Fresh Jobs at BroadReach

Purpose of the position

• The Professional Nurse’s primary responsibility is 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, namely PICT, ART initiations and viral load monitoring and other HIV/AIDS related activities. She / he will drive the 90-90-90 HIV and TB agendas for adults and children by ensuring that clinical protocols and guidelines are being implemented at target facilities and that facility staff are continuously identifying and addressing clinical issues in order to reach 90-90-90 targets.

Key Accountabilities (included but not limited to)
In Your Role You Will

• Patient Care 90-90-90
• Record Keeping
• Reporting

In Your Role As Professional Nurse You Will

• To undertake nursing duties, within a Primary Health care / Hospital Service / Community
• Including integrated health service delivery (e.g. nutrition, family planning and chronic disease counselling, consultation, care and treatment according to clinical guidelines)
• 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 HIV positive adult and pediatric clients on ART as per the ART Guidelines
• EMTCT Guidelines implemented and PMTCT Standards met
• Conduct clinical reviews for all 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
• Educate and enroll patients into decanting streams when eligible
• Contact patients to return at scheduled intervals for Viral Loads in accordance with treatment guidelines
• Track, Trace Early missed and Late Missed appointments, uLTFU and LTFU patients and refer to WBOTs, Community Partners or as directed for return to care
• Contact patients who miss appointments within 3 days of missed appointment and reschedule
• 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
• Compare tracking list provided to WBOTs, Community Partners, other with appointment system to ensure patients return to care
• Compare phone log for missed appointments against facility daily appointments to ensure patients prompt return after a missed visit
• All direct service delivery reported according to BR reporting expectations (using the app, WMS or any other reporting tools provided)

Qualifications
Essential qualifications

• Experienced Professional Nurse, currently registered with SANC
• NiMART certified
• Knowledge and structure and content of the English language including the meaning and spelling of words, rules of composition and grammar
• Understanding the implications of new information for both current and future problem solving and decision making
• Computer Literacy (, MS Office)
• Familiar with TIER.Net, ETR.Net and DHIS preferred

Experience & Skills

• 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 & Behavioural competencies
Personal qualities

• 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

Behavioural Competencies

• Results orientation
• Consulting and Advising
• Self Management
• Applying technical expertise
• Empathy

BroadReach Culture Cornerstones

• We serve a mission greater than ourselves
• We do better everyday
• We are solutions driven not problem focused
• We turn all customers into raving fans

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Purpose of the position

• The Enrolled Nurse’s primary responsibility is 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, namely HIV Testing Services, referring HIV-positive persons, ensuring linkage to care and prevention services, implementation of decanting strategies. She / he will drive the 90-90-90 HIV and TB agendas for adults and children by ensuring that DOH clinical protocols and guidelines are being implemented by target facilities and that facility staff are continuously identifying and addressing clinical issues in order to reach 90-90-90 targets. The Enrolled Nurse will work in conjunction with a registered nurse/ professional nurse on site, led by the Cluster Team Lead.

Key Accountabilities (included but not limited to)
In Your Role You Will

• Provide voluntary and confidential HIV Testing Services
• Linkage of all HIV positive patients to care and negative patients to Prevention Services
• Maintain and monitor patients’ adherence to treatment regimen to assess success of counselling
• Support adherence by educating patients about self-management of HIV/AIDS and/or TB, tailoring instructions to patient’s individuals’ circumstances
• Refer newly diagnosed HIV positive patients for ART initiation and ensure linkage to care
• Conduct the vitals examination and record results for all patients seen
• Screen all patients for TB
• Take bloods (and/or sputum) for all HIV positive patients and TB suspects as per guidelines under direct and/or indirect supervision of PN
• Educate and enrol patients into differential care models streams when eligible
• Contact patients to return at scheduled intervals for Viral Loads in accordance with treatment guidelines
• Track, Trace and Refer Early Missed and Late Missed appointments, LTFU and uLTFU patients to WBOTs, Community Partners or as directed for return to care
• Contact patients who miss appointments within 3 days of missed appointment and reschedule Provide health education on health-related issues such as nutrition, retesting, family planning, etc, in patient waiting rooms and appropriate community events
• Participate in organizing and staffing HIV/AIDS awareness events including youth events
• Work with the DREAMS team to ensure Prevention activities within facilities
• Ensuring patient confidentiality
• Safekeeping of patient records
• Maintain current filing system
• Systematic daily filing of patients’ patient’s records including blood results
• Create patient list from appointment system and pre pull files/folders for next 2 days’ appointments
• Registers, daily tally and monthly summary forms always available, filed for 5 years (send it to archive after 5years)
• Ensure availability of updated data collection tools and daily distribution to all consulting rooms
• Daily retrieving of patients’ files, daily collection of patients’ raw data from all relevant facility’s registers for entry into clinical stationery
• Compare tracking list provided to WBOTs, Community Partners, other with appointment system to ensure patients return to care
• Compare phone log for missed appointments against facility daily appointments to ensure patients prompt return after a missed visit

