TB/HIV Professional Nurse - Nkangala District at BroadReach

Purpose of the position

• The TB/HIV Professional Nurse's responsibilities are to support the implementation of strategic and tactical interventions at Department of Health (DoH) facilities and sites through the provision of direct HIV & TB related clinical services to patients and clients and the facilitation of on-site coaching and mentoring to DoH staff at selected facilities across the district and coordinate and support the Professional Nurses, Enrolled Nurses, Data Capturers and Data Support and Use Officer. S/he will drive the 90-90-90 HIV and TB agendas for adults and children by ensuring that  health systems strengthening models, initiatives, protocols and guidelines are being implemented by target facilities and that facility staff are continuously identifying and addressing clinical and non-clinical issues in order to reach 90-90-90 targets. The primary focus will be on ensuring appropriate integration of TB services into the HIV program as well as the integration of HIV services to all TB patients.  It includes and is not limited to TB Prevention including the provision of TB preventive therapy; TB screening and testing; HTS and provision of ART to all TB patients as well as ensuring effective infection prevention and control. 

Key Accountabilities 

• Technical Assistance
• Training and Mentoring
• Supportive supervision
• File reviews and Data correction
• Record keeping
• Reporting
• Patient Care 90-90-90 Targets (testing, sustained chronic treatment and diagnostic monitoring) 
• Coach, mentor and supervise Data Quality and Use Officer in the clinical management and data recording for TB, HIV and the integration of both programs
• Monitoring and reviewing of progress weekly to targets with a clear plan of action for support, supervision and training
• Ongoing training of BR and DoH staff on TB HIV management and record keeping
• Conducts site quality visits to ensure proper implementation of TB HIV 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)
• Conduct TB Screening for all patients seen and all TB Standards met
• Integrated HIV and TB care and treatment provided
• Initiate newly diagnosed TB HIV positive adult and pediatric clients on ART as per the ART Guidelines
• Conduct clinical reviews for all TB HIV positive patients (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
• Contact Presumptive TB patients and TB patients with unknown HIV status and those HIV positive not yet on ART to ensure HTS and ART initiation as required
• Coordinate and communicate with other community partners to link patients to treatment
• Ensuring patient confidentiality
• Safekeeping of patient records
• Registers and clinical stationery completed correctly and consistently for all patients seen
• All direct service delivery reported according to BR reporting expectations (using the app, WMS or any other reporting tools provided)

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 HIV/AIDS/TB/STI is advantageous
• Health Assessment, Treatment and Care (Primary Health Care Diploma)

Experience & skills

• At least 2 years’ experience in HIV/AIDS and TB 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 and Interpretation of TIER.Net, ETR.Net and DHIS is a requirement
• Understanding and experience working in the DoH National TB and HIV programs
• Training experience is advantageous
• Understanding of HIV and TB clinical and treatment guidelines and protocols for adults and children
• Understanding of 90-90-90 HIV and TB strategies for adults and children
• Understanding of and familiarity with Ideal Clinic, ICDM / ICSM and National Core Standards
• Knowledge and use of BR tools
• Understanding healthcare systems and relationships in resource limited settings
• Understanding the local political landscapes involved at Facility, Sub-district and District level
• Knowledge of diagnosis, clinical management and on-going antiretroviral use in HIV and TB exposed and infected children and adults
• Ability to diagnose and clinically manage HIV and TB infected adults and children
• 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 & Behavioral 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