The majority of studies showed improved health outcomes when compared with usual healthcare , including reductions in blood pressure , increased uptake of medications and lower depression scores .
Factors such as training of NPHWs , provision of algorithms and protocol s for screening , treatment and drug titration were the main enablers of the task-shifting intervention .
The main barriers identified were restrictions on prescribing medications and availability of medicines .
CONCLUSIONS Task-shifting from physicians to NPHWs , if accompanied by health system re-structuring is a potentially effective and affordable strategy for improving access to healthcare for NCDs .
BACKGROUND One potential solution to limited healthcare access in low and middle income countries ( LMIC ) is task-shifting- the training of  non-physician healthcare workers ( NPHWs ) to perform tasks traditionally undertaken by physicians .
The aim of this paper is to conduct a systematic review of studies involving task-shifting for the management of non-communicable disease ( NCD ) in LMIC .
Determinants of Compliance in a Cluster Randomised Controlled Trial on Screening of Breast and Cervix Cancer in Mumbai, India
Objectives : This study aims to investigate the efficacy of screening by low-cost technology in down-staging and reducing mortality due to breast and cervix cancer . Methods : The present trial is a community-based , cluster r and omised controlled cohort study on  screening for breast and cervix cancers ( clinical breast examination and visual inspection of the cervix after application of 4 % acetic acid ) . Univariate and multivariate logistic regression analyses are conducted to identify the predictors of participation in screening . Results : The average compliance is 71.43 and 64.93 % for breast and cervix cancer screening , respectively , with the highest compliance in round 1 . At the end of 3 screening rounds , 94 and 84 % of the eligible women were screened at least once for breast and cervix cancer , respectively . Younger women , women from other than Hindu and Muslim communities , school level-educated women , women belonging to lower-income families , Marathi-speaking women , married women and women who had previously consulted for any breast or gynaecological complaints had higher compliance to participation in screening . Conclusions : Good compliance rates to screening have been demonstrated in the trial , reflecting acceptance of the study by the society , which has implication s while translating the trial into a programme
The majority of studies showed improved health outcomes when compared with usual healthcare , including reductions in blood pressure , increased uptake of medications and lower depression scores .
Factors such as training of NPHWs , provision of algorithms and protocol s for screening , treatment and drug titration were the main enablers of the task-shifting intervention .
The main barriers identified were restrictions on prescribing medications and availability of medicines .
CONCLUSIONS Task-shifting from physicians to NPHWs , if accompanied by health system re-structuring is a potentially effective and affordable strategy for improving access to healthcare for NCDs .
BACKGROUND One potential solution to limited healthcare access in low and middle income countries ( LMIC ) is task-shifting- the training of  non-physician healthcare workers ( NPHWs ) to perform tasks traditionally undertaken by physicians .
The aim of this paper is to conduct a systematic review of studies involving task-shifting for the management of non-communicable disease ( NCD ) in LMIC .