In Your Role As Enrolled Nurse You Will

• Have knowledge of diagnosis, clinical management and on-going antiretroviral use in HIV and TB exposed and infected children and adults
• Be able to diagnose and clinically manage HIV and TB infected adults and children.
• Have 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.
• Understand healthcare systems and relationships in resource limited settings
• Understand the local political landscapes involved at Facility, Sub-district and District level
• Ensure that daily, weekly and monthly standards are met
• Ensure that standard counselling care provided, and referral executed for advanced care to medical doctors and specialists as recorded and in accordance with treatment protocols
• Demonstrate high quality counselling care evidenced by patient outcomes
• Ensure that all newly diagnosed HIV positive patients referred for treatment and linkage to care confirmed and documented
• Refer all TB positive patients for treatment and ensure linkage to care
• Ensure that Eligible patients are enrolled into decanting programmes
• Ensure that Viral load testing conducted on all patients in accordance with treatment guidelines
• Ensure that LTFU patient numbers are reduced, and patients are brought back into care
• Ensure that efficient appointment system implemented at facility with minimal missed visits
• Ensure that Weekly HIV/AIDS awareness events and health education sessions within and outside facilities
• Have linkage to care of all HIV positive patients
• Ensure correct and accurate information are captured.
• Ensure filing system is systematic and easily and readily available for Office use and retrieval of data.
• Ensure reduced number of patients LTFU
• Ensure reduced number of missed appointments
• Ensure Increase in patient retention and adherence numbers
• Ensure All DSD captured on BR reporting tools correctly, consistently and timeously

Qualifications
Essential qualifications

• Standard 10 (Grade 12) / N3 or equivalent, current registration with SANC is essential

Desirable Qualifications

• Experience & skills 2 years relevant experience

Experience & Skills

• 1 year relevant experience

Personal qualities & Behavioural competencies
Personal qualities

• 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

Behavioural Competencies

• Results orientation

BroadReach Culture Cornerstones

• We serve a mission greater than ourselves
• We do better everyday
• We are solutions driven not problem focused
• We turn all customers into raving fans

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Purpose of the position

• Provide patient-centred support to clients that require intensified counselling, one-on-one education and follow-up, to navigate them successfully through to self-sufficient management of their illness, by providing treatment adherence counselling, coordination and follow-up of medical treatments, client advocacy, and provide assistance to address multiple psychosocial and/or health related needs.

Key Accountabilities (included but not limited to)
In Your Role You Will

• Provide psychosocial support to clients not yet ready for treatment
• Provide follow-up support telephonically, face to face, at facility and at home visits.
• Provide adherence counselling with adherence plan development to all adults and children newly started ART (0-6 months) with the option of extending this to 12 months for select patients
• Provide adherence support to all clients missing appointments for 14 days or more
• Provide adherence support to patients that have been returned to care
• Provide adherence support and education on importance of early infant diagnosis and treatment to all postnatal clients
• Provide enhanced adherence counselling and support to all virally unsuppressed patients (including the 1st unsuppressed) with support to develop personalised adherence plans
• Provide support to patients eligible for decanting that are not yet decanted
• Refer patients who have failed to meet requirements of case management programme and remain in care to Contact centres, WBOTs, Community Partners or as directed for return to care
• Monitor the efficacy of the adherence plan and periodic re-evaluation and revision/referral to health care professional as required and adjust the patient plan as necessary
• Build trust over time amongst clients until they are ready to share details of their contacts

Administratively This Will Include The Need To

• Enrol patients into case management program
• Record all cases and outcomes in the case management register
• Provide weekly and adhoc progress report to clinicians of all enrolled cases
• Capture daily activities into FSE

Qualifications
Essential qualifications

• Senior Certificate (Grade12) or equivalent

Desirable Qualifications

• Lay counsellor certificate
• Advanced Lay counsellor certificate
• Knowledge of basic HIV and HIV counselling experience

