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State Clinical Mentor – FCT

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Introduction
The National AIDS, Sexually Transmitted Infections Control and Hepatitis Programme (NASCP) is a Department of Public Health division in the Federal Ministry of Health (FMoH). Its mandate is to coordinate the formulation and effective implementation of the Nigerian government policies, guidelines, and standard operating procedures to prevent new HIV infections and improve the existing treatment, care, and support for those already infected and affected by the virus. In collaboration with the USG, NASCP is implementing the first phase of National Clinical Mentoring in the HIV program in 19 Nigerian States for improved HIV service delivery.

The Institute of Human Virology, Nigeria (IHVN), in collaboration with SASCP, is seeking to recruit a qualified person in the FCT to fill the following critical position necessary for program implementation, as indicated below.

Job Title: State Clinical Mentor
Employment Type: Full-Time
Locations: FCT (1 Position)

Opening Date:       1st July 2024

Closing Date:         15th July 2024

Description and objectives: Under the supervision of the Director of Public Health, the State clinical mentor will provide mentorship to healthcare workers in assigned facilities. S/He is expected to build the capacity of frontline Healthcare workers to provide quality HIV clinical services as part of a comprehensive package of care in both public and private facilities and communities. The candidate must be domiciled in the FCT and be conversant with the terrain.

Responsibilities:

  • Provide on-site clinical training to healthcare workers on HIV treatment according to the national guidelines, including adult and pediatric ART and treating tuberculosis and other opportunistic diseases.
  • Provide training through clinical consultation, assisting local healthcare workers in identifying key bottlenecks affecting patients’ access to antiretroviral therapy (ART) and helping them with direct patient care as needed.
  • Provide continuous medical education (CME), which may include didactic training sessions for health professionals, as needed. All training will be in accordance with the national guidelines.
  •  Provide health worker capacity-building sessions using various methodologies (including project ECHO and low bandwidth video conferencing).
  • Assist, as requested, with facilitating sessions on the weekly ECHO videoconferencing sessions with health workers from various sites in the states.
  • Develop standard operating procedures for HIV clinical care at the health facility in collaboration with the Ministry of Health and other stakeholders. This may include troubleshooting problems with the patient flow, tracking defaulters, or clarifying referral pathways by developing appropriate algorithms.
  • Submit a monthly report on training and technical assistance activities, as well as findings and recommendations for strengthening services in the health facility and compliance with the national treatment guidelines.
  • Perform other duties related to clinical mentoring as assigned.

Required competencies

  1. Core requirements:
  2. Demonstrated coaching and mentoring ability.
  3. Strong interpersonal skills and ability to work with people of different backgrounds.
  4. Ability to apply problem-solving skills to ongoing challenges.
  5. Strong organizing, planning, and prioritizing skills
  6. Sensitivity to different cultural working environments
  7. Ability to analyze and interpret data and write reports.
  8. Capacity to operate as a team player in large, diverse teams and individually.
  9. Self-motivated with a strong work ethic.
  10. Proficiency in computers and software/applications such as presentation software, spreadsheets, and video conferencing.
  • Education and experience

Academic training:

  • Must possess a degree in Medical Sciences (MBBS or equivalent).
  • Postgraduate qualification/Masters level training in Public Health, Family Medicine, Internal Medicine, Pediatrics, or Obstetrics will be an advantage.
  • Must be registered with the Medical and Dental Council of Nigeria and have evidence of current practising license.
  • Experience:
  • At least 3-5 years experience with clinical HIV and AIDS care, including the provision of antiretroviral therapy (ART)
  • Must have at least two years’ experience with program planning, assessment, and implementation of HIV clinical care programs.
  • Experience in the provision of HIV clinical training
  • Previous experience in HIV-related operational research is an advantage.
  • Good knowledge of current trends and normative guidance (national and international) in HIV clinical care and service delivery
  • Experience in coordinating multi-disciplinary HIV clinical teams for effective service delivery.
  • Willingness to travel to clinics and hospitals in assigned geographical areas within the State.
  • Equal employment opportunity statement:
  • IHVN is an equal employment employer. We do not engage in practices that discriminate against any person employed or seeking employment based on religion, gender, national or ethnic origin, age, marital status, genetic information, or any other status or characteristic protected under applicable laws.
  • Mode of Application:
  • Please complete and submit your CV at this link: https://tinyurl.com/SCMFCT Also Application letter and detailed curriculum vitae in Microsoft Word format should be forwarded to the Assistant Director, Human Resources, through this email address:[email protected].This e-mail address is being protected from spambots. You need JavaScript enabled to view it

  • This advert closes 14 days from the date of this publication, and only shortlisted candidates will be contacted.  

Stakeholders Commit to Integration of TB&HIV Services

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More than 200 experts from the Federal and State Ministries of Health, non-governmental organizations, international organizations, and funders have reaffirmed their commitment to prioritizing the integration of tuberculosis (TB) and HIV programs across the 36 states of the country and the Federal Capital Territory.

This commitment was reinforced during a five-day National Boot Camp hosted by the Institute of Human Virology Nigeria (IHVN) in Lagos State. The camp focused on discussing the integration of TB and HIV services to enhance healthcare delivery under the Global Fund Grant Cycle 7.

