HIV SERVICE LEADS

Duties & Responsibilities

 Assist in providing oversight management of Kenya AIDS Response (KARP) at the grass root level
 Facilitating monthly LPTF liquidations and submission of Liquidation reports to KARP
 Preparations of quarterly dash board report and participation in those meetings
 Assist in Monitoring and evaluation through conduction of monthly and quarterly programmatic and financial reviews
 Assist in conducting site capacity assessment for LPTFs and development of action plans
 Participation in Facility CQI meetings and related activities
 Formulation of sites workplans and budgets based on targets and activities, consolidation of site budgets and facilitating
budget modifications/reprogramming of activities
 Generation of monthly Programmatic & Financial narrative reports
 Facilitate facilities in ART & care Target setting/achievement and continuous monitoring reviews
 Ensuring Grants/Finance compliance by LPTFs based on US Grants and compliance requirements
  Liaison and networking with National AIDS/STI Control program & NACC for Information Educative Communication
materials for training of health care workers in HIV/AIDS
 Formulation of annual training, monitoring & evaluation and sites support budgets.
 Conducting needs assessment for scale up of Prevention, care and treatment services within the KARP Region
 Conducting Training need assessment for LPTF Health Care Workers
 Networking with Ministry of Health agencies e.g. DASCO, CASCO & CACC for provision of information educational
materials (IEC) on HIV/AIDS & health related.
 Resource mobilization & Proposal writing for support of HIV/AIDS Programs
 Facilitate offering of quality advice on the Program and the best innovative pathways based on the identification of sites
needs for continuous quality improvement
 Assisting in any emergent duties
 Reports to the Hospital Administrator/CEO

Duties of a Clinical Officer

Purpose:
To ensure highest standards of HIV testing services, Care and treatment, viral suppression, adherence, differentiated model of care,
infection prevention and Biosafety standards are maintained and constantly being reviewed through the continuous quality meetings.

Duties of a Clinical Officer

 Support and facilitate the HIV testing both at the OPD (including special Clinics) and IPD
  Support and strengthen the monthly data reviews of the linkage at the Clinic
 Enrol and enhance adherence counselling to HIV positive clients / patients
 Clinical assessment and treatment of HIV positive patients
 Run HIV related services – TB Clinics, PMTCT Clinics, STD Clinics and any related services
 Ensure various registers, patients files and documentation tools are correctly filled in and updated for improved quality of care
 Strengthen and monitor the laboratory patient monitoring systems e.g. Viral loads, gene expert.
 Work closely with the community team to prioritize community home visits, treatment preparations and locate the lost to follow
up
 Establish and lead a multidisciplinary clinical teams to review the treatment failures on a weekly basis.
 Strengthen the continuous quality improvement initiatives by leading the Clinical team in identification, review and
implementation of the various quality improvement frameworks.
 Participate in facility data review exercises in the bid to identify and improve the care and treatment targets set by the donor
 Participate and support the facility reporting that is done on a monthly, quarterly, semi-annually and annually (especially
mortality, crag).
 Any other duties that are in line with the program deliverables, allocated by the administration

Additional attributes:
- At least 1 year experience working in a donor funded ART program.

- Experience on the use of IQCare Clinical databases and or any EMR system in patient data storage and retrieval system.
Duties for a Lead Clinician
Goal of the position:

General oversight of the Clinical arm of the Clinic, to ensure high quality and achievement of HTS, care and treatments, viral suppression
targets, infection prevention, rational use of medications by continuously reviewing quality of services through CQI meetings.
Duties and Responsibilities;

 Establish and chair continuous quality improvement meetings, infection prevention, drug use, MDT, data review meetings on a
monthly basis. Ensure the minutes are well kept and shared.
 Ensure high quality of the Clinic performance by ensuring the HTS, Care and treatment and viral suppression targets are achieved
in accordance with the UNAIDS 90-90-90 initiative.
 Oversight to the implementation of differentiated model of care, Nursing services, drugs and commodity management, and the
biosafety measures at the Clinic.
 The lead clinician or designate will lead ward case reviews as appropriate, set and convene CMEs, and lead in ward cases
discussions and the lead clinician will be the contact point person when consulting with the TA team on difficult cases
 Structured and monitored mentorship of the facility and satellite staff to ensure implementation of the National HIV treatment
guidelines provided for by NASCOP.
 Ensure all documentations in the various patient monitoring tools are correctly filled in
 Ensure laboratory patients monitoring systems are well done and documented
 Ensure timely and accurate reporting of all the Clinical indicators
 Ensure achievements of various targets provided by the Program
 He or she will Represent the site in Clinical Forums in County of Sub county in the absence of the coordinator or as assigned
by the coordinator
PROJECT ACCOUNTANT.

