Senior Hiv

**Background**:
MSF provides care for chronic diseases, in particular HIV, TB, and NCDs in many countries. Some projects have a specific focus on one or more of these chronic diseases, often with innovative approaches and associated research and advocacy objectives, while in most there is a degree of integration of their care. Increasingly integration of chronic disease care is seen as a priority, including in conflict settings where disruption to care means projects are faced with many people in need of continuity of their medications.

The post-holder together with the whole SAMU team provides support to these projects and to related innovation and advocacy efforts. This position will have a specific technical and strategic focus on NCDs, in particular on diabetes and hypertension, and will also engage with HIV and TB support along with the other advisers.

**Purpose**:
The position is responsible for providing technical and strategic support to MSF projects and other MSF units in chronic diseases (NCD/HIV/TB) and will represent MSF in various internal and external platforms on NCD related issues, with a focus on diabetes and hypertension. A variety of other domains are relevant to the position including: epidemiology and public health, operational research and M&E, laboratory diagnostics, drug supply chain, pedagogy, reproductive health and key population needs.

**Department**:South Africa Medical Unit.

**Reports To**:Head of South Africa Medical Unit.

**Reporting Structure**:
The job holder is part of a four person senior adviser team and reports to the SAMU director and will not line manage positions.

**Accountabilities (Output and Key Actions)**

**Output 1**:
**To perform visits to MSF projects dealing with NCD and HIV/TB, with objectives including**:
**Key Actions**:

- Evaluation of operational strategy and technical aspects of the HIV/TB/NCD activities and provide clear recommendations in line with MSF guidelines and policies
- Provide general technical support (including trainings, monitoring and research, and review of protocol and practice) according to the needs
- Evaluation of TB/HIV/NCD activities and support to implementation of improved management (including organisational, strategic and technical support)
- Support for the implementation of specific clinical and programmatic activities
- General support for organization of services (especially for programs involved in decentralisation), including flow of patient, data collection, rationalization of care, adherence support...
- Support for integration of TB/HIV/NCD care implementation in projects where this is not the main focus

**Output 2**:
**To work together with other MSF medical referents on specific dossiers linked to HIV, TB, NCD services (operational research, developing tools for field support, data collection support, advocacy agenda, etc.).
**Key Actions**:

- Lead or contribute/involve in research papers from concept note to the publication of the paper with specific department of HQs.
- Lead of contribute on developing toolkits of specific activities to support implementation.
- Contribute to the conception and development of relevant advocacy and access agendas.

**Output 3**:
**Build extensive network in the area of diabetes and other NCDs
- to keep MSF up-to-date and develop common policy and advocacy objectives.**

**Key Actions**:

- Participate in MSF NCD technical Working Group and other NCD platforms.
- Collaborate with other international organisations and civil society and advocacy groups.
- Identify and build networks with relevant expertise in NCD related areas outside MSF.
- Participate in different international and national conferences linked to NCDs and other SAMU core thematic.

**Knowledge, Skills, Experience**

**Essential**:

- **Post-graduate qualifications in general practice/family medicine, adult internal medicine, infectious diseases, tropical medicine and/or public health**.
- **University degree in Medicine and registration as a Medical Doctor.**:

- Good communication skills.
- Knowledge of MSF guidelines and policies.
- Willingness and ability to travel.
- Demonstrable commitment to humanitarian issues.
- Proven clinical and programme management experience in diabetes care and in NCD/chronic disease care in general.
- 2 years MSF or similar field experience in projects with vertical or integrated HIV, TB, and NCD activities.
- Fluent in English.
- Knowledge of French (depending on countries supported).

**Desirable**:

- Proven clinical and programme management experience in HIV/AIDS and TB/DRTB.
- Experience and interest in advocacy and access to medicines.
- Experience in NGO working environment.
- Proven experience in field/ operational research.

**Competencies**:

- Self-motivated, uses initiative.
- Accurate and meticulous.
- Tolerant and patient.
- Systematic and organized.
- Sensitive to diversity and cultural issues.
- Attention to detail.
- Ability to work in a team.
- Willingness to