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Tuesday, July 18, 2017

Clinical and Laboratory Vacancies at The Management Sciences for Health (MSH)

Management Sciences for Health (MSH), a global health nonprofit organization, uses proven approaches developed over 40 years to help leaders, health managers, and communities in developing nations build stronger health systems for greater health impact. We work to save lives by closing the gap between knowledge and action in public health.

Since its founding in 1971, MSH has worked in over 150 countries with policy makers, health professionals, and health care consumers to improve the quality, availability and affordability of health services. Working with governments, donors, non governmental
organizations, the private sector, and health agencies, MSH responds to priority health problems such as HIV & AIDS; tuberculosis; malaria; maternal, newborn and child health; family planning and reproductive health; and chronic non-communicable diseases such as cancer, diabetes, and lung and heart disease. Through strengthening capacity, investing in health systems innovation, building the evidence base, and advocating for sound public health policy, MSH is committed to making a lasting difference in global health.

Position: Clinical Intern

Location: Kwara
Reports To: State Team Leader

  • The key objective of the clinical intern position is to support the delivery and optimization of quality HIV services across supported facilities.
  • This is especially critical in the era of implementation of the Test and Treat guidelines and the assurance of quality services delivery according to national and donor requirements.
  • The clinical intern will work with the Clinical Advisor to bridge gaps in service delivery both at the comprehensive care and treatment sites and also the PMTCT stand-alone sites.
Specific Responsibilities
  • Provide supportive supervision and mentoring of clinicians/facility focal persons on the 2016 new national treatment guidelines.
  • Coordinate with the health facility management/focal persons to determine critical needs/gaps and liaise with Clinical Advisor to resolve those challenges.
  • Mentor staff in relevant health units of the facility to correctly fill out the PMM registers and do periodic quality checks on the data. Focus to be on correctness of entries in registers and extent of SIMS requirements fulfilment.
  • Ensure the availability of ALL relevant SIMS documents and in all supported facilities at all times.
  • With the clinical advisor, periodically organize CME to support service delivery gaps e.g IPT implementation, etc.
  • Report results achievement and challenges to Clinical Advisor according to agreed project timelines.
  • Any other duties that may be assigned by the Clinical Advisor.
Qualifications and Experience
  • The Intern will be a medical doctor with at least 1 year of clinical work experience in a busy ART treatment centre.
  • She/he must have a thorough knowledge of HIV/AIDS prevention, care and treatment programs in Nigeria, including current technical knowledge.
  • Good computer skills particularly in excel and word.
  • Excellent inter-personal, team building skills and ability to work in a culturally sensitive manner with stakeholders.
  • Excellent writing skills, oral and written communication skills and fluency in English.
  • Registered with the relevant professional body (Nigeria Medical and Dental Council).

Clinical Consultant

Specific Responsibilities
  • Support the Hospital management committee (HMC) to develop a monthly meeting schedule for hospital program review
  • Support the use of SIMS tools for the conduct of unit specific supportive supervision
  • In collaboration with hospital management committee conduct periodic orientation on the use of SIMS tool
  • Support capacity building of facility staff through CMEs to enhance knowledge based of service provision with emphasis on:
    • Institutionalizing QIT and conduct of monthly meetings in the facility
    • Develop capacity of champions (retention, tracking and quality improvement) in the facility targeting the CMD or his designate to sustain these service delivery initiative
    • Identify and build capacity of QI lead to mentor on continuous process improvement (client flow, treatment initiations, adherence counselling, TB/HIV collaboration and treatment failure review etcetera) to enhance service delivery in the facility
    • Empower ART focal and M&E focal person to constantly review data with facility staff during QIT meeting including the use of data for decision making
    • Empower and transfer reporting and sharing of weekly, monthly and quarterly program activities to the ART focal person
    • Sustain the use of site monitoring through improvement tools (SIMS) in supported facility including mentoring facility staff on its use for periodic self-assessment
  • Support the HTC hospital designate to ensure HTC transition activities are in line with PEPFAR-MSH plans of keeping enrolment into care and treatment at maintenance level. Where applicable
    • Promote targeted testing at the GOPD or Designate facility Heart to Heart centre
    • Promote the use of testing eligibility checklist for assessing patients eligibility for testing
    • Support transitioning of established and functional provider initiated testing and counselling points to hospital management (Staff)
    • Provide TA for the documentation of testing and counselling of patients in the facility from non-Priority testing points
    • Support the documentation of positive clients PITC points transitioned to the hospital facility
    • Ensure regular supply of test kits and testing of patients at the ANC, TB units and paediatric ward
  • Work closely with ART focal persons to improve facility treatment retention with emphasis on treatment cohort to be reported at end of MSH current physical yea:
    • Provide TA for the tracking of patients who commenced treatment among this cohort and ensure they are returned to care
    • Provide TA for setting up of a functional adherence and PHDP unit in the facility
    • Provide TA for refining of clinic flow to ensure patients receive adherence counselling at each hospital encounter before collection of prescribed medication at the pharmacy unit
    • Provide TA for the use of treatment calendar at the adherence counselling and records unit for the purpose of tracking of treatment cohort specified above
    • Monitor the implementation of Isoniazid Preventive Therapy (IPT) in the facility
  • Build capacity of ART focal person to lead periodic chart reviews in collaboration with the QIT members for all enrolled patients with a view of assessing quality of care- treatment eligibility evaluation, treatment failure assessment, treatment adherence for patients, patients staging etcetera
  • Build capacity of ART focal person to support TB screen of HIV positive patients (new and old clients) in congregate settings (PICT points, Adherence counselling rooms and triage units, consulting rooms, PMTCT setting) and documented in the appropriate tools
  • Build capacity of PMTCT focal person to continue to support decentralization of ART services to PMTCT service delivery points (ensuring continuous supply of ARVs to ANC service points)
  • Build capacity of thematic focal leads to Organize periodic CME to support capacity building of HCWs on HIV/AIDs care and support PMTCT and Collaborative TB/HIV activities .
Period of performance:
  • The period of period of performance will be effective from August 1, 2017 for a period of 60 days and broken down into 20 days cycles of performance.
  • You would receive new contracts subject to satisfactory performance at the end of each 20 working days cycle
  • Estimated level of effort: 60 working days
  • Bi- weekly update report to the STL, Clinical Care Specialist on assigned tasks using outlined format below:
Qualitative Reporting:
  • QI meeting hosting (funding) transited to the facility leadership within the next one month
  • Refined clinic flow to optimize clinic adherence intervention in supported facilties within the next one month
  • Compile bi-weekly narrative report in line with conducted activities as specified in the TOR including the Quality improvement team meetings with supportive data
  • Compile report monthly on achievements to supervising technical staff
  • Provide a comprehensive report at the end of the period reflecting task that were assigned and carried out including findings and recommendations
Role of MSH:
  • Provide one day orientation on MSH ART model, use of SIMS tool, and transition update in the state where the consultant will be based
  • MSH supervising technical staff will liaise with the clinical officer on a day to day basis to provide needed support throughout the period
  • Provide all the financial and logistic requirements - Accommodation and perdiem for the consultant, consultancy fees will be negotiated according to level of expertise.
  • Introduce the clinical officer to the respective State Ministry of Health and facility management.
Role of clinical Consultant:
  • Personally responsible for settling-in at the state of engagement and arranging meals.
Qualifications and Experience
  • The clinical officer will be a highly skilled clinician with at least 2 years of clinical work experience.
  • S/he will have thorough knowledge of HIV/AIDS prevention, care and treatment programs in Nigeria including current Knowledge in the field of HIV programming.
  • Registered with the relevant professional bodies (Nigeria Medical and Dental Council).