REPORTS TO/SUPERVISOR: HIV SERVICES LEAD.

1. JOB OBJECTIVES:
To provide financial information to management by analyzing accounting data and preparing reports.

2. DESCRIPTION OF KEY DUTIES:

1. Prepares analyze and compile all account entries and information to recommend required financial actions.
2. Initiates corrections as advised by the Senior Accountant when invalid accounts structures are determined
3. Summarizes current Program financial status by collecting information for reporting to the Senior Accountant; reports
include cashbooks, budget status , advances and payables schedules and bank reconciliations by the 5th of each month.
4. Prepares financial, budgetary, and/or encumbrance journals as required to correct coding problems to ensure proper financial
reporting.
5. Maintains accounting controls by preparing and recommending policies and procedures.
6. Performing bank reconciliations and maintaining petty cash records and cash certificates.
7. Prepares payments by verifying documentation, and requesting disbursements.
8. Answers accounting procedure questions by researching and interpreting accounting policy and regulations in line with
donor requirements.
9. Performs procurement of goods and services as per USG Rules and regulations.
10. Prepares special financial reports by collecting, analyzing, and summarizing account information and trends.
 11. Responsible for building, maintaining and coordination positive relationship between finance and other departments to
ensure achievement of organization’s goals and objectives.
12. Liaise and provide relevant information to Internal Auditor and External Auditors.

11. Preparing budgets, perform monitoring and tracking expenses to the budget to enable management to maintain appropriate
burn rates.

ii. ROLE PROFILE: ASSISTANT ACCOUNTANT.

REPORTS TO/SUPERVISOR: HIV SERVICES LEAD.

JOB PURPOSE: Book keeping, preparation and providing financial reports

KEY RESPONSIBILITIES

1. Maintain books of accounts

2. Prepare annual budget
3. Prepare monthly management reports includes:-Cashbook, Budget Status, Petty Cash file and certificate, Advances and
Accruals listings.
4. Prepare year end accounts for audit purposes
5. Manage pay roll.
6. Maintain Assets register.
7. Manage cash flows.
8. Performing budget tracking.
9. Maintain and Control Creditors lists and receivables lists.
10. Procure goods as per USG Rules.
 11. Manage accounts function of CCC.
12. Maintain books of accounts
13. Prepare annual budget
14. Prepare monthly management reports.
15. Prepare end year accounts for audit purposes

HEALTH RECORDS INFORMATION OFFICER

Purpose:
To maintain, accurately capture, record, stored and retrieve data to ensure prompt reporting of information and statistics to relevant
authorities
Duties and Responsibilities:

1. Collect and tally required data related to a project providing antiretroviral therapy through daily data update on the IQCare
System
2. Data Validation on MOH Register and IQCare
3. Preparing of monthly and quarterly reports which is sent to MOH and KARP Regional team
4. Regular data verification
5. Timely reporting of defaulters to the social Worker on a weekly basis
6. Involved as a lead member in the QA/QI committee (Secretary)
7. Make orders for medical forms used in the project i.e. Social Demographic forms, Initial Evaluation Forms, follow up forms
,home visit forms ,pharmacy forms and lab forms
 8. In collaboration with clinicians ,nurses ,pharmacist, assist in tracing of clients files through the use of IQCare system
9. Attend and actively represent the project and hospital in seminars /meetings involving partners and stakeholders or the
government.
Other responsibilities

a) Represent the Hospital in seminars and workshops organized by the government and other organizations.

b) To be a member of the CQI committee

LEAD NURSE

Professional qualification: a minimum of KRCHN/KRN/M/CH or equivalent; recognized by regulatory body (NCK); Has current
valid license
Experience: 3 years, actively working in an HIV field
Department: Care and treatment
Position: Lead Nurse
Working Time: Monday to Friday: 8.00am – 5.00pm
Responsible for: Lead clinician

Goal: Offer an oversight comprehensive and quality Nursing and HIV testing services
Objective: Offer effective leadership to the Clinic Nursing, adherence and HTS

