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Health Systems Strengthening (HSS) Unit
Nurse Clinicians (x3)

PURPOSE:

The Health Systems Trust (HST) wishes to appoint three Professional Nurses in uThukela District, KwaZulu-Natal Province to support the District Department of Health in providing direct HIV and TB service delivery as part of the South Africa Sustainable Response to HIV and TB (SA SURE PRO) Project in the district.

The incumbents will provide HIV and TB services to patients at Primary Health Care clinics in compliance with the project's service profile and reporting requirements.

They will also support Outreach Teams, as well as HST's contracted community-based organisations (CBOs), in monitoring treatment adherence among patients who have been transferred to differentiated models of care (DMoC) – which entails, for example, reporting non-collection of medicine parcels at Central Chronic Medicine Dispensing and Distribution (CCMDD) pick-up points.

These are fixed-term contract positions, renewable based on funding.

KEY RESPONSIBILITIES:Provide services using evidence-based HIV and TB interventions in all streams according to the National and Provincial Department of Health (DoH) policy, guidelines and standard operational procedures.Provide HIV Testing Services (HTS) at communities in identified target areas, and initiate patients on antiretroviral therapy (ART).Implement the Universal Test and Treat (UTT) policy according to the latest guidelines to support the UNAIDS 95-95-95 targets.Manage patients according to their viral load results – transitioning to DMoC, retaking of blood samples, or referring them for enhanced adherence counselling (EAC) or for second-line treatment regimens. Promote differentiated care options for clinically stable patients by creating demand for the CCMDD service.Identify ART-naïve patients and those living with non-communicable diseases (NCDs) who are clinically stable, eligible, and due for specimen investigations such as viral load and creatinine at three dispensing cycles and 10 dispensing cycles according to updated 2023 ART guidelines.Scale up CCMDD patient registration on the electronic Synchronised Communication in Health (SyNCH) system.Develop a system to monitor viral load tests done on a weekly and monthly basis.Identify and document good facility practices from implemented Quality Improvement Plan (QIP) activities.Actively transfer and check the successful transfer of patients to other clinics.Participate in the facility's weekly and monthly Operation Phuthuma huddle meetings.Participate in data analysis (facility targets, tracer indicators, cascades).Submit daily, weekly and monthly data internally and to the facility.

REQUIREMENTS

Qualifications

A Bachelor's degree in Nursing – (four-year degree) or Diploma in Nursing with Midwifery.Current registration with South African Nursing Council (SANC) required.Competency certification in Nurse-initiated Management of ART (NIMART) is essential. Competency certification in Adult Primary Care (APC) is essential.A dispensing licence would be an advantage.A valid drivers' licence is required, as this is a community-based role.

Experience

Three years' experience in HIV prevention, treatment, care and support programmes and TB service provision.Knowledge of HIV management, including the UNAIDS 95-95-95 goals and targets, and of TB management. Knowledge of Ideal Clinic Realisation and Management (ICRM) and QIP frameworks.Clinical care: understanding of the Universal Test and Treat (UTT) approach, QI processes and concepts, and competence in HIV clinical management (NIMART).Experience in provider-initiated HIV testing and counselling (PITC), including index case contact testing, is essential.Experience in facilitation of HIV self-screening would be an advantage.Good understanding of the South African public health system, including national and provincial policies and management structures.Experience in providing supportive supervision and mentoring to junior staff working at the same facility.Previous work experience in non-governmental organisations or funded programmes will be an advantage.Computer literacy and sound knowledge of Microsoft Office (Excel, Word, PowerPoint, Outlook).

Other attributes required

A strong work ethic and ability to work in a pressurised environment.Skills to build and maintain relationships with multiple stakeholders. Ability to work with minimal supervision and be deadline-driven.

REMUNERATION

A salary package commensurate with the successful candidate's experience and qualifications and in line with HST's Job Grading System will be offered.  

 

APPLICATIONS and ENQUIRIES Interested applicants must complete their application online at:  https://careers.hst.org.za/     Applicants are to ensure that their online applications are completed in full, and that comprehensive CVs are uploaded with the online application in order to be considered.
Applicant's CV must be saved with a filename reflecting their name and surname. No applications sent via e-mail will be considered for the job, as all applicants must submit their applications online at the provided link.

PLEASE NOTE:Shortlisted candidates will be requested to submit certified copies of all qualifications and identity documents.Applications received after the closing date will not be considered.Correspondence will be limited to shortlisted candidates.All shortlisted candidates will be subjected to reference and credential checks.If you have not been contacted within 30 days of the closing date of this advertisement, please accept that your application has been unsuccessful.HST reserves the right to not fill this position.

CLOSING DATE FOR APPLICATIONS: 07 October 2024, at 16h30

 

Health Systems Trust subscribes to diversity and inclusivity, which is informed by the Company's Employment Equity Plan.Based on this, African males, and people with disabilities who meet the job specifications (including but not limited to the required skills, knowledge and education), are encouraged to apply.