# data[].attributes.headline
IDEA: RAPID TESTING DONE BY CWs at PICK-UP SITES

# data[].attributes.subject
IDEA: RAPID TESTING DONE BY CWs at PICK-UP SITES

# data[].attributes.headline
IDEA: PILOT A CW TO BE ASSIGNED TO PERSON BEING TESTED AT POINT OF PICK UP

# data[].attributes.subject
IDEA: PILOT A CW TO BE ASSIGNED TO PERSON BEING TESTED AT POINT OF PICK UP

# data[].attributes.body
- Do Pre-Couselling at point of pick-up
- Keeping in mind that follow up is more than one event

# data[].attributes.headline
IDEA: REVIEW HIV COUNSELLOR JOB DESCRIPTIONS

# data[].attributes.subject
IDEA: REVIEW HIV COUNSELLOR JOB DESCRIPTIONS

# data[].attributes.headline
IDEA: CREATE A TASK-SHIFT SPECIFC TESTING JOB / PILOT

# data[].attributes.subject
IDEA: CREATE A TASK-SHIFT SPECIFC TESTING JOB / PILOT

# data[].attributes.body
- Legalities
- Need for consistent working relationship

# data[].attributes.headline
IDEA: ETHNORACIALZIED, LANGUAGE SPECIFIC OCCURANCES OF TASK-SHIFTING

# data[].attributes.subject
IDEA: ETHNORACIALZIED, LANGUAGE SPECIFIC OCCURANCES OF TASK-SHIFTING

# data[].attributes.body
Reliance on cultural support (incl. language) puts more demands/pressure for CWs to translate and stay informed of clinical information

# data[].attributes.headline
IDEA: STUDY PICK UP SITE PRE/POST COUNSELLING

# data[].attributes.subject
IDEA: STUDY PICK UP SITE PRE/POST COUNSELLING

# data[].attributes.headline
IDEA: MAIL IN TESTS WHERE NO CLINICIAN OR CW IS ASSIGNED

# data[].attributes.subject
IDEA: MAIL IN TESTS WHERE NO CLINICIAN OR CW IS ASSIGNED

# data[].attributes.headline
ETHNOGRAPHY: WHERE TASK SHIFTING IS MOST COMMONPLACE / MOST NEEDED / MOST NECCESARY

# data[].attributes.subject
ETHNOGRAPHY: WHERE TASK SHIFTING IS MOST COMMONPLACE / MOST NEEDED / MOST NECCESARY

# data[].attributes.headline
WHAT'S THE DEFINITION / SCOPE OF THE ROLE OF CW (Community Worker) - Nurses, outreach, social worker, midwives, etc...EACH HAS A DIFF TASK SHIFT DIMENSION

# data[].attributes.subject
WHAT'S THE DEFINITION / SCOPE OF THE ROLE OF CW (Community Worker) - Nurses, outreach, social worker, midwives, etc...EACH HAS A DIFF TASK SHIFT DIMENSION

# data[].attributes.headline
NURSES & CWs BEING TASK SHIFTED IN THE FIELD

# data[].attributes.subject
NURSES & CWs BEING TASK SHIFTED IN THE FIELD

# data[].attributes.headline
POTENTIAL OF TASK SHIFTING TO REACH UNDERSERVED POPULATIONS

# data[].attributes.subject
POTENTIAL OF TASK SHIFTING TO REACH UNDERSERVED POPULATIONS

# data[].attributes.headline
WHAT'S THE IMPACT oF MOVING TOWARDS THE CLARIFICATION? WHAT'S THE IMPACT OF DEFINING THIS  - CLIENTS, COMMUITY, ETC

# data[].attributes.subject
WHAT'S THE IMPACT oF MOVING TOWARDS THE CLARIFICATION? WHAT'S THE IMPACT OF DEFINING THIS  - CLIENTS, COMMUITY, ETC