Nursing responsibilities for the lead nurse involve but not limited to the following:
  Administrative
 Quality Assessment /Improvement
 Supervision
 Leadership
1. Organize Clinic & form a Clinic Flow
 Facilitate one directional clinic flow in respect to differentiated care model(DCM)
 Address all bottle necks to facilitate daily patients’ flow
2. Establish & Supervise Triage
 Participate and audit triage activities: vital signs, pill count, fast tracking
 Establish triage equipment & their efficiency
3. Formulate schedules for the clinic, nursing & subordinate staff
 Organize for a functional duty rota to include leave, day offs for all nursing staff and the clinic adherence team
 Organize and harmonize clinic demands with the existing staff
4. Participate in program coordinating team
 Represent adherence /nursing component in meetings
 Advice on nursing /clinic adherence issues
 Support decision making process in the clinic
 Adherence multidisciplinary team
5. Maintain Supplies in the Clinic e.g. Stationaries, Gloves etc.
 Organize for smaller facilities supply if supported
 Order for clinical supplies on time through the existing institution purchase channel.
6. Plan or coordinate clinic CME for the nursing staff
  CME for the nursing/ and adherence team-Continuous nursing education
 Involve the other staff in facilitation
7. Offer oversight to all HTS related activities in the facility
 Involve HTS lead in establishing whether screening, testing and linkage of the identified is taking place
 Trouble shoot to establish if there are any impediments and sort them out
 Organize and implement a CQI challenge for the HTS providers
8. Formulate Standard Operating Procedures and annually review them to suit national guidelines
 To standardize the procedures done in the clinic
 To synchronize CCC standards with acceptable professional standards
9. Periodically analyze the patients’ Waiting Time in the Clinic and conduct client satisfaction surveys
 Use questionnaires, observation methods to assess the patients’ waiting time
 Work on the service flow by involving the whole team
 Improve on some bottle necks in the patient flow
10. Conduct Nursing and Adherence Mentorship to all supported smaller facilities
 Mentor staff working in smaller facilities on triage, adherence & task shifting
 Assist in smaller sites organization in matters of:
o Staffing
o Supplies
o Systems strengthening
o Quality nursing services
11. Supervision & active participation in Quality Assessment
 Assist and be actively involved in setting up or supporting a quality assurance team
  Assist and implement small test of change (STOC) done at the site
 Be part of the working group (system) to encourage team work
12. Submit monthly reports to the Coordinator through the lead clinician on:
 Clinic general progress
 Status of equipment
 Human resource
 Achieved Targets status
 Status of capacity transfer among staff
13. Reporting STOC to the Director of Nursing on matters concerning Nurses; all protocols observed
14. Be key in all matters around Infection Control at the CCC
 Ensure there is circulation in waiting bay, clinical rooms & promote smooth one directional service flow
 Promote hand hygiene through Hand washing
 Enhance active representation & participation of Nurses in Infection control forum
15. Other responsibilities as delegated to by the Supervisor

COMPREHENSIVE CARE CLINIC NURSE

Professional qualification: KRCHN, KRN/M/CH; at least a diploma in Nursing recognized by the Nursing Council of Kenya, holder
of valid practice license

Job Purpose: To offer effective Nursing services to clients on day to day basis anchored on Triage and task shifting models

Reports to: Lead Nurse

Duties and Responsibilities

1. Assist team in the daily provision of medical care including ART. Tasks will include triage, counseling, nutrition
assessment, scheduling and assurance of appropriate laboratory evaluation, data collection and assisting other clinic staff
with procedures.
2. Together with other team members plan for smaller site visits including making sure equipment required are available.
3. Ensure supplies and equipment for use in the clinic and satellite are available by liaising with the lead Nurse-: e.g.
thermometers, sphygmomanometers, stethoscopes, weighing scales, height scales, gloves files, stationery
4. Be responsible for the day’s running of the triage services at the CCC
5. Use daily appointment list or diaries to help track missed appointments
6. Submit at the end of day all the names of clients missing appointment to the longitudinal nurse
7. Monitor clinic activities and give feedback to the lead Nurse
8. Ensure clinic activities are carried out effectively and efficiently by all staff
9. Monitor care of the patients/clients in consultation with the other staff to ensure quality
10. Organizes files reviews for follow-up on specific activities carried out
11. Support other nurses and CHVs in the clinic in execution of daily duties.
12. Conduct clinic-based learning sessions (health messages) designed to educate patients and CME/CPD for staff
13. Ensure booking and follow-up of priority patients is done by working/liaising with longitudinal nurse and CHVs.
14. Participate in the preparation & validation of monthly narrative or relevant reports by KARP and other stakeholders &
submit as required
15. Carry out any other duties/responsibilities assigned by the Lead Nurse
Skills and experience:

 At least 2 years’ working in a hospital/community based-working experience

  Experience in HIV/AIDS program implementation
 Good interpersonal skills
 Results oriented and ability to work with minimal supervision in a fast-changing environment
 Computer literate

LEAD HTS COUNSELOR

Qualifications:

 Must be a holder of KCSE at least grade D+ or equivalent

 Minimum training in HIV testing and counseling with Certification from NASCOP.
 A Diploma in a social science or in any relevant field
 Working as a HTS counselor hands on for at least 3 years
Job summary: Reporting to the Lead Clinician, the HTS counselor will be responsible for ensuring Screening, Testing and Linking
to treatment the identified Patient/client in the facility. Will work with other HTS counselors in ensuring implementation of HTS
Optimization at facility and interfaculty level and ensure that targeted community HTS is conducted, documentation and prompt
reporting is done.

