Clinical Mentors for HIV and TB/HIV – International Consultancies

Background

The Global Fund to Fight AIDS, Tuberculosis and Malaria was created to dramatically increase resources to fight three of the world’s most devastating diseases, and to direct those resources to areas of greatest need. Since the Global Fund was founded in 2002, it has changed the way the world is working to defeat the three diseases. The Global Fund has supported large scale prevention, treatment and care programmes against the three diseases.
The Global Fund attracts, manages and disburses resources in a public-private partnership that will make sustainable and significant contribution to the reduction of mortality and morbidity caused by the three major diseases and contributing to the achievement of millennium development goals. To date, 3 million people are receiving antiretroviral treatment, 7.7 million new cases of infectious tuberculosis detected and treated, and 160 million insecticide-treated nets were distributed to protect families from transmission.

UNDP is a key partner to the Global Fund and is the UN Agency assuming the role of Principal Recipient (PR) of Global Fund grants in South Sudan. As PR for the Global Fund grants, assisting the country to meet its main goals in reducing mortality and morbidity from HIV/AIDS, TB and Malaria, UNDP South Sudan is responsible for the financial and programmatic management of the Global Fund grants as well as for the procurement of health and non health products. In all areas of implementation, it provides capacity development services to relevant national institutions, Sub-Recipients (SRs) and implementing partners. Currently, UNDP as PR bears full responsibility for the operational and financial management of six grants: Round 2 Malaria, Round 2 Tuberculosis, Round 7 Tuberculosis, Round 4 HIV/AIDS, Round 5 TB/HIV, and Round 9 HSS. UNDP South Sudan is currently managing the Global Fund funded portfolio of USD124,214,079 for all six grants.

UNDP South Sudan is therefore planning to recruit two (2) Clinical Mentors to support the ART services across South Sudan. The ART services have been established through the Global Fund Round 4 HIV/AIDS and Round 5 TB/HIV grants.
The Round 4 HIV/AIDS grant aims to strengthen a coordinated South Sudan response to HIV/AIDS by building capacity at the GoSS, State and County levels, and supporting the scale up of comprehensive HIV/AIDS services (BCC/IEC, programmes for specific groups, VCT, ART, OIs, PMTCT, STIs case management, Blood Safety and Universal Precautions, and Surveillance). The project started on 1 August 2006 and will end on 31 July 2011.

The Round 5 TB/HIV grant aims at establishing mechanisms for collaboration between TB and HIV/AIDS programmes, decreasing the burden of TB in people living with HIV/AIDS (PLWHA), and decreasing the burden of HIV/AIDS in TB patients. The key components of the project include the establishment of TB/HIV joint Technical Coordinating Units in the MoH-GoSS, organize national level TB/HIV planning meetings to review and evaluate progress, establish an Advocacy, Communication and Social Mobilization (ACSM) Unit, monitoring and evaluation of collaborative TB/HIV activities, increased TB case findings among PLWHA, provision of treatment for latent TB infection for HIV positive patients, and the provision of infection control services in health care settings and or congregate settings. The project started on 1 October 2006 and shall end on 30 September 2011.

Duties and Responsibilities

Under the direct supervision and guidance of the Ministry of Health Directorate for Community and Public Health, HIV/AIDS/STIs Unit and National TB Programme, WHO, UNDP TB/HIV Project Manager and M&E Specialist, the Clinical Mentors will provide direct technical support to national, state, county, and health facilities within South Sudan. The consultants will work closely with all partners working in HIV/AIDS South Sudan. They will be posted to field sites across the 10 States of South Sudan for specific periods of time and are expected to collaborate positively with partners in the field, government counterparts, local associations of People Living with HIV/AIDS and local communities.

Specifically, he/she will:
  • Provide clinical mentoring to HIV treatment teams for both adult and pediatric care services and other relevant healthcare workers at selected health care facilities
  • Provide clinical advice and assistance in initiating and improving ongoing clinical care for patients on OIs, ART and PMTCT
  • Assist in the development of initial and continued medical education for all clinic staff, including formal didactic training, clinical mentorship and ward round management
  • Lead the establishment activities of ART at the site-level, set-up of patient flow patterns, creation of Standard Operating Procedures and TORs for clinical and managerial staff in the health facility
  • Assist ART sites to improve patient records, monthly, and quarterly reports
  • Assist sites to improve the drug and test kits consumption, requisition report, and the overall drug supply management system
  • Support sites in the optimal use of available resources including ARVs, diagnostics and treatments for opportunistic infections, etc.
  • Improve referral linkages among the departments within the facility and satellite facilities
  • Encourage community-based support to ensure proper adherence and psychosocial support of patients
  • Develop necessary tools to conduct the clinical mentorship
  • Conduct quality assurance program for comprehensive HIV care and treatment program
  • Give expert technical support in planning and implementing integrated and comprehensive HIV M&E system to rollout the M&E function throughout the country
  • Review HIV clinical and M&E training tools for the National HIV Program and roll out training at all level in country
  • Develop standard operating procedures for both clinical and programmatic areas of HIV
  • Facilitate routine data collection system in the HIV program
  • Perform any other duties as required
Deliverables/Outputs:
  • Clinical mentoring provided to between 3-4 ART sites per month
  • clinical advice and assistance provided to ART sites in initiating and improving ongoing clinical care for patients on OIs, ART and PMTCT
  • initial and continued medical education for all clinic staff developed including formal didactic training, clinical mentorship and ward round management
  • Lead the establishment activities of 6 new ART sites, set-up of patient flow patterns, creation of Standard Operating Procedures and TORs for clinical and managerial staff in the health facility
  • ART sites assisted to improve patient records, monthly, and quarterly reports
  • ART sites assisted to improve the drug and test kits consumption, requisition report, and the overall drug supply management system
  • ART sites supported to optimally use available resources including ARVs, diagnostics and treatments for opportunistic infections, etc.
  • referral linkages improved among the departments within the facility and satellite facilities
  • Community-based support encouraged to ensure proper adherence and psychosocial support of patients
  • Necessary tools developed to conduct the clinical mentorship
  • Quality assurance program conducted for comprehensive HIV care and treatment program
  • Expert technical support provided in planning and implementing integrated and comprehensive HIV M&E system to rollout the M&E function throughout the country
  • HIV clinical and M&E training tools reviewed for the National HIV Program and roll out training at all level in country
  • Standard operating procedures developed for both clinical and programmatic areas of HIV
  • Routine data collection system facilitated in the HIV program