# data[].attributes.headline
EASY TO GATHER EVIDENCE FROM CWs and EXAMPLES of OTHER INITIATIVES

# data[].attributes.subject
EASY TO GATHER EVIDENCE FROM CWs and EXAMPLES of OTHER INITIATIVES

# data[].attributes.headline
POTENTIAL FOR ETHNOGRAPHY re: TASK SHIFTING

# data[].attributes.subject
POTENTIAL FOR ETHNOGRAPHY re: TASK SHIFTING

# data[].attributes.headline
WHAT ARE THE EXPECTATIONS COMING INTO THESE POSITIONS?

# data[].attributes.subject
WHAT ARE THE EXPECTATIONS COMING INTO THESE POSITIONS?

# data[].attributes.headline
IDEA: REVIEW JOB POSTING FOR HIV COUNSELLORS / WHAT ARE COMMUNITY WORKERS DOING THAT CLINICIANS DO?

# data[].attributes.subject
IDEA: REVIEW JOB POSTING FOR HIV COUNSELLORS / WHAT ARE COMMUNITY WORKERS DOING THAT CLINICIANS DO?

# data[].attributes.headline
ALREADY HAPPENING EVERYDAY / BEING DONE WELL BY CWs

# data[].attributes.subject
ALREADY HAPPENING EVERYDAY / BEING DONE WELL BY CWs

# data[].attributes.headline
CONCERN: BUILDING TRUST/ REASSURANCE THAT THE TASKS ARE BEING DONE WELL

# data[].attributes.subject
CONCERN: BUILDING TRUST/ REASSURANCE THAT THE TASKS ARE BEING DONE WELL

# data[].attributes.headline
HOW DOES THIS ADD WORKLOAD TO CLINICIANS AS WELL / TASKS THAT SHOULDNT BE SHIFTED

# data[].attributes.subject
HOW DOES THIS ADD WORKLOAD TO CLINICIANS AS WELL / TASKS THAT SHOULDNT BE SHIFTED

# data[].attributes.headline
CONCERN: ACCURACY OF INFO/CURRENT INFO - Also hard to get to get to clinicians

# data[].attributes.subject
CONCERN: ACCURACY OF INFO/CURRENT INFO - Also hard to get to get to clinicians

# data[].attributes.headline
TRADITION of "INFORMAL"/Peer-to-peer COUNSELLING in ASOs / DON'T WANT TO LOSE THE RAPPORT

# data[].attributes.subject
TRADITION of "INFORMAL"/Peer-to-peer COUNSELLING in ASOs / DON'T WANT TO LOSE THE RAPPORT

# data[].attributes.headline
POST COUNSELLING  CAN HAPPEN OVER LONGER PERIOD, NOT JUST ONE EVENT

# data[].attributes.subject
POST COUNSELLING  CAN HAPPEN OVER LONGER PERIOD, NOT JUST ONE EVENT

# data[].attributes.headline
KNOWLEDGE: TESTING FREQUENCY/ WHEN TO TEST / DETAILS AND MORE THAT COULD BE TASK-SHIFTED or ALREADY HAVE BEEN BUT UNDER RECOGNIZED, UNDOCUMENTED

# data[].attributes.subject
KNOWLEDGE: TESTING FREQUENCY/ WHEN TO TEST / DETAILS AND MORE THAT COULD BE TASK-SHIFTED or ALREADY HAVE BEEN BUT UNDER RECOGNIZED, UNDOCUMENTED

# data[].attributes.headline
LANGUAGE BARRIER / "REQUIRES" A SHIFT IN TASK SO CLIENT CAN UNDERSTAND / NECCESARY TO EXTEND THE SCOPE OF ROLE

# data[].attributes.subject
LANGUAGE BARRIER / "REQUIRES" A SHIFT IN TASK SO CLIENT CAN UNDERSTAND / NECCESARY TO EXTEND THE SCOPE OF ROLE

# data[].attributes.headline
IDEA: STUDY TASK SHIFTING INVOLVED WITH MAIL OUT TESTS / NO CLINICIAN INVOLVED / POINT OF SERVICE / PRE-POST COUNSELLING NOT GUARANTEED WITH MAIL OUT / FEWER TASKS TO BE SHIFTED

