ART Clinician

Pact, a non-profit organization based in Washington, DC, is implementing the USAID Zambia Integrated Health Activity. The Activity supports USAID and PEPFAR objectives of 95/95/95 and provides service delivery and technical assistance to improve Maternal, Newborn, and Child Health (MNCH) services. USAID Zambia Integrated Health improves, sustains, and further integrates lifesaving HIV/AIDS and MNCH services at the health facility and community levels and ensure that client-centered, high-impact, high-quality services are available to all Zambians. Pact exists to help create a world where those who are poor and marginalized exercise their voice, build their own solutions, and take ownership of their future.

• Provide the complete range of services to ART clients daily
• Initiate new clients on to treatment using the most recent treatment guidelines from MOH
• Ensure that ART clients have their laboratory investigations and receive their results as per GRZ standards
• Follow up with the Laboratory staff on outstanding results
• Inform ZIH/Facility about any signs of drug resistance that you observe
• Work with treatment adherence supporters to ensure that all patients are retained on treatment and that they get positive outcomes from treatment;
• Refer clients who are not ART adherent to treatment adherence supporters for counselling and to develop adherence plan including parents struggling with pediatric adherence.
• Work with other consortium members to provide ART Client information
• Work with the M&E unit and project Strategic Information Assistants (SIA’s) to compile trends
  related to the UNAIDS strategy of 95-95-95;
• Work with M+E unit to observe and document trends related to viral load results for each client and per facility and report cases of high VL through relevant channels;
• Establish a system for daily data review on key indicators which includes reporting anomalies or data spikes to supervisor. Develop responsive action plan where appropriate;
• Attend facility and district led meetings on ART particularly those involving ZIH supported facilities;
• Conduct consultative facility level meetings with the aim of sharing and reviewing data and making action plans;
• Establish communication pattern with the TB department to make bidirectional referrals and to rule out co-morbidity of HIV and TB;
• Provide on-site mentorship to facility staff on new developments in ART;
• Complete monthly and quarterly reports as well as participate in DQA activities;
• Work closely with and supervise community volunteers to ensure that they are maximizing time, attending to duties and following as well as supporting clients, which includes the indexing of newly HIV diagnosed clients, following-up with pre-ART clients who need initiation and active tracking of defaulters
• Employees comply with all company policies and procedures, including completing all compliance training topics by the deadline to satisfy each and receiving the corresponding acknowledgment statement that the training has been completed.

• Diploma/Degree in Clinical Sciences/Clinical Medicine OR Nursing.
• Willingness and ability to work long hours and hours outside of 8hrs normal working time
• Willingness to work in the field and to support and supervise volunteers outside the facility;
• Ability to work in harmony with GRZ and ZIH staff and adhere to code of conduct and ethics;
• Maintain positive communication skills and personality appropriate for mentoring health workers and on the job training
• Able to exhibit professionalism, respect, confidentiality and positivity;
• Ability to be flexible and innovative while adhering to best practices;
• In-depth knowledge and understanding – practice of both WHO and Zambian treatment guidelines;
• Ability to multi-task efficiently and prioritize activities in support of Project goals and deadlines;
• Willingness to support roving/mobile teams when called upon

• Additional training and experience in adult and/or pediatric ART