DREAMS and Key Populations Professional Nurse at BroadReach

Purpose of the position

• The DREAMS and Key Populations Professional Nurse (PN) responsibilities are to support the implementation of strategic and tactical interventions at Department of Health (DoH) facilities and community sites through the provision of direct DREAMS, HTS, PrEP, GBV, AYFS and SRH-related clinical services for AGYW, OVCs, GBV and Key Population groups. DREAMS and Key Populations PN is expected to facilitate on-site coaching and mentoring on the DREAMS package of Interventions to DoH and BR staff at selected facilities and community partners including key population partners across the sub-district and coordinate and support the Professional Nurses, Enrolled Nurses in implementing and referral of AGYW for DREAMS core interventions. S/he will drive the prevention, case finding, SRH and GBV agendas for AGYWs, OVCs, GBV and Key Population groups by ensuring that health systems strengthening models, initiatives, protocols, bi-directional referrals of AGYW and OVCs to other services (GBV mitigation and post-violence care) and DREAMS and Key Population interventions are being implemented by target facilities and that facility staff are continuously identifying and addressing clinical and non-clinical issues in order to reach targets. 
• The primary focus will be on ensuring appropriate integration of DREAMS and key population interventions into the HIV program as well as the integration of HIV services to all DREAMS and Key Population programmes, establishing bi-directional referral processes for AGYW, OVC, GBV and Key Populations to and from community-based DREAMS, OVC, GBV and Key Population partners. It includes and is not limited to provision of HIV testing, PrEP for at risk AGYW, OVCs, GBV and Key Populations testing negative, SRH services as well as screening and referral for GBV and post violence care.

Key Accountabilities

DREAMS program coordination and monitoring within the facility and with key community and key population partners working within the catchment area of the facility

• Technical Assistance
• Training and Mentoring
• Supportive supervision
• File reviews and Data collection and correction
• Record keeping
• Reporting
• Patient Care Targets (testing, PrEP, OVC, GBV, Key Populations, SRH and referrals)
• Coach, mentor and supervise Professional Nurses, Enrolled Nurse, counsellors in the DREAMS core package of interventions, bi-directional referrals to Community-based DREAMS, OVC partners, Key Population partners and the integration of DREAMS and HIV programs
• Monitoring and reviewing of progress weekly to targets with a clear plan of action for support, supervision and training
• Ongoing training of BroadReach and DoH staff on AGYW testing, PrEP enrolments (PrEP_NEW) and retention, (PrEP_CT), GBV, record keeping and electronic capturing of data.
• Conducts site quality visits to ensure appropriate implementation of DREAMS and Key Population intervention activities
• To undertake nursing duties, within a Primary Health care / Hospital Service / Community
• Provide HIV Counselling and testing within the framework of Provider Initiated Counselling and Testing (PICT) with a focus on AGYW and Key Populations
• Conduct HIV high risk screening for all AGYW testing negative and offer PrEP
• Initiate PrEP on all eligible clients
• Provide SRH services, DREAMS core package of interventions and bidirectional referrals to Community-based DREAMS, Prevention and OVC partners
• Integrated DREAMS interventions, Key Populations and HIV services and directed/allocated other duties within the Professional Nurse scope as per the business need
• Conduct clinical follow-ups for clients remaining on PrEP (including, but not limited to phlebotomy, review of lab results, recording and defaulter management
• Ensure Quality control measures including record keeping for all activities undertaken
• Coordinate and communicate with other community partners to link AGYW to HTS, OVC, GBV, Key Population groups, SRH and PrEP services
• Ensuring patient confidentiality
• Safekeeping of patient records
• Complete Registers and clinical stationery correctly and consistently for all patients
• Report all direct service delivery according to BR reporting expectations (using the App, FSE or any other reporting tools provided)
• Sensitise facility level staff on issues relating to providing services to Key Population groups including how to conduct risk assessment and how to address stigma and discrimination including sharing of the tools necessary to treat, care for and link key population members to appropriate services
• Any other role assigned by your manager within reason of your scope of work.

Qualifications

Essential qualifications

• Nursing Degree or Diploma
• NIMART certification is essential.
• SANC Registration
• Driver’s license and motor vehicle is a requirement

Desirable Qualifications

• Post qualification in AYFS/AGYW/DREAMS experience is advantageous
• Health Assessment, Treatment and Care (Primary Health Care Diploma)

Experience & Skills

• At least 2 years’ experience in HIV prevention and AGYW/AYFS programs is preferable.
• Health Assessment Treatment and Care (Primary Health Care Diploma)
• Understanding the implications of new information for both current and future problem-solving and decision-making
• Proficient in the use of Microsoft Outlook
• Proficient in the use of Microsoft Office
• Experience in leading a team
• Understanding of TIER.Net, ETR.Net and DHIS is a requirement
• Understanding and experience working in the DoH HIV prevention and youth programs
• Training experience is advantageous
• Understanding of DREAMS core package of intervention, HTS & PrEP, OVC, GBV and Key Population clinical and treatment guidelines and protocols for AGYW
• Understanding of and familiarity with Ideal Clinic, ICDM / ICSM and National Core Standards
• Understanding healthcare systems and relationships in resource limited settings
• Understanding the local political landscapes involved at Facility, Sub-district and District level
• Ability to counsel, test and initiate high risk AGYW on PrEP
• Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction
• Continuous self-development in line with relevant Department of Health policies and guidelines and systems and administration

Personal qualities & Behavioural competencies

• Ability to connect the dots, make linkages and collaboratively work across the organization to optimize the client experience
• Be solution focused
• Has a customer centric mindset
• Able to connect with clients at different levels
• Maintain confidentiality
• Results orientation
• Consulting and Advising
• Self-Management
• Applying technical expertise
• Empathy

Capabilities

Winning, Enabling and Delivery of Projects

• Opportunity Development, Capture Management, Proposal Development, Organized, Disciplined, Analytical

People Leadership/Self Leadership

• Selections, Development, Delegation, Example, Self-Confidence, Independently responsible, Curiosity, Change Management

Strategic and Holistic Decision Making

• Governance and legal awareness, Financial acumen, Risk management, Strategic perspective

Relationship Management

• Institutional Representations, Taking the long view, Building common ground, Mutual respect, Responsiveness, Standing for the other, Engagement