Job Title : CTC Clinician (3 positions)

Direct Reports to : Medical Officer in charges of the health facilities

Location : Kambarage Police Dispensary – Shinyanga, Tabora Police Dispensary -Tabora and FFU Mbeya Dispensary – Mbeya in Tanzania

Purpose and Scope of Job;

Provision of high-quality clinical HIV and Tuberculosis services according to the local (Ministry of Home Affairs, MoHCDGEC) and international standards, including reporting as per donor government and requirement.

Duties and responsibilities;

HIV services

• Attend all clients (PLHIV and Non-PLHIV) enrolled / attending CTC to ensure clinical service are provided according to the national and international HIV treatment guidelines.
• Ensure all clients attending all service points at your facility are offered HIV counselling and testing in accordance to MOHCDGEC and MoHA guidelines.
• Ensure all patients/clients attending all service points at your facility clients are screened for their eligibility for HIV testing and all those eligible are tested.
• Conduct and facilitate index testing to sexual partners of PLHIV newly identified or attending CTC services at your facility (except prisoners).
• Ensure Linkage case management model is well understood and implemented as a routine service to all new identified clients except for prisoners.
• Supervision and coordination of lay counsellors to ensure all positives identified are attached, followed, and enrolled into ART.
• Ensure all clients identified to be HIV positive are linked to care and started on ART on the same day (Same day ART initiation)
• Ensure all clients on treatment are categorized according to their stability to allow application of Differentiated Care Model for stable and unstable clients.
• Ensure pediatric population attending the facility are screened for optimized PITC using children specific screening tool.
• Ensure all positive children are started on optimized ART and those who are on old regimen to change the regimen to TLD.
• Ensure adherence and retention on ART of pediatric clients hence successfully viral suppression
• Coordinate and participate facilitate children Saturday clinics and teen clubs.
• Ensure availability is pediatric job aides, posters and working tools.
• Ensure HIV Viral Load coverage at your clinic is at 95%
• Facilitate monitoring and evaluation (ensure proper documentation of all services provided and reports are developed and submitted as per MOHA, MOHCDGEC, THPS and USAID guidance.
• Ensure HIV Ql Team is available and Ql activities are implemented successfully correctly.
• Implement PMTCT activities in the health facility

TB& TB/HIV services

• To work with expert clients/peers at OPD to ensure that all clients who become eligible for HIV testing due to TB symptoms are also subjected to TB testing
• To attend all clients presumed to have TB and ensure that they are subjected to appropriate TB diagnostic workup
• to ensure all pediatrics diagnosed with any form of malnutrition are f evaluated forTB
• Work with the DOT nurse(s) to ensure all contacts of contacts of confirmed Pulmonary TB patients are reached and subjected to appropriate diagnostic workup
• Ensure TB screening is done to all PLHIV on ART during routine clinical visit.
• Ensure evaluation of patients on anti-TB is done at month 2 and month 5 and outcome of treatment is documented
• Design and update the facility’s TB infection control plan and ensure that it is displayed and being used at all services delivery points
• Ensure appropriate TB documentation is made across all TB registers and reporting tools.

Qualifications & Experience

• Diploma /Advanced in clinical Medicine from a recognized institution and must be registered with the relevant professional body in Tanzania.
• At least two years’ working experience in providing HIV/AIDS care and treatment and TB services
• Computer literacy, with comfortable working experience with the basic Microsoft packages (Word, Excel & power point, and Access).
• Excellent written and oral communication in English and Kiswahili.
• Ability to work under pressure and timely meet deadlines.
• Ability to plan, implement independently or in a team.
• Ability to work under minimal supervision