Consultant -TB/HIV Referral Coordination at Institute of Human Virology, Nigeria

Reports to: The Director, Clinical Services

Background
To continue improving on TB case detection and reducing TB burden among people living with HIV, priority Local Government Areas (LGAs) with a high HIV/TB burden were provided with universal access to HIV Testing Services for presumptive TB cases. The LGAs were also provided with TB Referral Coordinators and TB/HIV Referral Volunteers to facilitate referral and linkages across Anti-retroviral Treatment (ART) and Directly Observed Therapy (DOT) services at delivery facilities.

The Consultant - TB/HIV Referral Coordination is to assess the contribution of the TB/HIV referral coordinators and referral volunteers to improved TB/HIV services across all implementing health care facilities in the 32 US President’s Emergency Plan for AIDS Relief (PEPFAR) priority LGAs in Nigeria.

Objectives

• Determine the level of accomplishment of key deliverables of the Referral coordinators and referral volunteers.
• Assess the level of decrease in the drop-off of patients along the TB/HIV cascade compared to baseline in each of the implementing facilities
• Assess the extent and timeliness of linkage ART from DOTS for TB/HIV co-infected patients

Specific Tasks

• During the assessment, the consultant is to visit selected implementing facilities in each of the priority LGAs and assess the ongoing implementation of the TB/HIV referral coordination activities in line with the assessment goals and objectives.

The specific tasks to perform include:

• Visit all the implementing sites in each of the priority LGAs with the PEPFAR implementing partner
• Gain access to the facility data and the TB/HIV facility based diagnostic evaluation and treatment line list register in company of the IP with due consent of the facility management to abstract data on the TB/HIV cascade
• Conduct in-depth interviews with selected key facility staff
• Come up with a detailed report of the assessment in close collaboration with the PEPFAR supervising team.

Anticipated Deliverables and Time line:

• Collate findings and draft report of the assessment
• The assessment is to be completed within one month period and draft report submitted within two weeks after assessment.