Treatment Navigator Tb

2 weeks ago

Pretoria, South Africa AJ Personnel Full time

**Main purpose of the job**:

- To provide individualized support for patients newly initiated on ART after the first month on ART and those already on ART, including follow-up contacts to ensure retention of clients into HIV services at their allocated facility or community cluster

**Location**:

- **Stanza Bopape 2 Clinic - Pretoria, Tshwane**

**Key performance areas**:

- Work together with the Counselling linkage officers to identify patients who newly tested HIV and TB positive and initiated TB treatment within 2 weeks in their allocated facility and catchment area and enroll them into treatment navigator care
- Provide individualized support for patients newly initiated on TB treatment after 2 weeks and beyond, including follow-up contact through regular meetings, phone calls, and SMS, linking them to ART within 2 weeks after starting TB treatment
- Remind the patients about their next visit appointments for the first and subsequent follow-up visits for the first 12 months through SMS, phone calls, and home visits
- Send SMSs and make telephonic call reminders to the patient about the next appointment date,1st SMS and call 7 days prior to the appointment date, and the 2nd SMS and call must be at 2 days prior to the next appointment date
- Liaise with the TB focal Nurse to identify patients due for conversion and discharge sputa and those who are due for TB outcomes
- Liaise with the nurse to identify newly diagnosed HIV-positive presumptive TB patients and link them to ART or TB treatment
- Identify contacts of index TB patients, link them to HIV and TB screening and testing
- Trace all clients who missed appointments within 24 to 72 hours to avoid early, late, and unconfirmed missed appointments (SMS, call, and home visits)
- Conduct physical tracing of the patients who missed their appointments within 7 days of missing the appointments
- Track patients who are transferred between facilities and link them to care and treatment within 7 days
- Submit weekly feedback reports on outcomes of tracking and tracing to the manager and data clerks
- Liaise with the clinicians and data clerks to ensure documenting and capturing of tracing outcomes both on clinical stationery and TIER.Net
- Refer all TB/HIV co-infected clients with different needs to multi-disciplinary teams (psychosocial, nutrition, etc.)
- Always Maintain patient confidentiality
- Manage the tracking and tracing data for TB and ART initiation or follow-up visits for HIV/TB patients at the facility and community level, including source documents and database updates
- Daily data capturing of lost-to-care patients from relevant paper-based systems
- Liaise with the data clerk weekly for generation of late missed appointments, waiting for ART and TB treatment, and uLTFU lists from TIER.Net
- Together with the data clerk and admin officer, retrieve files of patients appearing on the lists above to confirm missed appointments
- Compile weekly data of patients lost to initiation/follow-up and submit data to relevant personnel for telephonic tracing
- Compile a list of patients traced telephonically and not linked to care, and submit it to the community tracing team, WBPHCOTs leader, and facility manager for further tracing
- Compile reports of activities and patient outcomes and submit them to TB Project Manager timeously
- Provide health talks on HIV, TB, Sexual Reproductive Health topics, and other related health services
- Participate in health promotion campaigns, including holiday programs and youth events. These will occasionally occur on the weekend
- Distribute condoms and IEC material within the community
- Recruit clients for TB screening and testing, and other health screening services in the community
- Motivate individuals and groups to bring their partners and children for HIV/TB and other health services
- Organize community awareness, screening, mop up, and tracing campaigns on a quarterly basis to improve the management of TB/HIV clients and retention into care activities
- Educate patients about side effects and what to do when experiencing such, disclosure and reporting any change in contact details including relocation
- Educate patients about the importance of ensuring that their conversion and discharge sputa are collected
- Compile reports of activities and patient outcomes
- Keep a record of daily activities
- Share all reports and records timeously
- Take ownership, responsibility, and accountability for tasks and demonstrates effective self-management
- Follow through to ensure that quality and productivity standards of own work are consistently and accurately maintained
- Maintain a positive attitude and respond openly to feedback
- Take ownership, responsibility, and accountability for tasks and demonstrates effective self-management

**Required minimum education and training**:

- **Grade 12 or equivalent with basic computer literacy**

**Required minimum work experience**:

- **At least 6 months of volunteer relevant

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