Quality Improvement Coordinator at KNCV Nigeria

Purpose of Job

The DR-TB Quality Improvement Coordinator (QIC) will function as a coordination, accountability, and quality care resource embedded within NTBLCP and STBLCP structures. The role does not create parallel systems but strengthens existing accountability, data use, and clinical governance. QIC will ensure that every laboratory-confirmed DR-TB case is tracked, initiated on treatment, and retained through digital adherence support.

The QIC reports to the KNCV Nigeria State Technical Officer, KNCV Nigeria Project Coordinator, IHVN, STBLCP, and NTBLCP.

Key Responsibilities

Cascade Coordination and AccountabilitIES

• Will strongly support the State DR-TB Focal Person to ensure that patient management is fully aligned with national guidelines, with complete, accurate, and timely reporting.
• Will actively engage and collaborate with Community TB/HIV Workers (CTHWs) to strengthen community-based DR-TB management, including treatment adherence, follow-up, and contact management in line with national standards.
• Will promptly facilitate treatment initiation and laboratory monitoring (baseline and follow-up) and actively participate in monthly OPD clinics.
• Will prepare and submit morbidity and mortality summaries and function as an active member of the State DR-TB Council of Experts, ensuring that complex cases are appropriately presented for review and escalation.
• Will support day-to-day treatment and care for all diagnosed DRTB patients from diagnosis till treatment is completed and adequately reported to the National Program through all recording and reporting tools (paper- and electronic-based).
• Provide support in identifying, reporting, and supporting any instance of adverse drug events or comorbid conditions to ensure quality care is offered.
• Support patient management in all models of DR-TB care in the state (community and, where necessary, the treatment center).
• Track all DR-TB diagnosed cases in assigned states using the CommTB platform.
• Ensure baseline investigations are completed within 72 hours of diagnosis.
• Achieve ≥95% treatment initiation within 7 days for eligible patients.
• Escalate delays (>72 hours without baseline, >7 days without initiation) to STBLCP and NTBLCP.
• Ensure a 100% treatment success rate of all DRTB clients enrolled in care.

Digital Platform Integration

• Use CommTB for real-time cascade visibility and automated 72-hour/7-day triggers.
• Deploy VTR Mobile Academy to deliver standardized DR-TB QI curriculum.
• Operationalize ClientShot to capture monthly patient feedback on initiation timeliness, ADR management, and social support.
• Support MedAdher for SMS reminders, missed-dose alerts, and tele-counseling to protect treatment gains.

Capacity Strengthening

• Provide on-the-job mentoring to LGTBLS, clinicians, and community TB/HIV workers.
• Conduct structured quarterly data validation and file audits to ensure 90% DST-aligned regimen compliance.

4. Clinical Governance Support

• Facilitate root cause analysis for pre-treatment loss and delayed initiation. 
• Ensure patient feedback (ClientShot) is discussed at monthly OPD/quality review meetings.
• Functioning as an active member of the State DR-TB Consilium of Experts, ensuring that complex cases are appropriately presented for review and escalation.

 Reporting and Documentation

• Submit monthly cascade reports to KNCV Nigeria, IHVN, and STBLCP.
• Preparing and submitting morbidity and mortality summaries,
• Document case studies of successful linkage and reasons for loss.
• Support manuscript writing on DR-TB quality improvement interventions.

Skills and Qualifications

• A health-related degree with discipline and passion for DRTB.
• Minimum of 2 years’ experience in DR-TB program management, quality improvement, and public health coordination. 
• Proven experience using digital health platforms (CommTB, DHIS, patient trackers, etc.).
• Demonstrate ability to work with STBLCP/NTBLCP structures and multiple stakeholders.
• Strong analytical skills for cascade data interpretation and root cause analysis.
• Experience in training/mentoring healthcare workers.
• Ability to initiate, follow up, and follow through on case-based issues.
• Experience in writing abstracts and manuscripts.

Required Competencies

• Knowledge of WHO 2025 consolidated DR-TB guidelines. 
• Proficiency in Microsoft Office and data visualization (Excel, Power BI). 
• Good verbal and written communication skills. 
• Ability to travel across the state assigned or outside the state if required.
• Commitment to patient-centered, equity-oriented care.
• Strong empathic and counseling abilities in patient care.
• ·No prior SEAH violations.