FP2020 Task Sharing page.
- Engage stakeholders, including clients, on how task sharing can improve access to, and, the quality of contraceptive services.
- Develop clear and concise messages with recommended actions stakeholders can implement or advocate.
- Address concerns and fears about task sharing with research evidence, and share experiences from other countries and communities.
Make it Happen
- Fund, organize or participate in a task sharing demonstration or project.
- Document task sharing research and implementation well to increase the usability of recommendations and lessons learned for replication and scale-up.
- Support policy change to ensure that a broader range of health care providers can use their skills to improve contraceptive access and choice.
Share your task sharing experience with others. Please complete this short survey if your organization is conducting task-sharing research and would like to be listed on the map on FP2020 Task Sharing page.
Task Sharing Research Map
Check out these maps to find task sharing research activities by health care provider and family planning method since 2013. This data is collected and compiled by the Task Sharing Technical Working Group and is being shared to help identify opportunities for research utilization and areas for potential collaboration around these studies. The maps highlight countries where studies are taking place and features details on each study.
Please complete this short survey if your organization is conducting task-sharing research and would like to be listed on the map.
If you would like more information regarding any of these studies, please email Leigh Wynne at LWynne@fhi360.org.
The map and table below details family planning task-sharing research and implementation since 2013. This data is being shared to help identify opportunities for research utilization and areas for potential collaboration around these studies. The information is collected and compiled by the Task Sharing Technical Working Group. If your organization is conducting task-sharing research, please fill out the survey below and the study will be added to the map: http://bit.ly/2igIhBD
The Research Planning Framework for Task-Sharing Family Planning Services has WHO guidance on family planning task-sharing and can be found at https://bit.ly/2XJ6wy7
If you would like more information regarding any of these studies or the Task Sharing Technical Working Group being carried out and you would like to contact someone involved in the study, please email Leigh Wynne at LWynne@fhi360.org