Purpose for the position: Ensure that HTS is offered to all clients and patients attending a health facility for whatever reason as part of
routine care and link all identified within a stipulated time
Responsible to: Lead clinician
Work hours: 8.00 am-5. 00p.m

Duties and responsibilities:

 Ensure routine provision of HTS in the Outpatient and Inpatient departments in an assigned health facility to both patients
& non-patients [excludes MCH & Maternity/Labor] ensuring no missed opportunity occurs.
 Always observes privacy and confidentiality of clients.
 Observe the HTS protocol in serving clients: properly conduct Pre-& post-test counseling
 Routinely screen clients for eligibility for HIV test
 Screen all clients for TB and if eligible refer to the clinician
 Test all eligible clients identified
 Link all identified clients
 Properly follow the algorithm when conducting an HIV test and deal with an inconclusive result
 Use SOPs and job aides to provide quality HTS
 Properly document all outcomes in relevant MOH tools avoiding overwrites
 Properly counsel a patient identified on importance of disclosure, and reason why immediate start on treatment is necessary.
 Conduct targeted community testing as may be directed
 Ensure all patients are linked to treatment promptly.
 Fully participate in enrollment and execution of Proficiency test
 Must be enrolled for proficiency testing at the central Lab (NHRLs)
 Participate in observed practice at least twice annually
 Fully participate in monthly and quarterly counselor supervision
 Participate in monthly and quarterly Data quality audits
 Accountable for RTKs use and reporting
 Be flexible and ready to put in extra hours including weekends and holidays coverage
 Facilitate discussion, validation and submission of facility HTS report by 2nd of every month
  Demonstrate proper interpretation of her/his data to inform decisions at facility level
 Write abstracts and or participate in generating best practice write ups

Job experience
 At least 3 years’ experience in providing HIV counseling and testing in a government or mission health facility
 Excellent and proven written and verbal skills in English
 Demonstrable experience in providing HTS
 Experience in providing HIV health education in health facilities
 Good interpersonal skills
 Computer literate

HTS COUNSELOR

Job summary: Reporting to the Lead HTS, the counselor will be responsible for Screening, Testing and Linking to treatment the
identified Patient or client both at facility level and targeted community level.

Goal: Facilitate optimization of HTS intra facility and targeted Community testing
Desirable: offer HTS to all clients and patients attending a health facility for whatever reason as part of routine care and extend this to
the targeted community testing and ensure linkage of all identified.
Work hours: 8.00 am-5. 00p.m

Duties and responsibilities:

 Provide HTS in the Outpatient and Inpatient departments in an assigned health facility to both patients & non-patients [and
occasionally in MCH & Maternity/Labor units) ensuring no missed opportunity occurs.
 Observes privacy and confidentiality of clients.
 Observe the HTS protocol in serving clients: properly conduct Pre-and post-test counseling
 Routinely screen clients for eligibility for HIV test
 Screen all clients for TB and refer suspects to clinician
 Test all eligible clients identified
 Link all identified clients
 Properly follow the algorithm when conducting an HIV test and deal with an inconclusive result
 Use SOPs and job aides to provide quality HTS
 Properly document all outcomes in relevant MOH tools avoiding overwrites
 Properly counsel a patient identified on importance of disclosure, and reason why immediate start on treatment is necessary.
 Conduct targeted community testing as may be directed
 Ensure all patients are linked to treatment promptly.
 Fully participate in enrollment and execution of Proficiency Test
 Must be enrolled for proficiency testing at the central Lab (NHRLs)
 Participate in observed practice at least twice annually
 Fully participate in monthly and quarterly counselor supervision
 Participate in monthly and quarterly Data quality audits
 Accountable for RTKs use and reporting
 Be flexible and ready to put in extra hours including weekends and holidays coverage
 Facilitate discussion, validation and submission of facility HTS report by 2nd of every month
  Demonstrate proper interpretation of her/his data to inform decisions at facility level
 Write abstracts and or participate in generating best practice write ups

