Jobs at Amref Kenya

Duties and Responsibilities

• Provide integrated quality clinical HIV services to clients at the CCC/ART/MCH and HEI follow up as per the national guidelines and standards.
• Support other service providers in the health facility by recommending treatment and care for the patients with opportunistic infections, initiation of antiretroviral treatment (ART) in accordance with the MOH guidelines.
• Mentor other service providers in HIV/TB integrated clinical settings attending to HIV-infected adults, children and pregnant or breastfeeding women.
• Liaise with other project staff working in the community to address issues of IIT tracing, HIV prevention and social determinants of health to mitigate the impact of those infected and affected by HIV.
• Strengthen linkages and referrals within and between health facilities.
• Ensure quality of care for all patients seeking services.
• Ensure the documentation of appropriate services rendered to patients is done in the relevant service registers and electronic medical records (EMR).
• Support HIV/TB and HIV/MNCH service integration into OPD and MNCH respectively
• Strengthen data reviews and use for decision making
• Ensure QI initiatives within the HIV/TB service delivery settings
• Work with SCHMTs team to facilitate capacity development for healthcare workers at the health facility through one-on-one mentorship and on-the-job training and CMEs, Clients information, training and counselling.
• Support in HIV and MNCH data tracking and ensuring that all service delivery data is captured in the MOH relevant tools as required.
• Support in preparation of Monthly facility work plans and progress reports on HIV and MNCH indicator performance.
• Support documentation of best practices and lessons learnt.
• Liaise with relevant partners, stakeholders and collaborators at the Sub County and facility level in implementation of integrated HIV and MNCH services.

Qualifications

EDUCATION 

• Certificate, Diploma or Degree in Nursing. 
• MUST be registered by the Nursing Council of Kenya

EXPERIENCE:

• Minimum of 2 years’ experience with direct involvement in patient care especially in HIV Prevention, Care & Treatment/Elimination of vertical transmission (EVT)
• Experience working with government or donor funded programs will be an advantage.
• Experience working with adolescent’s reproductive health

go to method of application »

DUTIES AND RESPONSIBILITIES 

Provide HIV Testing Services at allocated service delivery points

• Mobilize clients for testing at the respective facility service delivery point i.e. OPD, IPD, special clinics and / or community outreach sites through health talks and Behavior Change Communication (BCC) information dissemination to clients.
• Provide appropriate pre, post and appropriate risk reduction counselling to all clients receiving HTS services on the basis of clients need.
• Provide confidential HTS through the Provider Initiated Testing and Counseling (PITC), Voluntary Counseling and Testing (VCT) and targeted family testing approaches.as per the National 2015 HTS and 2016 ART Guidelines.
• Provide appropriate referral to all clients with a high focus on 100% linkage of HIV positive clients to care and treatment.
• Capture relevant client’s data on the Locator Information Form as well as the MOH 100
• Support and escort HIV positive clients to the CCC for enrollment into care, make follow-ups and report on referral and linkage outcomes on of both HIV negative or unlinked clients respectively.
• Be accountable for Rapid HIV Test kits in his or her custody.
• Promote preventive interventions through health talks, skills building demonstrations, distribution of Information Education and Communication (IEC) materials and other commodities like condoms and demonstration on correct use.

Adherence to quality HTS services provision

• Actively participate in all HTS data review meetings at the facility level.
• Participate in the quarterly counsellor’s support supervision   meetings / sessions
• Familiarize and adhere to the recommendations of both the National HTS and ART guidelines up to and including proper waste disposal procedures.
• Enroll and participate in the bi - annual Proficiency Testing Program.
• Participate in other HTS QA activities e.g. Counsellors self - assessment, Direct observed sessions, Quality Management Assessments, (CQI, SIMS), client satisfaction surveys, DBS validation interviews, etc.

HTS reporting.

• Daily proper recording of the services in HTS Lab Register and other attendant reporting tools e.g. the Linkage Registers including RTK consumption reporting.
• Prepare timely daily, weekly and monthly HTS and RTK’s data summaries and reports through the facility in-charge and HTS Supervisor.
• Prepare summary of index / family testing and report using provided templates.
• Prepare and provide monthly summary of linkage report through the facility in-charge /HTS supervisor.

Specific roles of the HTs provider supporting confirmation and index contact testing at the ccc.

