Not practically not possible. The concerns of ES points to the truth
Not nearly not possible. The issues of ES points to the truth that authorities (those in the top in the hierarchy) should be showing appreciation for the additional tasks they carry out in these facilities however it has been complicated for authorities to show appreciation to well being workers performing tasks they weren’t officially assigned to accomplish. This can be what a neighborhood 
health officer as well as a overall health aide has to say: “My tasks as a neighborhood wellness nurse are to go for outreach services, engage in child welfare clinics and check out men and women who were discharged from this wellness centre to verify on their overall health to find out if they are carrying out effectively. I at times do consultations but this can be not part of my job because I have not been educated to do this. I always observe what goes on here and make an effort to do one thing since you and I realize that half a loaf is better than none so it’s superior we do some thing then not performing something at all. On the other side it is unsafe due to the fact if I make a mistake of providing wrong drugs to a patient and she dies, I will be in significant problems so am careful”. (CHO ) “As a overall health aide worker, prescribing medicine for the sick just isn’t a part of my perform right here. But occasionally I do that. My key job is usually to assist inside the OPD, assist the midwife in delivery, assists inside the weighing of babies along with other postnatal activities. The explanation why I execute other duties is mainly because I have worked in this wellness facility for any extended time and I have K858 expertise in consultation. So when the incharge is extremely busy or will not be about, I do consultations due to the fact we’ve got only one senior nurse here who is educated to become consulting”. (Nurse Aide ) Often, a number of the respondents assume the roles of their absentee colleagues, moreover to performing of their principal tasks, so as to help keep the facility operating. It appeared respondents had no solution than to take up these further tasks, because of the essential scenarios they uncover themselves in within these facilities. As an illustration a CHO within the absence of a DCO and a midwife, take up their tasks. CHO 2 and GRN three explained the scenario:PLOS One particular https:doi.org0.37journal.pone.07463 March 30,9 Taskshifting and wellness workers’ shortage”You know here we’ve got only one particular illness manage officer who has gone on leave. Since she isn’t about at the moment, am performing her operate. I have added her operate, my function and if midwife is just not about, I’ll be forced to conduct deliveries and do ANC [Antenatal Care]. The employees just isn’t adequate and we’re dealing with human life so in the event the people report, you can’t say you won’t aid. At the least it is best to try and do something to save the lives from the people”. (CHO two) “I do not like pretending for the reason that GHS [Ghana Well being Service] is conscious that we nurses consult here however they say we shouldn’t seek advice from and they realize that this overall health centre has only one particular health-related assistant to attend to 00 to 200 individuals per day. Can only the healthcare assistant do that Obviously no so consultation, prescribing, wound dressing; seizure PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/22802960 is from time to time carried out by folks like me. Am not supposed to refer sufferers but in some cases I do that. When I detain, I carry out my bedside nursing. In some cases the midwife would get in touch with me to come and assist. Am a nurse so am not educated to seek the advice of but I can’t leave people today to die. The health-related assistant will be the administrator, the human resource manager and director right here and how can only one particular person carry out all these tasks Simply because am acting because the incharge in the moment, am attending a system which is supposed to become.