Job Experience

 At least 1 year experience in providing HIV counseling and testing in a government or mission health facility
 Excellent and proven written and verbal skills in English
 Be conversant with the local language
 Demonstrable experience in providing HTS
 Experience in providing HIV health education in health facilities
 Good interpersonal relationship
 Computer literate

JOB TITLE: COUGH MONITOR

Reports to: Facility TB focal person

Overall job function:

 Facilitate active TB case finding at facility and community level

Activities and responsibilities

  Conduct screening of household contacts and other close contacts for active TB (Contact tracing and targeted community
screening for TB) and appropriate referral to health facility
 Identification and fast tracking of coughing patients in health care settings(CCC, OPD, IPD)
 Provide daily health education on TB prevention for patients and care givers at health facility
 Appropriate intra/inter facility referrals of TB suspects and for persons eligible for IPT
 Timely documentation and reporting of presumptive TB(TB suspects) cases
 Liaison with Community Health Volunteers(CHV) for referral/linkages of TB suspects and TB defaulter tracing
 Conduct screening for TB and identification of people with suspected active TB (universal screening for TB disease at facility
level)

 Any other reasonable tasks as assigned by the line manager

Qualifications:

 Kenya Certificate of Secondary Education

 Good interpersonal skills
 Excellent written and spoken English/applicable vernacular
 HIV negative

JOB TITLE: FACILITY TB LEAD

Reports to: Lead Clinician

Overall job function: Oversee facility implementation of TB prevention, diagnosis and management activities
Key activities and responsibilities:

1. Facilitate, planning and implementation of HIV and TB care and treatment services and activities at facility level
2. Provide on-going support supervision of HIV/TB care and treatment programs at the facility including IPT and presumptive TB
case identification
3. Preparation and submission of site work plans, reports and other technical papers
4. Liaising and consulting with the sub-county TB coordinator to ensure timely problem solving and provision of efficient and
effective TB services
5. Ensure timely and monthly discussion of TB associated mortalities
6. Coordinate universal INH prophylaxis therapy implementation, outcome evaluation and reporting
7. Ensure proper documentation in the IPT, TB and presumptive TB registers
8. Make timely commodity reports and ordering
9. Collaborate with the CQI lead and facility IPC lead to ensure TB prevention and control measures are observed
10. Coordinate active TB case finding activities at facility and community levels, documentation and reporting of presumptive TB
cases
11. Co-ordinate mentorship of facility staff whenever called upon
12. Provide leadership for routine TB/HIV CQI audits focusing on quality of CQI, IPT, TB/HIV management(ART initiation),
nutritional monitoring, gene xpert uptake, documentation and report validation
13. Provide continuous support for DOTs for eligible patients through household members and CHVs
14. Conduct DOT for MDR patients
15. Provide leadership for MDR TB surveillance at facility and community levels
16. Any other reasonable tasks as assigned by the line manager
Qualifications:

 Diploma in clinical medicine or nursing registered with the relevant bodies

 At least 1 year experience in TB/HIV service implementation
 Excellent spoken and written English
 Computer literate

PMTCT NURSE IN MNCH

Division: ART PROJECT
Department: MNCH
Title: PMTCT POINT PERSON
Working Time: Monday to Friday: 8.00am – 5.00pm or any other day and time suitable for MNCH clients.
Reports to: Lead clinician

PMTCT nurse will be based at the facility in MNCH department and will work in collaboration with Mentor mothers in the
department and Community Health Volunteers (CHVs) who are based in the community.

PMTCT nurses and Mentor mothers will work together to ensure provision of PMTCT services to clients in MNCH which include
HTS, inter and intra facility linkage and facility-community linkage to support clients, increase demand for services and educate on
PMTCT and related health topics within the facilities.

PMTCT nurse will report to the LEAD CLINICIAN in the facility

Roles and responsibilities for PMTCT nurse in MNCH

 1. Provide one-on-one HTS to all clients seeking services in MNCH and couples.
2. Offer treatment preparation counselling to all clients identified as HIV positive in MNCH
3. Ensure provision of maternal and infant prophylaxis for all clients identified as HIV positive in MNCH as per the national
guidelines
4. Monthly follow up of mother-baby pairs in MNCH as per the national guidelines.
5. Conduct monthly HCA and MCA reports as well as preparation of monthly PMTCT reports as required by the program and
MOH.
6. Conduct case audits for all infants identified as Positive in MNCH and ensure their linkage to CCC.
7. Follow up of HEIs and offer HIV testing as per the EID algorithm.
8. Treatment monitoring for PMTCT mothers by ensuring timely viral loads as per the national guidelines.
9. Facilitate multi-disciplinary case discussions for PMTCT clients with detectable viral loads and ensure timely switching of the
regimens as per recommendations.
10. Conduct monthly CMEs on PMTCT updates to other staff in the MNCH.
11. Conduct maternal mortality case audits and facilitate discussions in the facility KHQIF meetings.
12. Participate in monthly data review meetings to discuss PMTCT data
13. Ensure clear and complete documentation of PMTCT indicators in the standard tools in MNCH.
14. Co-facilitate PMTCT support groups within the facilities.
15. Refer PMTCT and MNCH clients for other services within the health facility and to other health facilities
16. Encourage partner involvement in MNCH services, education and psychosocial support

