Contract Medical Roles at Right to Care

Description

CLINICAL CARE (30%)

• Screening: HCT, TB, STI, Diabetes and Hypertension
• Do blood pressure and blood glucose test when necessary and refer abnormalities
• Refer suspect cases for TB, STI and ensure that HIV positive clients linked to care
• Introduce the counsellor to the package of sexual reproductive health services: Termination of Pregnancy, contraceptive counselling and dual contraceptive method use
• Screen women for the use of and compliance with contraception and fertility planning methods
• Screening and referral of pregnant females for early antenatal booking
• Provide antenatal and postnatal care counselling
• Pregnancy test offered where applicable
• Introduce Mom Connect to pregnant ladies and assist with registration
• Screening of pregnant mother for TB / STI and refer accordingly
• Support clinical activities within specific geographical areas (in the community) and in support of the PHC facility focusing on:
• Child Health: Immunisation, Vit A, Deworming and nutrition
• Women’s Health: Family Planning, cervical cancer screening and breast examination
• Men’s Health
• Provide relief duty for the PN working at the Integrated Health and Wellness Package i.e., daily attendance of the CHW’s, assist with mapping and CHW allocations, doing home visits and community household assessments, wound care in the community, tracing and tracking of recalls

COORDINATION OF HTA ACTIVITIES (40%)

• Work with all other stakeholders and role-players (SASSA, Department of Basic Education, SAPS, Churches, Food Kitchens,
• Department of Social Development, Department of Agriculture, Law Enforcement, Municipalities, businesses, political leaders, clinic committees, charities, churches, traditional healer associations) in the geographical area
• Do an assessment of the community i.e., the structure, demographics, socio-economic factors (education, job status, family social support, income), community safety, cultural practices, resources, and assess the potential and actual risks, health behaviours facing the community and focus on what needs to change to improve health
• Address the social determinants of health, food security and alleviating hunger, climate resilience, water safety and security, job and poverty relief schemes, planned pregnancy reduction at scale, substance abuse, trauma, and violence, and giving hope and mental resilience to young people
• Assist with the establishment of support groups, small group activities for alcohol and drug treatment, treatment adherence, contemplation groups and psychosocial support
• Link with the recent School Awareness Calendar that is in place4 of 6 Introduce the WoW (Western Cape on Wellness) Initiatives (Wellness messaging, Facebook page, website, and WoW! Active
• Public focus on screening and advocacy for socio-economic factors, physical environment, and linkage to “social economic factors” partners
• Determine the number of HTA intervention sites (old and new)
• Provide wellness and comprehensive clinical services to key population groups and vulnerable communities i.e., people in prisons, sex workers, mobile populations {truck drivers, farm workers, migrant workers}, LGBTQIA+ communities, refugees / undocumented foreigners, men who have sex with men, persons with disabilities, people injecting or using drugs, populations abusing alcohol and other drugs.
• Provide demand creation to increase awareness, uptake, and acceptability of VMMC services
• Refer commercial sex workers for reproductive health i.e., contraceptive methods, PMTCT and offer cervical and breast screening, mammogram, and menopause support
• Strengthen community awareness and dialogue via established health committees, external stakeholders, local radio, newspaper, social media platforms, posters
• Introduce and train the Integrated Health and Wellness Team in active communication techniques i.e., Focus Group
• Discussion, Role-Play, Adult Play Therapy, Flash Cards, Visual Stimulation, Key Messages. It can be helpful in conveying information and behaviour change messages, timely care-seeking behaviour to attend a wellness service “what will our promotion message be to change the behaviour?”
• Offer sensitisation of staff members at health facilities and law enforcers on issues around key population to break down barriers and enhance knowledge around them. Be mindful that it is sensitive because it touches on morals, values, culture, and religion
• Multi-pronged approach should be used to cater for different age groups e.g., using cell phones to send health messages to younger people and face to face visits to older people
• Focus on Behaviour change communication messages through face-to-face interviews or group education sessions, focus groups in the workplace or home, informal meeting places or local community venues
• Provide access to comprehensive health care treatment for key population groups is heavily influenced by stigma and discrimination.
• Place special emphasis on disclosure and stigma mitigation providing health talks during community outreaches. The only solution to the reduction of stigma is to confront it with education and increased efforts to dispel fears and misconceptions.
• Focus on the advantages and disadvantages of disclosure in assisting a decrease in stigma and increase in disclosure rates
• Provide activities which promote gender equitable principles, address harmful norms related to sex and gender
• Address drivers of gender-based violence and assist in preventing gender-based violence
• Address the power imbalances and economic empowerment of women
• Participate in all planning activities with the multi-sectoral team for the 16 Days of Activism Campaign

