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Submitted by Patricio V Marquez on
Thanks for your comments. Indeed, human resources limitations faced in most of the health systems in sub-Saharan Africa severely constrains the capacity to deliver quality services. One way to address this challenge, in accordance with your suggestion, includes delegating tasks done by physicians to staff with lower level qualifications or someone without a formal education who has been specifically trained for that task. As I have noted elsewhere,the Global Forum for Government Chief Nursing and Midwifery Officers in May 2012 called for nurses and midwives to have an enhanced role in control of non-communicable diseases. And given that women with hypertensive disorders in pregnancy (pre-eclampsia or gestational hypertension) have been found to have a substantially higher risk of developing diabetes and cardiovascular risk factors, training nurses and midwives to identify and manage or refer women with these complications appropriately seems an effective approach to address the multiple health needs of women.