Requirements

1. A minimum diploma in nursing from a recognized institution

2. Has experience in HIV care and management
 3. Excellent spoken and written English
4. Computer literate
5. Ability to work with minimal supervision
6. Good communication skills

MENTOR MOTHERS IN MNCH

Division: ART PROJECT
Department: MNCH
Title: MENTOR MOTHER
Working Time: Monday to Friday: 8.00am – 5.00pm or any other day and time suitable for MNCH clients.

Reports to: PMTCT POINT PERSON

Mentor mothers will be based at the facility in MNCH department and will work in collaboration with Community Health Volunteers
(CHVs) who are based in the community.

Mentor mothers and CHVs collaborate with and complement each other by providing linkage between facilities and communities to
support clients, increase demand for services and educate on PMTCT and related health topics within the facilities and in the
community.

Mentor mothers will report to the PMTCT point person in MNCH

Roles and responsibilities for Mentor mothers in MNCH

17. Provide one-on-one peer education and psychosocial support to PMTCT clients and couples.
18. Co-facilitate PMTCT support groups within the facilities.
19. Facilitate group pre-test counselling education for pregnant and breastfeeding women in MNCH
20. Co-facilitate group health talks in facility waiting areas on key messages in PMTCT at the MNCH
21. Refer PMTCT and MNCH clients for other services within the health facility and community based services
22. Encourage partner involvement in MNCH services, education and psychosocial support (Encourage male partners in MNCH to
be tested, offer Partner Notification Services e.g. invitation cards to MNCH clients)
23. Trace and track priority PMTCT clients and MNCH clients who have dropped out of care at key points along the cascade and
follow up through telephone calls and SMS. Those not successfully reached by phone tracing to be linked to CHVs for home
tracing
24. Assist PMTCT clients with disclosure to their families and spouses.

Requirements
1. Minimum education level is O level
2. HIV Positive mother
3. Recent PMTCT experience (6 months to 2 years) and the baby’s outcome is HIV NEGATIVE
4. Has disclosed HIV status to at least 1 person within her household and is willing to disclose her status to other clients in
MNCH
5. Lives within the local community
6. Virologically suppressed
7. Family contacts have been tested and HIV status is known (Partner, other children)
8. Good interpersonal communication skills
DRIVER/MESSENGER

1. BASIC FUNCTION
To provide transport to the Program and other messengerial duties as may be required from time to time

2. DUTIES
1. Provide transport services to authorized officials,

2. Perform Ad hoc duties as determined by the Supervisor

3. Drives carefully and in compliance with traffic regulations.

4. Instruct passengers on safety precautions and practices. Assumes responsibility for the safety of passengers

5. Reports delays and accidents.

6. Keeps operational records and makes simple reports. Maintain record of vehicle usage, through log book and any other laid-
down documentation requirements

7. Assures vehicle meets regular maintenance schedules - carries out basic routine checks on the vehicle

8. Maintains cleanliness of the vehicle

9. Performs related work as required and carries out any other essential tasks related to the program that may reasonably be assigned

3. QUALIFICATIONS, REQUIREMENTS AND EXPERIENCE

 (i) Is a holder of K.C.S.E with minimum C- grade or equivalent
(ii) Holder of clean, BCE Class, valid driving license
(iii) 3 years satisfactory motor vehicle driving experience
(iv) Certificate of good conduct
(v) Basic vehicle maintenance skills;
(vi) Good communication skills in both English and Kiswahili;
(vii) Computer literate

