Definitely within Médecins Sans Frontières in our projects, we agree with task-shifting, with taking tasks that are normally done by a higher-level health care worker and having a lower-level health care worker do them. These lower-level health care workers can certainly screen for TB symptoms and collect specimens, but the end result is that this testing has to take place in a high-level lab, usually by way of using expensive equipment in that lab. So in our projects, we tend to have to support labs, in addition to supporting this community-driven diagnosis as well.
On March 24th, 2014. See this statement in context.