Management Sciences for Health Clinical Consultant, Niger State in Niger State, Nigeria

MSH, a Non-Governmental Organisation with head office in Boston USA, has been in existence for over 40 years implementing projects and programs all over the World. In Nigeria, MSH implements, Care and Treatment for Sustained Support CaTTS. The project receives her funding from USAID with an overarching goal of supporting the Government of Nigeria provide quality focused comprehensive HIV/AIDS services. The project currently supports HTC services, ART services, TB intervention; PMTCT intervention integrated with reproductive maternal neonatal and child health services in a mix of tertiary, secondary and primary health care facilities

MSH has now established 41 comprehensive care and treatment centres in five states across Nigeria providing holistic care to PLHIV at various levels. For a smooth transition of support to host government including repositioning supported health facilities to align with PEPFAR-USAID guidance, MSH seeks to engage a dynamic Clinical Officers to support this process as a short term Technical Assistance.

The key objective for the short-term technical assistance is to support the delivery of sustainable HIV/TB and HIV care, and treatment services in supported hospital facilities.

  • Support the Hospital management committee (HMC) to develop a monthly meeting schedule for hospital program review

  • Support the use of SIMS tools for the conduct of unit specific supportive supervision

  • In collaboration with hospital management committee conduct periodic orientation on the use of SIMS tool

  • Support capacity building of facility staff through CMEs to enhance knowledge based of service provision with emphasis on

  • I. Institutionalizing QIT and conduct of monthly meetings in the facility

  • II. Develop capacity of champions (retention, tracking and quality improvement) in the facility targeting the CMD or his designate to sustain these service delivery initiative

  • III. Identify and build capacity of QI lead to mentor on continuous process improvement (client flow, treatment initiations, adherence counselling, TB/HIV collaboration and treatment failure review etcetera) to enhance service delivery in the facility

  • IV. Empower ART focal and M&E focal person to constantly review data with facility staff during QIT meeting including the use of data for decision making

  • V. Empower and transfer reporting and sharing of weekly, monthly and quarterly program activities to the ART focal person

  • VI. Sustain the use of site monitoring through improvement tools (SIMS) in supported facility including mentoring facility staff on its use for periodic self-assessment

  • Support the HTC hospital designate to ensure HTC transition activities are in line with PEPFAR-MSH plans of keeping enrolment into care and treatment at maintenance level. Where applicable

  • I. Promote targeted testing at the GOPD or Designate facility Heart to Heart centre

  • II. Promote the use of testing eligibility checklist for assessing patients eligibility for testing

  • III. Support transitioning of established and functional provider initiated testing and counselling points to hospital management (Staff)

  • IV. Provide TA for the documentation of testing and counselling of patients in the facility from non-Priority testing points

  • V. Support the documentation of positive clients PITC points transitioned to the hospital facility

  • VI. Ensure regular supply of test kits and testing of patients at the ANC, TB units and paediatric ward

  • Work closely with ART focal persons to improve facility treatment retention with emphasis on treatment cohort to be reported at end of MSH current physical year

  • I. Provide TA for the tracking of patients who commenced treatment among this cohort and ensure they are returned to care

  • II. Provide TA for setting up of a functional adherence and PHDP unit in the facility

  • III. Provide TA for refining of clinic flow to ensure patients receive adherence counselling at each hospital encounter before collection of prescribed medication at the pharmacy unit

  • IV. Provide TA for the use of treatment calendar at the adherence counselling and records unit for the purpose of tracking of treatment cohort specified above

  • V. Monitor the implementation of Isoniazid Preventive Therapy (IPT) in the facility

  • Build capacity of ART focal person to lead periodic chart reviews in collaboration with the QIT members for all enrolled patients with a view of assessing quality of care- treatment eligibility evaluation, treatment failure assessment, treatment adherence for patients, patients staging etcetera

  • Build capacity of ART focal person to support TB screen of HIV positive patients (new and old clients) in congregate settings (PICT points, Adherence counselling rooms and triage units, consulting rooms, PMTCT setting) and documented in the appropriate tools

  • Build capacity of PMTCT focal person to continue to support decentralization of ART services to PMTCT service delivery points (ensuring continuous supply of ARVs to ANC service points)

  • Build capacity of thematic focal leads to Organize periodic CME to support capacity building of HCWs on HIV/AIDs care and support PMTCT and Collaborative TB/HIV activities .

Period of performance: The period of period of performance will be effective from August 1, 2017 for a period of 60 days and broken down into 20 days cycles of performance.

You would receive new contracts subject to satisfactory performance at the end of each 20 working days cycle

Estimated level of effort: 60 working days


  • Bi- weekly update report to the STL, Clinical Care Specialist on assigned tasks using outlined format below:

Qualitative reporting

  • QI meeting hosting (funding) transited to the facility leadership within the next one month

  • Refined clinic flow to optimize clinic adherence intervention in supported facilties within the next one month

  • Compile bi-weekly narrative report in line with conducted activities as specified in the TOR including the Quality improvement team meetings with supportive data

  • Compile report monthly on achievements to supervising technical staff

  • Provide a comprehensive report at the end of the period reflecting task that were assigned and carried out including findings and recommendations

Role of MSH:

  • Provide one day orientation on MSH ART model, use of SIMS tool, and transition update in the state where the consultant will be based

  • MSH supervising technical staff will liaise with the clinical officer on a day to day basis to provide needed support throughout the period

  • Provide all the financial and logistic requirements - Accommodation and perdiem for the consultant, consultancy fees will be negotiated according to level of expertise.

  • Introduce the clinical officer to the respective State Ministry of Health and facility management.

Role of clinical Consultant:

  • Personally responsible for settling-in at the state of engagement and arranging meals.

  • The clinical officer will be a highly skilled clinician with at least 2 years of clinical work experience.

  • S/he will have thorough knowledge of HIV/AIDS prevention, care and treatment programs in Nigeria including current Knowledge in the field of HIV programming.

  • Registered with the relevant professional bodies (Nigeria Medical and Dental Council).

Management Sciences for Health (MSH), a global health nonprofit organization, uses proven approaches developed over 40 years to help leaders, health managers, and communities in developing nations build stronger health systems for greater health impact. We work to save lives by closing the gap between knowledge and action in public health. Since its founding in 1971, MSH has worked in over 150 countries with policy makers, health professionals, and health care consumers to improve the quality, availability and affordability of health services. Working with governments, donors, non governmental organizations, the private sector, and health agencies, MSH responds to priority health problems such as HIV & AIDS; tuberculosis; malaria; maternal, newborn and child health; family planning and reproductive health; and chronic non-communicable diseases such as cancer, diabetes, and lung and heart disease. Through strengthening capacity, investing in health systems innovation, building the evidence base, and advocating for sound public health policy, MSH is committed to making a lasting difference in global health.

Management Sciences for Health is an equal opportunity employer offering employment without regard to race, color, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, physical or mental disability, or veteran status.

State Team Leader

ID: 13-9676

Group/Office: HPG

Dept/Unit: GEN (General)

Project/Program: A512 - Nigeria CaTSS

Applications Due Date: 2017-07-23

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