4. PERSONAL ATTRIBUTES
 Mature
 Honest/good character
 Respectful
 Reliable
 Integrity
 Team Player

SOCIAL WORKER

Division: KARP ART program

Department: CCC
Title: Social Worker
Working Time: Monday to Friday: 8.00am – 5.00pm
Responsible to: Longitudinal care Lead
Qualification:
Diploma in Social Work from recognized college or University. Holders of Degree in Social Work or Sociology will be acceptable.
Purpose:
This position is needed for execution and coordination of Social interventions that will promote or enhance structured social support
which leverage on community resources and structures for holistic positive outcomes for clients and their support systems.
Duties and Responsibilities
1. Carry out assessment of social support structures for each client and mobilize social resources to strengthen the support.
2. Follow up clients who have social support challenges and evaluate post intervention outcomes or plan appropriate interventions if
indicated.
3. Identification of alternative support systems and link the clients to the same depending on need.
4. Assesses and develops adherence plans with clients having adherence challenges/treatment failure, and follow up the execution of
the plan and the outcomes of the interventions, where there is no psychological counselor.
5. Identify clients due for priority home visits and plans and executes the visit. There should be clear pre-visit objectives and
documentation of the findings and social interventions effected per visit in the clients’ files. Also ensures that these outcomes are
available to the MDT and other clinic staff. The visits are coordinated by social worker but can be done by any team member
depending on the agenda.
6. In collaboration with Psychological Counselor and Longitudinal Care Nurse, ensures Community PwP/PHDP messages are
provided, at community support group level, to the group, and each client during group meetings or home visits, and to also ensure
that prevention goals are set with each group and each client, documented appropriately and monitored for progress; before setting
new community prevention goals.
7. The Social Worker will coordinate appointment and defaulter management processes; to ensure that diary is well managed, defaulter
register is up to date and other longitudinal care documentation tools are up to date, defaulters are identified and promptly tracked
back to care.
8. Coordinates community based support groups in collaboration with Psychological Counselor and Longitudinal Care Nurse.
9. In collaboration with data team and other HCWs and Facility Data Manager, contributes to the timely generation and submission of
longitudinal care report.
10. Carries out any other program duty assigned by the supervisor.
LONGITUDINAL CARE NURSE

Division: KARP ART program

Department: Comprehensive Care Clinic.
Title: Psychological Counselor
Working Time: Monday to Friday: 8.00am – 5.00pm
Responsible to: HIV Services Lead/Lead Clinician
Qualification:
 HIV positive
 Good role model in all process and outcome indicators
 Form Four certificate

Purpose
In line with GIPA (Greater Involvement of People living with HIV/AIDS) protocol, Client mentors will educate, counsel and
supervise other clients on treatment literacy, adherence and preventions agenda.
Duties/roles
1. Client mentors will provide psychosocial support to HIV positive clients as first line counselors and treatment literacy
providers.
2. Work collaboratively with primary care and case managers to identify newly diagnosed clients, offer necessary support,
mentorship and follow up.
3. Provide individual and group educational skills building opportunities to foster adherence to medications, identify strategies
to improve adherence to health routines, communication with providers and additional issues to increase engagement in care
and adherence to treatment.
4. In collaboration with Longitudinal care team, will carry out community mobilization for HIV services utilization.
 5. All the information obtained by the Client mentor in the course of his or her work must be kept confidential and breach of
this may result into termination. Shared confidentiality only allowed with the facility’s Technical team.
6. Compiles and submits service reports to longitudinal care lead person in the facility.
7. Provide community PwP/PHDP messages and set prevention goals with clients at every visit and at support group levels.
8. Uses personal experience disclosure or testimony in client or group education and motivation.
9. Manage the filing area to ensure neat and orderly filing according to SOPs.
10. Support orderly file retrieval and addition of new required forms

Client Mentors JD addendum.

Selection criteria:
 Must be HIV positive and should be enrolled and in the facility where they work for care and treatment.
 Should be adherent to HIV care and treatment and be a good role model for PLWH
 Must be at least 18 years and with a Kenyan Identification card.
 Should be a member of at least one support group.
 Holds Kenya Certificate of Secondary Education.
 Should have disclosed or willing to disclose their HIV status to the community groups or public fora.
 Should be willing to offer his/her services on a voluntary basis
 Must be recommended and approved by the CCC team members in the facility as an expert client and a role model.
 Good communication skills, both written and verbal.
 Mastery of English, Kiswahili and local language
Client Mentors Motivation:
 There will be a monthly stipend paid at a minimum wage. This must be upon submission of reports and achievements of
assigned targets.
 Periodic capacity building through on job training, mentorship and periodic workshops will be done.
 Based on performance, client mentors will get recommendation letters from the facilities at the end of service.
 Performance management using quarterly performance reviews and documentation of corrective actions
Recruitment:
 The health facility will advertise the vacancy for voluntary positon for a client mentor (expert client).
 Based on qualifications, a short list will be generated.
  Written and oral interviews for the shortlisted client mentors will be carried out by the facility with a representative from
KARP.
 Depending on the number of slots available, the best candidates will be recruited.
 An agreement on terms and condition of engagement will be signed by the client mentor and representative of engaging
facility.
 Renewal of engagement agreements will be done annually depending on the performance.
Termination:
 Leakage of confidential information to third parties or people not concerned with the care of the clients or any other form
of gross misconduct according to hospital policy.
 Upon completion of agreed service duration.
 On giving one month notice by either party.

