Country: Somalia
Closing date: 05 Dec 2018
CTG Overview
CTG stands for Committed To Good. With an ethical approach at the heart of all that we do, it is a description that makes us proud. Respect for the fundamental human rights of our staff, and those our staff encounter, is a cornerstone of our values. We strive for gender equality, inclusion and diversity, providing fair and equal opportunities for all. We take a zero tolerance approach to corruption and stay true to local labour laws and all local statutory requirements.
In operation since 2006, today we are honoured to serve clients in 15 fragile and conflict-affected states assisting with disaster relief, peace building, humanitarian aid and development programmes through our specialised recruitment, HR management and operational services.
Overview of position
OUR CLIENT is the Principal Recipient for the Global Fund to Fight AIDS, Tuberculosis and Malaria’s HIV/Resilient and Sustainable Systems for Health (RSSH) grants in Somalia. The current HIV/RSSH New Funding Request (NFR) grant is from 1st January 2018 through 31st December 2020. Under this grant OUR CLIENT is expected to ensure implementation of all approved activities, including procurement of technical assistance/professional services to implement activities on OUR CLIENT’s behalf.
OUR CLIENT’s key partners under this grant include Networks of People Living with HIV (TALOWADAG, PUNCHAD, DARYEEL and South Central PLHIV Network [SCSPN]); clinical partners providing antiretroviral therapy and HIV testing (CISP, Human Development Concern [HDC], Mercy USA, New Ways Organisation [NWO], Physicians Across Continents, COOPI and Somalia Red Crescent Society Puntland [SRCSPL]); AIDS Commissions (South Central AIDS Commission [SCAC], Somaliland AIDS Commission [SOLNAC], and Puntland AIDS Commission [PAC]). The key partner of OUR CLIENT under this grant is the Ministry of Health in the Federal Government of Somalia (and affiliated States), Puntland and Somaliland. Through these partners, OUR CLIENT provides HIV prevention, treatment and care activities as well as activities to support the strengthening of the health system.
The purpose of this activity is to review all ART to files to identify family members eligible for testing, trace lost to follow up understanding why it happens, and confirming mortality cases.
Role objectives
Since the beginning of the Global Fund supported antiretroviral treatment programme in 2006, both lost to follow up and mortality has been high. At the end of 2017 there was an estimated 810 deaths, or a mortality rate of 7.5 per cent. In Hargeisa Group Hospital, e.g. 319 clients have died since the beginning of the programme and 42 lost to follow up in the first six months of 2018 alone. There has never been an audit of the patient files to trace un-tested spouses and children meeting testing eligibility criteria and to trace patients lost to follow up. There has also never been a mortality study to classify the deaths of patients – e.g. whether the client was lost to follow up and died presumably at home, if the client died in hospital, etc.
Specific tasks include:
- Develop a work plan
- Develop a tool for examining files using KoboCollect or another Cloud based data collection application.
- Train 14 Somali investigators (1 for Mercy ART/TB/VCT Center – Shibis; 2 for Banadir Hospital; 1 for Baidoa and Kismayo; 1 for Eldere and Dhusamareb; 1 for Afgoye Community Hospital; 1 for Bosasso; 1 for Galcayo and Qardho; 1 for Garowe; 1 for Boroma and Berbera; 1 for Burao and Gabiley General Hospital; 3 for Hargeisa Group Hospital) to conduct the investigation.
Support Somali investigators to audit all active and inactive patient files for the for the following (consultant may suggest more):
- Children who may be eligible for testing
- Spouses to be tested
- Tracing patients lost to follow up – this will be done with the support of the Peer Educators in the hospital;
- Classifying mortality causes – Whether lost to follow up and confirmed dead, died in hospital, died at home while under treatment (consultant to determine classification categories);
- TB/HIV co-infection complications.
The consultant will aggregate the data by region and analyse.
Regional data will be discussed with regional MoH, UNICEF, WHO, TB and ART partners.
Report with data, anaysis and recommendations for programme improvement.
Activity deliverables include:Work-plan and Tool.
Aggregated data report.
Draft Report with data, analysis and recommendations for programme improvement.
Final Report with data, analysis and recommendations for programme improvement.
Methodology
Activity 8. Conduct an audit of all hospital files of HIV positive clients – active and inactive
- Tool development; training local investigators to gather the data
- Data Collection: It is expected the data collectors will need 10 days. Those finishing earlier may be asked to support another site with a heavier burden – e.g. Hargeisa Group Hospital.
Key competencies
• Doctor or Public health specialist with at least 10 years professional experience in HIV working in a developing context and working with data for programme improvement. Experience in Somalia is highly preferred. Must have a smart phone.
How to apply:
https://recruitmentctg.force.com/xcdrecruit__Site_ExternalPositionDetails?id=a111o00000CZa15
