Table 3.

How to implement an intervention involving task-shifting?

Process	Why?
Audit the health system	To understand the various factors which need to be considered in the implementation of the intervention from a health system’s perspective. For example, are medicines available in the health centre?
Understand the regulatory framework	To ensure that the intervention is in accordance to the country’s policy/regulation. For example, can NPHWs prescribe essential medicines?
Conduct qualitative assessment of key stakeholders	To gain a better understanding of the perception of key stakeholders. For example, will the community members accept the new role of the NPHW?
Pilot the intervention	To better understand enablers and barriers to the implementation of the intervention.
Train the NPHWs and assess training using a broad framework	To ensure NPHWs have gained the knowledge and skills required of them
Supervise/monitor the implementation*	To ensure good quality healthcare to the community
Check fidelity of intervention	To ensure that the intervention is being implemented in accordance to the protocol
Conduct a process evaluation	To get a better understanding of what worked and why

NPHW, non-physician health workers.