SUPERVISION 20%

• Submit a monthly programme for scheduled visits within the monthly allocated travelling budget amount
• Responsible for the coordination of the Community Health Workers with lay counsellor experience and peer educator at the site
• Arrange monthly mentoring and support meetings with project team
• Monthly feedback to Community Health Workers with lay counsellor experience with regards to reaching the monthly targets
• Include them in the WoW activities with HCBS – WoW Champion can assist with the arrangements
• Responsible for teams’ annual leave planning and attend to all leave applications and submit to District Admin Support for capturing on the system
• Establish a good referral network between the PHC facility, COPC Professional Nurse, other stakeholder and other NPO projects e.g. HCBS & Counsellor Project ensuring an effective referral and linkage process
• Arrange combined team meetings with relevant facility staff and DoH Wellness PN at COPC sites as well as all other NPO community projects and stakeholder in the geographical area identifying hot spot areas to plan targeted interventions in strengthening health outcomes
• Continue using the RtC templates for quality improvement outcomes measures to measure the impact and outcomes of the project e.g., MMC Recruitment lists, Health Promotional Talks, newly and known HIV + clients referred and linked to care
• Ensure that the team are using the relevant HAST Registers & Forms

RECORDKEEPING & ADMINISTRATION (10%)

• Ensure that team submit their weekly data to the Project Coordinator
• Complete all monthly statistics and submit by the 1st of each month to the next level
• Submit a monthly report to the Operations Manager (Project Development) and Project Coordinator
• Assist with compiling the quarterly report for submission on the 7th after a quarter’s closure
• Report all Injury on Duty within 24 hours to the HR Administrator
• Ordering of stock / consumables / stationery monthly

Requirements

• Diploma in General Nursing
• HIV Counselling Course (ACTS) trained
• Finger-pricked trained
• 2 years ‘experience as a Professional Nurse in
• NGO/Community Clinic or Hospital setting.
• Diploma in Community Health Science

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Description

• Conduct ongoing situational analysis to identify gaps within the supply chain system
• Implement systems and strategies to manage pharmaceutical stock in the clinics
• Mentor and coach pharmacist assistants and nurses to manage stock and maintain cold chain in the clinic
• Assist facilities with stock re-distribution and maintaining sufficient stock in the facility
• Ensure compliance with good pharmacy practices and good dispensing practices
• Train, Mentor and Support DOH initiatives to provide alternative access to chronic medicines (e.g. Adherence clubs, CCMDD & SyNCH, CDU/PCU, PUP’s) and any other related projects
• Ensure medicine safety systems are implemented at facility level
• Perform site visits at least daily
• Familiarise self with rules and regulations relating to Good Pharmacy Practice (GPP), Pharmacy Act 53 of 1974, Medicine and related substances Act 101 of 1965, as amended and other relevant legislation.
• Ensure that stock management files and records are available at facilities
• Assist the facilities to maintain data and ensure accurate statistics
• Mentoring, coaching and guiding facility staff on pharmaceutical issues

Requirements

Minimum Required Qualifications and Experience:

• Grade 12
• Post Basic qualification as Pharmacist Assistant
• HIV/AIDS Management Course
• 5 years’ experience post qualification as a post basic pharmacist assistant
• 2 years’ experience in HIV field and Public Sector 

