Abstract
The purpose of this study is to evaluate the effectiveness and impact of task-shifting on the quality of healthcare delivery in Zimbabwean public healthcare facilities. Task-shifting is used to mitigate the challenges posed by the exodus of professionally trained healthcare workers, aiming to optimize available human resources and maintain continuous service provision. The study focuses on Ingutsheni Central Psychiatric Hospital in Bulawayo, Zimbabwe, assessing whether task-shifting serves as a viable solution to the healthcare crisis caused by a shortage of skilled health care workers (HCW).
A cross-sectional survey was conducted using an online questionnaire and systematic sampling technique. Data was analyzed using SPSS with descriptive statistics, chi-square tests, and logistic regression. Key findings show both positive and negative outcomes: while many healthcare workers reported high confidence in handling delegated tasks, there was significant dissatisfaction with their own mental health due to working conditions. Education level significantly influenced task delegation with higher education associated with more specialized task delegations, highlighting the need for adequate training and support systems to ensure quality of patient care.
The study concludes that although healthcare workers generally feel supported in their roles, concerns around mental health and training must be addressed to maintain patient care quality. Recommendations include policy improvements, structured training, and better mental health support for HCWs.