关于规划、实施和扩大避孕服务任务分担的指导

Guidance onplanning,implementingandscaling uptask sharing forcontraceptiveservices ii|Guidance on planning, implementing and scaling-up task sharing for contraceptive servicesGuidance on planning, implementing and scaling up task sharing for contraceptive servicesISBN 978-92-4-011148-6 (electronic version)ISBN 978-92-4-011149-3 (print version)© World Health Organization 2025Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo).Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes,provided the work is appropriately cited, as indicated below. In any use of this work, there should be nosuggestion that WHO endorses any specific organization, products or services. The use of the WHO logo isnot permitted. If you adapt the work, then you must license your work under the same or equivalent CreativeCommons licence. If you create a translation of this work, you should add the following disclaimer along withthe suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is notresponsible for the content or accuracy of this translation. The original English edition shall be the binding andauthentic edition”.Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediationrules of the World Intellectual Property Organization (http://www.wipo.int/amc/en/mediation/rules/).Suggested citation.Guidance on planning, implementing and scaling up task sharing for contraceptive services.Geneva: World Health Organization; 2025. Licence:CC BY-NC-SA 3.0 IGO.Cataloguing-in-Publication (CIP) data.CIP data are available at https://iris.who.int/.Sales, rights and licensing.To purchase WHO publications, see https://www.who.int/publications/book-orders.To submit requests for commercial use and queries on rights and licensing, see https://www.who.int/copyright.Third-party materials.If you wish to reuse material from this work that is attributed to a third party, such astables, figures or images, it is your responsibility to determine whether permission is needed for that reuse andto obtain permission from the copyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solely with the user.General disclaimers.The designations employed and the presentation of the material in this publication do notimply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country,territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted anddashed lines on maps represent approximate border lines for which there may not yet be full agreement.The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsedor recommended by WHO in preference to others of a similar nature that are not mentioned. Errors and omissionsexcepted, the names of proprietary products are distinguished by initial capital letters.All reasonable precautions have been taken by WHO to verify the information contained in this publication.However, the published material is being distributed without warranty of any kind, either expressed or implied. Theresponsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable fordamages arising from its use. iv|Guidance on planning, implementing and scaling-up task sharing for contraceptive servicesContentsAcknowledgementsAcronymsExecutive summarySection 11.1 Definition of task sharing1.2 Rationale1.3 WHO recommendationsSection 22.1 WHO regional survey of task sharing for contraceptive services2.2 Evidence on task sharing for contraceptive services2.2.1Safety2.2.2Uptake2.2.3Acceptability2.2.4Cost-effectiveness2.2.5Programme implementation2.2.6Evidence summary viviiix22389101011111314 Section 33.1 Overview3.2 Strategy 1: Advocacy and stakeholder engagement3.3 Strategy 2: Landscape analysis and planning3.4 Strategy 3:Task sharing implementation3.5 Strategy 4: Monitoring and quality assurance at scale3.6 ResearchSection 4Annex 1: PowerPoint presentationAnnex 2: Budget template for the implementation of task sharing for contraceptive servicesAnnex 3: Theory of change templateAnnex 4: Example of a logical framework for implementing a task sharing forcontraceptive services projectAnnex 5: Cadre mapping table for task sharing for contraceptive servicesAnnex 6: Standard operating procedure templateAnnex 7: Action after review (AAR) templateAnnex 8: Methodology for narrative review and guidanceAnnex 9: Key terminologies for task sharing for contraceptive servicesAnnex 10: Country case studiesReferences 161822Understanding the health landscape22Develop a plan242628303535363738394041414450 vi|Guidance on planning, implementing and