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Description

 Key Performance Areas

• Assess, examine and diagnose patient’s clinical conditions and triage
• Do relevant blood tests and observations/vital signs
• Interpret HIV test results, follow up on inaccuracies
• Assist with the process and implementation of VCT (Voluntary Testing and Counselling)/ HCT (HIV Counselling and Testing)
• Design and Implement nursing care plans, monitor and evaluate patients’ progress
• Perform pap smears on all HIV infected patients yearly monitor and refer appropriately
• Assist with the process of implementing PMTCT (Prevention from Mother to Child Treatment) TB (Tuberculosis) programmes / services at the site
• Implement NIMART as mandated in Section 38A
• Record keeping of all relevant patient information on files (Therapy Edge)
• Refer appropriately
• Supervise and coordinate activities of all subordinators
• Participate in the site in-service training program
• Compile monthly and daily reports of ART patients
• Ensure efficient coordination of the anti retroviral site, its referrals networks and ensure sustenance of the ART Programme
• Keep abreast with present developments in the field
• To participate in research projects relevant to the specific field
• Generate relevant reports and do follow ups on inaccuracies.

Requirements

Minimum Required Qualifications and Experience

• Diploma in General, Community and Midwifery Nursing
• 2 years as a Registered Nurse in NGO/Community Clinic or a hospital environment
• SANC Registration

Desirable Required Qualifications and Experience

• Diploma in General, Community and Midwifery Nursing
• HIV/AIDS Management Course
• 3 years’ experience as a Registered Nurse Community Nursing Health setting or Hospital setting

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Description

Technical Support & Clinical Quality Improvement

• Provide on-site technical assistance to facility staff on CCMT, HIV, TB, IMCI and PHC programs.
• Conduct clinical file audits, root-cause analyses, and quality-of-care assessments at facilities.
• co-create and monitor quality improvement plans with facilities management.
• Support implementation of evidence-based interventions aimed at improving clinical outcomes of the different DoH Programs
• Mentor clinicians and nurses on updated NDoH guidelines, SOPs, algorithms, and protocols.
• Facilitate case discussions, mortality reviews, and program performance reviews.

Monitoring, Evaluation & Data Use for Action

• Conduct routine data verification, indicator tracking and performance monitoring using DHIS, TIER.Net, SVS, SyNCH, HPRS, ETR, EDR Web, and facility registers.
• Analyse program data to identify gaps and trends and develop corrective action plans.
• Promote data use at facility level through dashboards, programme review meetings and on-site coaching.
• Support facilities to prepare for Nerve Centre, District Reviews, or performance reporting.

Health Systems Strengthening & Program Optimization

• Strengthen patient flow systems
• Facilitate integration of HIV/TB/IMCI/STI/Family Planning services within PHC platforms.
• Lead the implementation of quality improvement projects on Facility Improvement Plans (FIPs)
• Lead the implementation of quality improvement projects on Ideal clinic realisation and maintenance (ICRM/ICSM)
• Coordinate formative assessments and facilitate gap analysis guided by key programme goals and objectives 
• Project selection: Identify project options best suited to address identified gaps, needs and problems
• Prepare project plans including FIP, resource requirements and task assignment to staff
• Periodic project monitoring and coordination.
• Participation in all review meetings

Capacity Building & Mentorship

• Deliver on-site and classroom-based training aligned to NDoH clinical guidelines and programmatic priorities.
• Build capacity of facility teams to implement standardised clinical, data, and administrative processes.
• Provide supportive supervision to operational managers and frontline staff.

Stakeholder Management

• Building healthy relationship with the facility managers, sub-district DoH Program coordinators, Supervisors, PHC Managers, Partner organisations and district health management team.
• Participate in District and Sub-District program meetings, technical working groups, and review forums.
• Support coordination of community-facility collaborative activities including supporting the work of WBPHCOTs, CBOs and other partners
• Ensure to maintain communication flow with the district management on important programmatic issues and in tracking implementation progress

Requirements

Required Minimum Qualifications and Experience

• Diploma or Degree in Nursing or a health-related qualification at a tertiary level.
• 3 year’s experience in an NGO or District Department of Health setting

Desirable Qualifications and Experience

• Post-graduate qualification in Public Health or Management
• 5 year’s experience in implementing Health Programmes
• At least 3 years’ experience in clinical program management including HAST programs, Monitoring & Evaluation, report writing and presentations at Sub-District and District levels.