Laboratory Program Intern

  • The key objective for the intern is to support the Niger State Field Office Team in supporting laboratory program activities and profiling laboratory innovations from the field office in reports.
  • Under the tutelage of the Sokoto State Laboratory Systems Specialist, provide the technical support for the Care And Treatment for Sustained Support (CaTSS) laboratory program in the state in a manner that strategically support the maintenance and uninterrupted delivery of quality HIV/AIDS and TB care and treatment services integrated into the host state health system, through technical assistance to be provided in close collaboration with the Government of Nigeria (GoN) at the state, and local government levels in Niger state.
Specific Responsibilities
  • He/She will assist the Sokoto State-based Laboratory Systems Specialist in tracking and reporting on optimization of EID and Viral Load services, Laboratory Revolving Funds, laboratory services integration and accreditation preparedness effort of selected health facilities within Niger State
  • Manage the state-specific database of laboratory activities, including but not limited to QA, TB, CD4, and EID and Viral Load optimization activities by working closely with both Country and other field office technical staff
  • Support sample transportation (Sputum, Viral load, CD4, DBS for both EID and viral load) from sites without equipment and from sites with unexpected equipment breakdown
  • In collaboration with the State Laboratory Quality Management Task Team (SLQMTT), provide support for centralized HIV rapid test quality improvement initiative (HIV RTQII) and periodic testers’ evaluation
  • Document key Laboratory activities from Niger State and share same with the Country Office Laboratory Team. Liaise with the Country in identifying key successes and originating draft success stories for reviews.
  • Provide support to facilities on data collection, Monthly and Quarterly reports for timely submission to country office
  • Support the State Laboratory Quality Management Task Teams and health facilities and continuous quality improvement (CQI) programs
  • Ensure that all MSH-supported laboratories carry out quality assurance functions, including but not limited to IQA, EQA and PT activities, and the availability of quality documents and records.
  • Support facilities to ensure that laboratories implement GoN-approved diagnostic protocols, quality control procedures, significant biosafety, and biosecurity practices.
  • Ensure equipment maintenance and the availability of laboratory reagents and consumables to minimizes service interruption for all investigations.
  • Establish strong collaboration with the Laboratory Directorate in the SMOH, State Hospital Management Board/Bureau for increased state government ownership and funding for laboratory system improvements that lead to sustainability.
Qualifications and Experience
  • Minimum of B.MLS/B.Sc Medical Laboratory Science with at least one-year post internship experiences including HIV, tuberculosis and other opportunistic infections testing and laboratory monitoring of clinical status of people living with HIV
  • He/She will have the basic knowledge of HIV/AIDS prevention and good laboratory practices in Nigeria
  • Registered with the Medical Laboratory Science Council of Nigeria (MLSCN), and licensed to practice in Nigeria
  • Familiarity with local and WHO/AFRO Accreditation process is a plus.
Personal Attributes:
  • Organized, objective-oriented, methodical individual with strong motivation for service, with the zeal to learn.
  • Ability to work under minimal supervision with good computer and analytical skills.
  • Ability to work under pressure, flexible and open to extra working hours if necessary.
  • Good communication skills and ability to express views and ideas clearly.
Method of Application: Choose any of the below link to apply for any of the above positions

Location: Kebbi   Application Link
              Zamfara   Application Link
               Sokoto  Application Link
               Kwara   Application Link
           Nigeria-Niger   Application Link

Deadline:  23rd July, 2017

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