Competencies

Professionalism:
  • Demonstrated ability in managing clinical mentorship programmes in post conflict environments.
  • A solid experience in managing clinical mentorship in remote/rural settings with low professional capacity or in a post conflict environment.
  • Ability to work independently with minimal supervision and to maintain flexibility in working hours.

Planning and Organizing:

  • Demonstrated effective organizational skills and ability to handle work in an efficient and timely manner.
  • Demonstrated ability to coordinate tasks to meet deadlines. Strong organizational skills; ability to follow up on comprehensive HIV/AIDS interventions simultaneously.

Teamwork:

  • Good interpersonal skills; ability to work in a multi-cultural, multi-ethnic environment with sensitivity and respect for diversity.
  • Demonstrated ability to develop and maintain effective work relationships with counterparts

Required Skills and Experience

Education:

  • Medical Doctor with a MPH or Medical doctor with minimum of 5 years clinical experience
  • Clinical experience in HIV/AIDS treatment and care required.

Experience:

  • Minimum of 5 years clinical experience in HIV/AIDS treatment
  • Clinical mentorship experience in previous assignment more importantly s/he has been involved in the clinical care service with HIV (treating and counseling of HIV positive patients, experience in establishing anti retroviral treatment (ART) scale up programs, including grant implementation
  • At least 2 years of multi-country experience in setting up ART clinical mentorship programs
  • Excellent understanding of the WHO IMAI-based system of HIV/AIDS treatment
  • Experience in pediatrics ART strongly preferred
  • Good bedside manner and strong interpersonal skills
  • Teaching or training experience preferred
  • Experience in communicating with government and other high-level officials strongly preferred

Language:

  • Fluency in written and spoken English.
  • Knowledge of the local language an asset.

Application Procedure:

Marked with: “Proposal for Clinical Mentors for HIV and TB/HIV”. Your package should contain two envelopes: one marked “Technical Proposal” and containing your PII and CV as described below in Section 4 and second envelop your “Financial Proposal”. Any request for clarification on TORs must be sent in writing by email to the Project Manager on Karin.nasheya@undp.org. She will respond in writing by email and will send written copies of the response, including an explanation of the query without identifying the source of inquiry, to all consultants.

DOCUMENTS TO BE INCLUDED WHEN SUBMITTING THE PROPOSALS.
Interested individual consultants must submit the following documents/information to demonstrate their qualifications:
1. Personal CV including past experience in similar projects and at least 3 references
2. A complete Personal History Form (P11), which can be downloaded from the following link; http://sas.undp.org/documents/P11_Personal_history_form.doc
FINANCIAL PROPOSAL
  • Contracts based on daily fee
Contracts based on daily fee - Payments shall be made to the Individual Consultant based on the number of days worked at the agreed daily fee. The financial proposal should specify the daily fee, which includes all other costs like airfare, per diems, etc. For evaluation purpose, the financial offer should provide breakdown of all costs. While preparing your proposal, kindly note that the standard for air travel authorized by UNDP for individual subscribers is economy class. All envisaged travel costs must be included in the financial proposal. This includes all travel to join duty station/repatriation travel. In general, UNDP should not accept travel costs exceeding those of an economy class ticket. Should the IC wish to travel on a higher class he/she should do so using their own resources.
In the case of unforeseeable travel, payment of travel costs including tickets, lodging and terminal expenses should be agreed upon, between the respective business unit and Individual Consultant, prior to travel and will be reimbursed.
Individual consultants will be evaluated based on the methodology: Lowest price and technically compliant offer.
The award of a contract should be made to the individual consultant whose offer has been evaluated and determined as both:
  • Responsive/compliant/acceptable (fully meeting the ToR)
  • Offering the lowest price/cost
Only candidates obtaining a minimum of 70% of required total points under technical evaluation would be considered for the Financial Evaluation.

Criteria A : Relevant educational background
Criteria B : Practical experience relevant to the announced TOR
Criteria C : A solid experience in managing clinical mentorship in remote/rural settings with low professional capacity or in a post conflict environment

UNDP is committed to achieving workforce diversity in terms of gender, nationality and culture. Individuals from minority groups, indigenous groups and persons with disabilities are equally encouraged to apply. All applications will be treated with the strictest confidence.


Clinical Mentors for HIV and TB/HIV – International Consultancies
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