The experts reached a consensus to harmonize service delivery and reporting across TB and HIV implementers nationwide, with plans to evaluate progress at three and six-month intervals.

Dr. Aderonke Agbaje, IHVN Director of Programs – Special Projects, emphasized, “Integration increases the impact of interventions. It makes us more effective in implementation. As a Principal Recipient of the Global Fund Grant Cycle 7 project, IHVN is working under the leadership of the Directorate of Public Health, National Tuberculosis, Buruli Ulcer and Leprosy Control Programme (NTBLCP), National AIDS and STD Control Program (NASCP), and the National Agency for the Control of AIDS (NACA) to bolster Nigeria’s response to the epidemics of tuberculosis and HIV in the public and private sectors and the community.”

The Boot Camp featured engaging break-out and brainstorming sessions on the treatment and care cascade for HIV and TB, monitoring and evaluation requirements, and TB/HIV health and non-health product management. Additionally, guidelines and standard operating procedures were developed for HIV Testing Services among presumed pregnant women outside conventional health facilities.

Key attendees included the Director of Public Health, Dr. Chukwuma Anyaike; the Director of Health Planning, Research, and Statistics, Dr. Chris Isokpunwu; Representative of the Health Commissioners Forum, Hon. Commissioner of Health for Kwara State, Dr. Amina M. Ahmed El-Imam; and representatives from the Global Fund, PEPFAR, USAID, UNAIDS, UNODC, the Network of People Living with HIV (NEPWHAN), and the Country Coordinating Mechanism (CCM). These leaders called for collective action and the support of all stakeholders in achieving TB and HIV integration and building sustainable and resilient health systems.

IHVN Chief Operating Officer and Managing Director, Dr. Charles Olalekan Mensah speaking at the National Booth Camp on HIV/TB integration hosted by the Institute of Human Virology Nigeria (IHVN)
A cross-section of stakeholders at the booth camp in Lagos State
Director of Public Health, Federal Ministry of Health, Dr. Chukwuma Anyaike addressing stakeholders at the five-day booth camp.

TB Advocate Mobilizes Mother, Children to Access TB Services

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When Ms. Prisca Peter, a 34-year-old single mother residing in Lagos State, Nigeria, started feeling ill in November 2023, she went to the nearby chemist to buy over-the-counter drugs including cough syrup. However, the medications did not alleviate the weakness, fever, loss of appetite, drenching night sweats, constant cough, and drastic weight loss she experienced.

Her condition deteriorated such that she was unable to walk or continue her work as a cleaner in a hotel. The Good Samaritan who came to her rescue was Mr. Sunday Michael, a TB survivor and advocate.  Sunday was diagnosed and treated for tuberculosis in Ori-Okuta Primary Health Center Ikorodu LGA, and he referred her to the same facility in January 2024.

Mr. Michael said, “I noticed she was coughing badly, I asked her some questions and noticed she had almost the same symptoms I had, so I decided to take her to the health center I went to for my treatment and proper care.”

The USAID TB LON 3 project which the Institute of Human Virology Nigeria (IHVN) implements, supports screening and treatment for tuberculosis in 2,197 facilities and Ori-Okuta Primary Health Center is one of the supported facilities.

At the hospital, Prisca was screened for tuberculosis and identified as a presumptive TB case. Afterward, her sputum was collected for evaluation, and she was diagnosed with tuberculosis (TB) disease. She immediately commenced treatment and took her medications as prescribed.

“Immediately I was told that the sickness could be cured, I didn’t doubt it. I was tired of buying over-the-counter medications and still not getting well. I thought I would even die. I even wondered who would care for my children if something happened to me,” she said.

The USAID TB-LON 3 project also conducted contact tracing. Her four children aged 12, 10, 8, and 5 years were screened for TB and they were all identified as presumptive tuberculosis cases. Upon evaluation of the samples, two of them tested positive for tuberculosis and have been placed on treatment while the other two are receiving free tuberculosis prevention therapy with support from the USAID TB-LON 3 project.

USAID TB LON 3 Community Mobilization Advisor, Dr. Alege said, “Survivors of TB are a key part of our demand creation model as they’re often able to convince newly diagnosed persons who are yet to start treatment through their experiences. This model has been largely successful as the survivors’ point of view is usually more relatable to clients. The survivors on the other hand are more than willing to support healthcare workers in gratitude for saving their lives. Over time, TB survivors are also engaged as community volunteers to support those whose livelihood might have been negatively impacted by the disease condition.”

Prisca and her children are recovering. “If I was to pay money for the treatment, I wouldn’t have been able to afford it. I want to thank your organization for the free treatment. I also want to tell anyone who doesn’t want to take the drugs to know that it is for their good. The drug works well and makes you strong again,” she said.

She promised to be a tuberculosis advocate in her community like Sunday who referred her to the facility and supported her when she could not walk to the facility to collect her medications.

The USAID/Nigeria Tuberculosis Local Organization Network (TB-LON 3) project is a five-year project to scale up tuberculosis services and find missing TB cases. It started in April 2020 and is engaging stakeholders in strengthening a resilient system for sustainable TB control in Lagos, Ogun, Oyo, and Osun states. As of March 2024, 103,900 tuberculosis cases were identified, notified, and are undergoing treatment.

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