Mrs. Tripti Sinha

Sri Krishna Medical College, Muzaffarpur, Bihar, India

Title: Task-sharing among Healthcare Providers: Way Forward for Quality Maternal and Neonatal Health Service Provision


Providing comprehensive care to expectant mothers during their pregnancies, labor, and thereafter involves a gamut of skills ranging from purely clinical medicalized hospital-based care/aspects to support services extending right into the homes of these mothers. Clearly, it is not feasible for one grade in the HCPs cadre to cater to the manifold needs of mothers at different stages in their reproductive life span.

Pilot studies and program roll-out experiences in different high-income countries(HIC) and especially middle and low-income countries(MLIC) have lent credence to the view that redistribution/re-allocation of tasks related to maternal, neonatal, and child health(MNCH) from the traditional pattern to a more pragmatic re-structuring of task allocation would not only ensure a more equitable health care access to all mothers especially in under-served areas but also improve quality of specific services. Importantly, task sharing has the potential to improve the standards of work performance and to reduce the physical and mental stress levels of HCPs by decreasing their workload.

Task shifting and task sharing are two recognized models by which there can be more efficient reach-out of health services to the as-yet underserved populations. Although often used interchangeably, there is a program-based difference in the concept and implementation of task shifting and task sharing as defined by WHO.
In task-shifting there is complete delegation of certain well- defined less risk-prone tasks to less specialized health workers who are more connected to the communities and the homes of the target population.
Task sharing involves expanding the job profile and responsibilities of additional cadres of health workers whose skills can be upscaled by on-the-job training with resultant cost-effective program outcomes. Other terms conveying a similar approach include skill- substitution or task delegation with the intent of maximizing and optimizing the role of any grade of a worker in the healthcare ecosystem.


Dr. Tripti Sinha has done her medical undergraduate studies and postgraduate training in obstetrics and gynaecology in India. She has worked in several capacities in the state government health services both in teaching and non-teaching posts. She has more than fifteen years of teaching experience including undergraduate and postgraduate teaching. She is a Fellow of the Royal College of Obstetricians and Gynaecology (RCOG), London and also a Clinical Examiner of MRCOG Part 3 examinations. Her journal publications and book chapters are related mainly to contraception and obstetric complications. Her subjects of special interest include contraception, adolescent gynaecology, post-menopausal health and medical education.