Technical Advisor: Dr-tb

3 weeks ago


Pretoria, South Africa The Aurum Institute Full time

2023/01/09

Reference Number

2023/01 - Technical Advisor: DR - TB

Description

**Work Description**

The Technical Advisor: MDR-TB is responsible for providing guidance and expertise on best clinical and operational practice on MDR-TB; in order to optimize the capacity of Districts to provide comprehensive MDR-TB services.

**Technical Work Responsibilities**
- Liaise with Internal/External Customers/Stakeholders
- Provide technical support and guidance related to field of expertise
- Conduct File and Facility Audits in selected Districts, ensure roll-out and develop customised Programmes: DR-TB Training Programme; DR-TB Mentorship and Clinical Support etc
- Data Analysis
- Project Management
- Compile Quality Programme, Funder and other Reports
- Provide training and mentoring

**Duties**:

- Improved Stakeholder satisfaction
- Attending Stakeholder Meetings as required
- Maintain open communication and feedback channels
- **Analysis of the state of DR-TB Clinical Care in the Province; including but not limited to**:

- Numbers of DR-TB Patients
- Forecast of the need for the DR-TB Regimens
- The capacity of the Province to deliver DR-TB Care in terms of (among others):

- Human Resources
- Referrals and Linkages
- Laboratory services
- Pharmacy and other Supplies
- Any other Information which may be required
- Accurate representation/reporting of MDR-TB Clinical Care in the Province
- Devise and implement suitable Action Plans
- Improved Patient satisfaction
- Determination of the state of Clinical (and other) Management of MDR-TB Patients in select DOH Facilities; through File and Facility Audits
- To inform (along with the “Rapid Assessment”) development of a customized Programme of quality and sustainable care for MDR-TB Patients
- To obtain a Province-wide understanding of the management of MDR-TB
- MDR-TB Training Programme for DOH Clinicians and for Managers
- MDR-TB Mentorship and Clinical Support Programme
- Training, mentoring and offering Clinical Support to Doctors, Nurses, Managers and others involved in the MDR-TB Programme
- Health Systems Strengthening
- Development of Clinical Referral Guidelines
- Development of Referral Pathways
- Algorithms and procedures for effective triage and management of Patients with complex medical problems
- Enhance access to training and mentoring in specialized Clinical Care
- Enhance access to Clinical Training Resources to enhance skills in provision of Specialized Clinical Care
- Enhance access to Specialized Drugs and Commodities
- Enhance access to Laboratory support for provision of Specialized Care
- Creation of Mentoring and Shadowing Programmes
- Enhance access to Specialist Input in complicated Patient Management, e.g. HCW Help-lines
- Maintain individual competency
- Keeping abreast of International developments and debates on MDR-TB
- Form and maintain close working relationships with various Subject Matter Specialists within Aurum and other Organizations to ensure relevance of the Aurum/CAPRISA MDR-TB activities to current Best Practice
- Will be required to see Patients at Aurum-supported Secondary and Tertiary MDR-TB Clinics in order to retain Clinical acumen and expertise
- Evaluate the impact of the MDR-TB Programme implementation on Key Patients and Programme Outcomes at specific Sites
- Engage with South African Government (SAG) DOH to plan for timely and full transition of all aspects of the MDR-TB Clinical Management services to the SAG DOH by the end of the Project period
- Accurately reported on Patient and Programme Outcomes
- Translate the contents of the TB LON Workplan into practical activities
- Planning and execution of DR-TB technical support in the province
- Involvement in the following:

- Drawing/revision of Programme Documents such as Working Practice Guidelines, Toolkits and other Documents
- Conducting all activities in accordance with established protocols and standard procedures
- Writing and timeous submission of quality Programme, Funder and other Reports
- Share DR-TB prevention, care and treatment expertise (through training and mentoring) of Aurum Staff as may be required
- Form part of Aurum panel conducting Subject Matter Training as may be required
- Comply with all safety policies, practices and procedures according to prescribed procedures and legislation
- Report all unsafe activities to Senior Management/Human Resources
- Adhere and maintain Decision making authority as allocated to the position

**Requirements**:
**_Education_**
- Medical Degree (MBChB or equivalent
- Valid registration with the HPCSA as a Medical Practitioner
- Demonstrable thorough understanding of the SA Department of Health District Health system, policies and guidelines
- Demonstrable knowledge of DR-TB management beyond Primary Care level
- Substantial progressive Health Systems Strengthening experience at Management level

Advantageous
- Master’ degree in Public Health
- Postgraduate degree or diploma in Health Management
- Po


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