# data[].attributes.subject
IDEA: STUDY TASK SHIFTING INVOLVED WITH MAIL OUT TESTS / NO CLINICIAN INVOLVED / POINT OF SERVICE / PRE-POST COUNSELLING NOT GUARANTEED WITH MAIL OUT / FEWER TASKS TO BE SHIFTED

# data[].attributes.headline
"UNREGULATED" PROFESSIONAL CAN"T BE DELEGATED TO / WHAT TASKS?

# data[].attributes.subject
"UNREGULATED" PROFESSIONAL CAN"T BE DELEGATED TO / WHAT TASKS?

# data[].attributes.headline
IDEA: HOME TESTING  INTERVENTION - ASSIGNMENT OF CW to HOME TESTER

# data[].attributes.subject
IDEA: HOME TESTING  INTERVENTION - ASSIGNMENT OF CW to HOME TESTER

# data[].attributes.body
- Clinician not assigned

# data[].attributes.headline
CONCERN: SO MANY LEVELS of Gov't systems, etc.

# data[].attributes.subject
CONCERN: SO MANY LEVELS of Gov't systems, etc.

# data[].attributes.headline
IDEA: PRE & POST TEST COUNSELLING, FORMALIZE PROCESS / "TRAINING & CERTIFICATE??" / MODULES CONSISTENT AND CURRENT INFORMATION

# data[].attributes.subject
IDEA: PRE & POST TEST COUNSELLING, FORMALIZE PROCESS / "TRAINING & CERTIFICATE??" / MODULES CONSISTENT AND CURRENT INFORMATION

# data[].attributes.body
TRAINING

# data[].attributes.body
1) your pronouns

2) your agency

3) a thought you have about task-shifting, can be related to the presentation

# data[].attributes.body
Our topic today is "Rapid HIV Testing & Home HIV/STIBBI Testing"

# data[].attributes.body
he/him

# data[].attributes.body
he/him
- how we're going to approach home testing, whom & in what way
- immigrant serving agency, needs for translation, so they can trust the medical information
- COVID took all the focus at agency

# data[].attributes.body
He/him
ACT

- regulations are high, too high?
- CWs hands already full
- overload / burnout
- already doing 2-3 jobs within job
- medical directive potential? what are the ways to do it

# data[].attributes.body
He/Him
Black Coalition for Aids Prevention

-capacity building for CWs in Pre and Post counselling and linkage to care
- increase knowledge exchange [clinicians and CWs]
- Sensitivity training through an anti-oppressive lens

# data[].attributes.body
she/her
CATIE
- delegating to healthcare professions (nurses) vs community workers (non-certified, different regulations, non-regulated)

# data[].attributes.body
he /him
Snr AIDs & Hep C /AID Bureau

- inform regulations / clinician working with CWs, formal delegation of authority/controlled acts
- some task shifting already happening:
- pre & post test counselling
testing through Delegation of authority

# data[].attributes.headline
WHAT DO YOU SUGGEST IN TERMS OF TASK-SHIFTING FROM CLINICIANS TO COMMUNITY WORKERS? WHAT ARE CONCERNS & POTENTIAL SOLUTIONS?

# data[].attributes.subject
WHAT DO YOU SUGGEST IN TERMS OF TASK-SHIFTING FROM CLINICIANS TO COMMUNITY WORKERS? WHAT ARE CONCERNS & POTENTIAL SOLUTIONS?