PSYCHOLOGICAL COUNSELOR

Division: KARP ART program

Department: CCC
Title: Psychological Counselor
Working Time: Monday to Friday: 8.00am – 5.00pm
Responsible to: Longitudinal care Lead
Qualification: Diploma in Counseling Studies or Counseling Psychology. Degree in the same is acceptable.
Purpose:
Support technical psychological or behavioral interventions to clients on chronic care and their support systems. The position holder
will also be responsible for streamlining new NASCOP psychosocial and behavioral interventions such as Alcohol/substance abuse
screening & interventions, depression assessment & interventions, GBV screening & interventions, Prevention issues in discordant
relationships and enhancing treatment literacy and adherence.
Duties and Responsibilities
1. Carry out client’s assessments using standard recommended tools or other professional tools to identify those with psychological
and social challenges that are hindering viral suppression and other treatment dynamics.
2. Where there is no Longitudinal Nurse, ensures availability of appropriate job aids for longitudinal care interventions.
3. Assesses and develops adherence plans with clients having adherence challenges/treatment failure, and follow up the execution of
the plan and the outcomes of the interventions.
4. Ensures PwP/PHDP messages are provided to each client during clinic visits and to also ensure that prevention goals are set with
each client, monitored and documented.
5. Coordinates the facility based support groups; to ensure that treatment literacy and psychosocial support needs are identified,
addressed and prevention goals are set and followed up.
6. Supervises the Client Mentors; daily activities, documentation, reporting, duty schedules and planning their offs to ensure that there
is enough labor at any time.
7. Attends to all clients with complex psychosocial issues such as treatment declining, treatment failure, 2nd line and 3rd line clients; to
assess adherence, identify hindrances to adherence and develop individual adherence plans that are monitored by the assigned client
mentors.
8. In collaboration with data team and other HCWs, coordinates timely compilation and submission of longitudinal care reports where
there is no longitudinal care Nurse to the RDM.
9. Where there is no social worker, takes up Social Workers roles.
10. Executes any other program duty assigned by the supervisor.

LONGITUDINAL CARE NURSE

Division: KARP ART program

Department: Comprehensive Care Clinic
Title: Longitudinal Care Nurse
Working Time: Monday to Friday: 8.00am – 5.00pm
Responsible to: HIV Services Lead/Lead Clinician
Qualification: Qualified Community Health Nurses with valid practice license from Nursing Council of Kenya and has at least 2
years’ experience in HIV care and treatment.
Purpose: To coordinate, manage and address clinical/community technical issues in the longitudinal care management of HIV
positive clients. The Nurse will provide oversight on community facility linkage, streamline clinical issues on differentiated care,
supervise the longitudinal care team and promote intersectoral collaboration of stake holders in HIV services delivery in the facility
and community.

Duties and Responsibilities:

1. Provides oversight for all longitudinal care activities in the facility.
2. Ensures that all tools for longitudinal care are available and properly used in the facility. Will also ensures that all forms that are
required in the files are put in the files and appropriately used.
3. Ensures that PwP/PHDP activities are robustly implemented both at clinical and community levels. And that prevention goals for
support groups and individual clients are set and actively followed up for outcomes.
4. Ensures that there is effective identification and referral of clients who need additional services that are beyond the scope of CCC
or facility. This will include referral and follow up of referral outcomes for clients who need FP/ RH services but enrolled catholic
Hospital, clients needing OVC and special needs services.
5. Ensures that monthly schedule for treatment literacy and prevention health talks are available at the CCC /MCH and is being
followed.
6. Supervises appointment and defaulter management mechanisms.
7. Manages defaulter system by ensuring that defaulter register is updated real time, tracing outcomes documented, attrition or
terminations reviewed and attrition rates mitigated.
8. Reviews all reports and registers for longitudinal care: appointment diary, defaulter and missed appointment register, discordant
couples register, enrollment register, retesting at CCC register, phone logs, adherence schedules/register, and referral register for
completeness and accuracy on daily basis, and signing each completed page indicating the following details (reviewed by…
signature… date)
9. Approves and justifies priority home visits list from Social Worker before execution.
10. Carries out any other program duty assigned by the supervisor.