Mid-level health workers for delivery of essential health services
A global systematic review and country experiences
Critical shortages, maldistribution, retention and performance gaps of human resources for health hinder the delivery of interventions required to attain the health Millennium Development Goals (MDGs) and advance towards universal health coverage (UHC). The objective of this analysis was to assess the effectiveness of care provided by mid-level health workers (MLHWs), a group of cadres who are trained for 2-5 years to acquire basic skills in diagnosing, managing common conditions, and preventing disease. MLHWs, provided we adopt the right approaches and define their role on the basis of sound evidence, can be part of the solution.