# data[].attributes.body
1. BRAINSTORM TASK-SHIFTING IDEAS. EACH "IDEA" GETS ONE CARD.

2. WRITE COMMENTS IN THE COMMENT SECTION OF EACH IDEA.

3. EACH "CONCERN" GETS A CARD.

4. EACH "SOLUTION" GETS A CARD

5. ARRANGE THE CARDS TO CREATE A SUMMARY OF YOUR GROUP DISCUSSION.

6. DECIDE WHICH IDEA(S) ARE GOING TO BE PRESENTED ON FRIDAY TO THE REST OF THE GROUP.

# data[].attributes.headline
BENEFITS : RAPPORT WITH CLIENT - COMMUNITY MEMBERS / BETTER ADDRESSES THEIR ANXIETY

# data[].attributes.subject
BENEFITS : RAPPORT WITH CLIENT - COMMUNITY MEMBERS / BETTER ADDRESSES THEIR ANXIETY

# data[].attributes.headline
REVIEW REGULATIONS / WHAT ISN'T REGULATED

# data[].attributes.subject
REVIEW REGULATIONS / WHAT ISN'T REGULATED

# data[].attributes.headline
CONCERN: DELEGATING TO SOMEONE NOT WORKING WITH CLINICIAN

# data[].attributes.subject
CONCERN: DELEGATING TO SOMEONE NOT WORKING WITH CLINICIAN

# data[].attributes.headline
IDEA: ASOs are sites for self tests / CWs doing pre-post on site

# data[].attributes.subject
IDEA: ASOs are sites for self tests / CWs doing pre-post on site

# data[].attributes.headline
IDEA: HIRING NEW PPL  TO DO THESE SHIFTS in TASK

# data[].attributes.subject
IDEA: HIRING NEW PPL  TO DO THESE SHIFTS in TASK

# data[].attributes.headline
IDEA : HOW TO RECOGNIZE THE WORK ALREADY BEING DONE

# data[].attributes.subject
IDEA : HOW TO RECOGNIZE THE WORK ALREADY BEING DONE

# data[].attributes.headline
CONCERN : EXTRA WORK NOT SEEN AS A BURDEN / ENTHUSIASM

# data[].attributes.subject
CONCERN : EXTRA WORK NOT SEEN AS A BURDEN / ENTHUSIASM

# data[].attributes.body
TAKE A BLUE SQUARE AND ANSWER THE QUESTION "HOW WOULD TASK SHIFTING CHANGE SUPPORT?"

# data[].attributes.headline
How do we foster trust and collaboration between clinicians and community workers? 

# data[].attributes.subject
How do we foster trust and collaboration between clinicians and community workers? 

# data[].attributes.headline
How can we ensure ongoing training and supervision is available? 

# data[].attributes.subject
How can we ensure ongoing training and supervision is available? 

# data[].attributes.headline
In what setting or context should task-shifting occur? 

# data[].attributes.subject
In what setting or context should task-shifting occur? 

# data[].attributes.headline
What resources or supports might be needed to perform task-shifting effectively?

# data[].attributes.subject
What resources or supports might be needed to perform task-shifting effectively?

# data[].attributes.headline
How can we ensure not to place undue burden on CWs, given their existing workloads?

# data[].attributes.subject
How can we ensure not to place undue burden on CWs, given their existing workloads?

# data[].attributes.headline
How do we synergize clinicians’ and CWs’ existing skillsets and responsibilities?

# data[].attributes.subject
How do we synergize clinicians’ and CWs’ existing skillsets and responsibilities?

# data[].attributes.headline
“[…] if we have community workers doing that, it’s actually I think a huge asset because then we have people who can knock off some of the anxiety and talk about what that means because I think that’s due to fear, shame, and misinformation. ” (Clinician 7)

# data[].attributes.subject
“[…] if we have community workers doing that, it’s actually I think a huge asset because then we have people who can knock off some of the anxiety and talk about what that means because I think that’s due to fear, shame, and misinformation. ” (Clinician 7)

# data[].attributes.headline
“Now, for clinicians, I think they would be important to provide the more scientific or medical support, but that’s not needed in every case. People need a lot of time to sit down and really address some of the anxiety we have around HIV and a frontline person, not a clinician, would be more suitable for that position, because they have more experience working with a certain population.” (CW 5) 

# data[].attributes.subject
“Now, for clinicians, I think they would be important to provide the more scientific or medical support, but that’s not needed in every case. People need a lot of time to sit down and really address some of the anxiety we have around HIV and a frontline person, not a clinician, would be more suitable for that position, because they have more experience working with a certain population.” (CW 5) 

# data[].attributes.headline
More mixed responses regarding drawing blood and genital/🤬 swabs.

# data[].attributes.subject
More mixed responses regarding drawing blood and genital/🤬 swabs.