Experience & Skills

• At least 2 years’ experience in health promotion and health education activities within the community
• Basic computer knowledge
• Good communication skills
• Listens with empathy
• Able to maintain confidentiality always

Personal qualities & Behavioural competencies
Personal qualities

• Puts people at ease and builds relationships with clients based on trust and confidentiality
• Listens attentively and selects most effective communication style and delivery for varied clients with varying needs, emotional status and beliefs
• Can persuade, convince and inspire others to take action
• Maintains confidentiality
• Has a customer centric mindset

Behavioural Competencies

• Planning and organising
• Results Orientation
• Attention to detail
• Empathy
• Client orientation

BroadReach Culture Cornerstones

• We serve a mission greater than ourselves
• We do better everyday
• We are solutions driven not problem focused
• We turn all customers into raving fans

go to method of application »

Purpose of the position

• The Lay Counsellor’s primary responsibility is to support the implementation of tactical interventions at Department of Health (DoH) facilities and sites through the provision of direct HIV & TB related clinical services to patients and clients, namely pre.post and ongoing HIV/AIDS individual and group counselling, HIV Testing Services, TB Screening, referring HIV-positive persons and ensuring linkage to care .She / he will drive the 90-90-90 HIV and TB agendas for adults and children by ensuring that the NDOH HTS protocol and guideline are being implemented by target facilities. The Lay Counsellor will work in conjunction with a registered nurse/ professional nurse, enrolled nurse and Data Capturer on site and within the community using high yield modalities.

Key Accountabilities (included but not limited to)
In Your Role You Will

• To conduct group information/education sessions with health service users
• To provide HIV test, post-test and ongoing face –to- face counselling for health service users by utilizing high yield modalities of testing within the facility and the community as required
• Provide voluntary and confidential HIV Testing Services
• Maintain and monitor patients’ adherence to treatment regimen in order for counselling to be successful
• Support adherence by educating patients about self-management of HIV/AIDS and/or TB, tailoring instructions to patient’s individuals circumstances
• Refer newly diagnosed HIV positive patients for ART initiation and ensure linkage to care
• Contact patients to return at scheduled intervals for Viral Loads in accordance with treatment guidelines
• Refer LTFU patients to WBOTs, Community Partners or as directed for return to care
• Contact patients who miss appointments within 3 days of missed appointment and reschedule
• Assist in establishment, implementation and sustainability of Adherence Clubs
• Provide health education on health-related issues in patient waiting rooms and appropriate community events (as assigned by line manager
• Participate in organizing and staffing HIV/AIDS awareness events
• Compare tracking list provided to WBOTs, Community Partners, other with appointment system to ensure patients return to care
• Compare phone log for missed appointments against facility daily appointments to ensure patients prompt return after a missed visit
• Ensure that all direct service delivery reported according to BR reporting expectations (using the app, WMS or any other reporting tools provided)
• Ensure that all HIV tests are recorded according to protocols and policies

In Your Role As Lay Counsellor You Will

• Ensure Daily, weekly and monthly HTS standards met
• Provide Standard counselling care and referral executed for advanced care to medical doctors and specialists as recorded and in accordance with treatment protocols
• Demonstrate high quality counselling care evidenced by patient outcomes
• Ensure all newly diagnosed HIV positive patients referred for treatment and linkage to care confirmed and documented
• Ensure LTFU patient numbers are reduced, and patients are brought back into care
• Ensure efficient appointment system implemented at facility with minimal missed visits
• Ensure Adherence Clubs are established and run in accordance with AGL
• Coordinate Weekly HIV/AIDS awareness events, health education and individual risk reduction counselling sessions within and outside facilities
• Ensure Reduced number of patients LTFU
• Ensure Reduced number of missed appointments
• Ensure Increase in patient retention and adherence number
• Ensure All DSD captured on BR reporting tools correctly, consistently and timeously

Qualifications
Essential qualifications

• Senior Certificate (Grade12) or equivalent

Experience & Skills

• Minimum of 2 years relevant work experience and knowledge of public health facilities and H certificate (from an accredited service provider), a 10 Day Adherence Counselling certificate would serve as an advantage. IV programmes. Recommended: A valid 10 Day HIV Information and 20 Day Intensive Counselling

Personal qualities & Behavioural competencies
Personal qualities

• Problem Solving
• Attention to detail
• 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

Behavioural Competencies

• Empathy
• Results orientation

BroadReach Culture Cornerstones

• We serve a mission greater than ourselves
• We do better everyday
• We are solutions driven not problem focused
• We turn all customers into raving fans