Facility Team Leaders

2 weeks ago

Durban, South Africa Health Systems Trust Full time

**Health Systems Strengthening (HSS) Unit**

**Facility Team Leaders**

*
PURPOSE*
Health Systems Trust (HST) wishes to appoint two Nurse Clinicians as Facility Team Leaders to supervise implemented interventions at facility and community level in support of the South Africa Sustainable Response to HIV and AIDS (SA SURE) Project. SA SURE aims to strengthen local capacity in the districts served by the project to provide sustainable HIV- and TB-related care and treatment. The position is based in* uMgungundlovu District, KwaZulu-Natal Province*.
The incumbents will provide technical mentorship of staff and direct HIV and TB services to patients at Primary Health Care (PHC) clinics in line with the project's HIV/AIDS and TB services and reporting requirements. They will also support community-based organisations (CBOs), Ward-based PHC Outreach Teams (WBPHCOTs), and all outreach services.

*
KEY RESPONSIBILITIES*
- Supervision and leadership of facility-based staff and Outreach Teams
- Support to Facility Managers in tracking performance against daily targets for HIV and TB case-finding, treatment linkage and continuity of care
- Monitoring performance against targets, and mentorship of HIV and TB direct service delivery (DsD) for facility staff and Outreach Teams
- Support and monitoring of the implementation of patient-tracking and referral systems
- Ensuring adherence to standard operating procedures, guidelines and processes by supervising activities
- Supporting and assessing facility and Outreach Team staff to build capacity in and strengthen HIV and TB service delivery
- Organising outreach activities, and planning daily activities in the facility and in the community
- Assessing data and information for planning, mapping of outreach activities, supply-chain management, and decision-making
- Conducting baseline assessments - Independent Quality Control (IQC), Stepwise Process for Improving the Quality of HIV Rapid Testing (SPI-RT), viral load suppression, skills audits, e.g. Nurse-initiated Management of Antiretroviral Therapy (NIMART), Adult Primary Care (APC), TIER.Net audits, Ideal Clinic benchmarking, pharmacy assessment, Central Chronic Medicine Dispensing and Distribution (CCMDD), HIV Testing Services (HTS) missed opportunity audits, Site Improvement Monitoring System (SIMS), Adolescent
- and Youth-friendly Services [AYFS], prevention of mother-to-child transmission (PMTCT) cascade - to develop quality improvement plans and implement corrective actions
- Conducting HTS in the facility, and co-ordinating Outreach Teams' HTS activities for hard-to-reach populations
- Conducting ART initiation in the facility and co-ordinating Outreach Teams' Universal Test and Treat (UTT) activities in the community
- Supporting the training and mentoring programme in line with the project's clinical strategy, and supporting facility staff in analysis of their own performance data
- Strengthening links between the Community Health Workers and the facilities
- Building and maintaining partnerships with all internal and external stakeholders, including the district Department of Health, community bodies and civil society groups
- Supporting the establishment and capacity-building of the PHC clinic committees
- Facilitating timeous submission of reports (DsD, Siyenza, index case contact testing, outreach, AYFS, case management, TB treatment, CCMDD, Synchronised National Communication in Health [SyNCH])
- Marketing CCMDD pick-up points in communities
- Supporting the roll-out of National Adherence Guidelines, and implementation of the district's differentiated care plans
- Supporting the establishment of support groups and adherence clubs, and overseeing the community-based organisations implementing these programmes from the facility.

*
REQUIREMENTS*
**Qualifications**
- A diploma or degree in Nursing Science
- A diploma in Clinical Nursing Science (Health Assessment, Treatment & Care), previously known as 'Primary Health Care'
- Certificate in Nurse-initiated Management of Antiretroviral Therapy (NIMART).

*
Experience*
- Three years' experience in PHC and health information management
- Understanding of the UTT strategy and quality improvement processes and concepts, and competence in HIV clinical management (NIMART)
- Work experience in provider-initiated HIV counselling and testing (including index contact testing) is essential, and in HIV self-screening would be an advantage.
- Extensive knowledge of HIV prevention, treatment, care and support programmes
- Familiarity with the South African public health system, including national and provincial policies and management structures
- Five years' experience in working with HIV and TB within the South African public health system
- Two years' experience in and sound knowledge of supervising and mentoring to provide support to facility staff
- Two years' experience in a non-governmental organisation or donor-funded programme
- Computer literacy and proficiency in Micr

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