• Conduct all confirmatory tests of all identified positives as per the approved National Algorithm.
• Ensure 100% linkage of all confirmed HIV positive clients.
• Ensure that the index client contact listing, client Locator information forms as well as the Client Referral forms of all positive clients referred to the CCC for confirmation are well filled.
• Work closely with the HTS Supervisor to refer clients presenting inconclusive results (as per the Algorithm) to the CCC Laboratory for DNA – PCR / antigen tests.
• Work closely with the HTS Coordinator to maintain accurate records i.e. the Client locator information forms and Client Referral form of all clients referred to and / or attended to at the CCC of all clients.
• Provide patient key information on the importance of starting ART immediately as well as benefits of family testing and disclosure.
• Negotiate and explore with the client, opportunities for family, partners / contacts testing.
• Work closely with the HTS Coordinator to follow up and document all linkage outcomes in the Master Facility Linkage Register.
• Professionally hand over confirmed clients to the Adherence Counsellors/ CCC team for enrollment into care and treatment services.
• Line list index clients whose contacts have not been tested and liaise with the clinical teams at the CCC to mobilize index clients to bring their contacts for testing.
• Plan and conduct home based index testing when the CCC is not operational
• Work closely with the Records team at the CCC to document accurate test results of contacts of index clients in the blue card after successful index contacts testing.
• Follow up on outcomes and progress of newly enrolled clients for a period of three (3) months to enhance adherence and improve patient experience.

Qualifications

EDUCATION 

• Must have a diploma in any health-related course or social sciences.
• Certificate in HTS accredited by NASCOP

EXPERIENCE

• At least one year of relevant experience in HTS.
• Must have been trained in the current HTS Algorithm (3 – Tier Test)

go to method of application »

KEY RESPONSIBILITIES;

• Ensure quality HTC services are provided as per the National Algorithm across all points of service in allocated sites by conducting observed sessions.
• Ensure all HTS providers undergo counsellor supportive supervision on a monthly basis at facility level.
• Ensure all counsellors undergo group counselling supporting sessions on a quarterly basis at the facility level.
• Ensure testing efficiency in all supported sites through risk assessment
• Ensure 100% HTS optimization in all supported sites
• Ensure optimal PNS implementation of 95% testing of contacts, contact ratio at a minimum of 1:3 ratio in all PNs populations in all supported sites.
• Support the HTC counsellors and health facilities to achieve their HTC targets across the HTC Cascade through observed sessions to identify gaps, preceptorship and monthly mentorship and supervision.
• Ensure monthly forecasting, quantification and reporting of Rapid Test Kits (RTKs) is done according to the guidelines and raise a 1-month Early Warning alert for expected RTK shortage.
• Ensure each HTC service point meets the national quality assurance standards (NASCOP Certified HTC Provider, Joint support supervisions with the SCMLT, technical assistance to the HTC Counsellor providers and handle counsellors’ burn out issues)
• Support and spearhead promotion of HTC services and innovations aimed at increasing access to HTC service provision e.g., testing partners and children of index clients, Paediatric testing days and OVC testing
• Training Needs Assessment and participation in EQA activities (proficiency testing) of supervisees documented and available at facility level.
• Work in close collaboration with the SCASCO and the Imarisha Jamii technical team to ensure continuity of services by organizing monthly HTC counsellors’ meetings and managing HTC counsellor leave days.
• Support for the M&E framework (Maintenance of HTC registers, wall charts,
• Data entry, reports, timeliness and accuracy)
• Convene Monthly counsellor supervisors meeting and review counsellor performances and linkage and provide psychosocial support to HTC counsellors
• Conduct any other duty as may be prescribed by the supervisor.
• Ensure linkage of 100% of all identified patients.
• Ensure referral of patients to appropriate HIV prevention services including and not limited to, PMTCT, PrEP, PEP, Post Response among others

Qualifications

EDUCATION 

• Diploma in Community/Public Health, Nursing, Medical Laboratory Sciences, Social Science, Counselling Psychology or other related courses combined with a certified HTS qualification (HTS NASCOP Certification).

EXPERIENCE:

• 2-5 years of experience in HIV Testing and counselling (HTS), strong mentorship skills, and proficiency in health reporting tools to oversee testing quality, linkage to care, and quality assurance (QA) activities.
• Undergone HIV/AIDS related Trainings; e.g. Peer Education, HTS Quality Management or Behaviour Change Communication.
• Strong interpersonal skills; ability to build partnerships and consensus, within teams and other stakeholders.