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Short Term Technical Adviser for the CTB Namibia Project TB/HIV Facility Assessment Namibia

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KNCV Tuberculosis Foundation
KNCV Tuberculosis Foundation is an international non-profit organization dedicated to the fight against tuberculosis (TB), still the second most deadly infectious disease in the world.
KNCV is an international center of expertise for TB control that promotes effective, efficient, innovative and sustainable tuberculosis control strategies in a national and international context. We are an organization of passionate TB professionals, including doctors, researchers, training experts, nurses and epidemiologists. We aim to stop the spread of the worldwide epidemic of TB and to prevent the further spread of drug-resistant TB.
Over the past century we have built up a wealth of knowledge and expertise, initially by successfully controlling TB in the Netherlands. Since the 1970s, we have also shared our knowledge and expertise with the rest of the world. We operate from a central office in The Hague in the Netherlands, a regional office in Central Asia and country offices worldwide. KNCV raises funds from private, institutional, corporate, and government donors.

Challenge TB
KNCV Tuberculosis Foundation is an international non-profit organization dedicated to the fight against tuberculosis (TB), still the second most deadly infectious disease in the world. KNCV is the lead partner in Challenge TB (CTB), the new USAID-funded 5-year global program to decrease TB mortality and morbidity in high burdened countries. We lead an international consortium with eight partner organizations: American Thoracic Society (ATS), Family Health International (FHI 360), Interactive Research & Development (IRD), Japanese Anti Tuberculosis Foundation (JATA), Management Sciences for Health (MSH), Program for Appropriate Technology in Health (PATH), The International Union Against Tuberculosis and Lung Disease (The Union), and the World Health Organization.

Based on Namibia’s TB and HIV epidemiologic data, 7 out of 14 regions represent approximately 80% of the disease burden. Since 2014, Namibia changed its PEPFAR model of support to the GRN from one that is TA focused to a combination of TA and site level support. Through this pivot PEPFAR will support high burden locations. The proposed pivot prioritizes the implementation of activities most essential to achieving TB/HIV epidemic control and relieving the bottlenecks that preclude the scale-up and decentralization of ART services in Namibia. The priority areas of intervention for PEPFAR-funded Challenge TB activities include the decentralization and scale-up of ART services for TB patients, PICT for TB patients, suspects, family members and contacts, strengthened linkages between clinical- and community-based services to improve adherence and retention on TB and ART. The overarching strategic objectives of Challenge TB are to improve access to quality patient centred care for TB, TB/HIV, and MDR-TB services; to prevent transmission and disease progression; and to strengthen TB platforms.

Purpose of the assignment
The primary aim of the assessment of the health care facilities is to establish initial values for key TB/HIV indicators, work plans and priority activities through a SWOT analysis highlighting strengths, weaknesses, gaps, and challenges associated with the delivery of high quality TB/HIV prevention, care and treatment services. This will be achieved through site visits to potential and existing facilities using a detailed assessment tool (checklist and questionnaire) to assess background information on the facility operations, including human resources capacity, training needs, provision of quality care, clinical and patient flows, referral systems and M&E. The consultant will conduct interviews with health care workers at selected facilities to gauge the current practices, map current TBIC practices in facilities and identify gaps. The consultant will provide specific recommendations in changes to be made at specific sites to improve the patients or clinic flow and address challenges of provision of integrated TB/HIV services.

Objectives:

  1. To assess the level of readiness of existing health facilities to provide integrated services for both HIV and TB in selected districts of Namibia.
  2. To investigate and ascertain the existence and level of readiness of facility and community DOT points to provide integrated services for both HIV and TB.
  3. To facilitate the quantification process of sites at which direct service delivery will be provided.

Specific objectives:

  1. Determine the performance of 80% of high burden facilities managing TB and/or TB HIV.
  2. Establish the number of HCW needs for various TB/HIV related interventions in the facilities
  3. Assess by HF aspects availability of: updated standards or guides for improving staff performance through, training schedule, training tracking, supportive supervision
  4. Measure the proportion of facilities that have QM/QI standards and initiatives in place to improve performance, and SOP’s
  5. Determine HF and DOT points that have achieved acceptable or undesirable levels of performance on key TB/HIV aspects

Deliverables

  • Map out health care facilities to support TB/HIV integrated services
  • Identify sites in which to provide Targeted Assistance
  • Map out community DOT points to strengthen Direct Service Delivery
  • Provide a Power Point Debriefing presentation
  • Provide a draft Assessment report
  • Provide a Final report
  • Provide an Implementation Strategy for each site

Reporting
The Consultant operates under the supervision of the Country Director and reports directly to the Country Director. All reports on the mission process and deliverables should be shared also with KNCV HQ for final approval. Submission of the report is due within 2 weeks after completion of the mission.

Timeframe
2.5 days preparation
20 days in-country
2.5 days deliverable/reporting days
The assignment begins on 25th April 2016

Location
Windhoek, Namibia with visits to selected districts country-wide.

Requirements

Qualifications below are essential:

  • A Degree in a health related field
  • Master’s in: Public Health, Epidemiology or Business Administration
  • A PhD in Public Health is an added advantage
  • Experience in research and data analysis is mandatory

Conditions

  • A consultancy contract for the duration of the assignment
  • An international environment where initiative is appreciated
  • A fee that is competitive for the scope of the assignment.

Application and information
Your application (Curriculum Vitae, proof of prior experience and proficiency in the stated assignment) should be sent before 18 April to:
Jan Willem Dogger, email janwillem.dogger@kncvtbc.org, under subject “Namibia TB/HIV Facility Assessment”.