Doctors Without Borders/Médecins Sans Frontières (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural and man-made disasters and exclusion from healthcare in more than 70 countries. MSF offers assistance to people based on need and irrespective of race, religion, gender or political affiliation.
MSF has worked in India since 1999, providing free-of-charge essential healthcare to people in remote areas, and specialist care for people affected by HIV/AIDS, malnutrition, hepatitis C, tuberculosis, kala azar, and sexual and gender-based violence. We also respond to natural disasters and other emergencies, provide mental healthcare and advocate for the development of more effective and affordable medicines to improve access to treatment for people everywhere.
We currently run projects in the states of Andhra Pradesh, Bihar, Chhattisgarh, Delhi, Jammu and Kashmir, Jharkhand, Maharashtra, Manipur, Telangana, and Uttar Pradesh.
MSF was awarded the Indira Gandhi Prize for Peace, Disarmament and Development in 1996 and the Nobel Peace Prize in 1999.
MSF OCBA in Bihar
MSF has been working in Bihar treating Kala Azar since 2007 with a gradual transition of the project to focus on HIV-Kala Azar co-infected patients. After treating more than 13,000 patients in Vaishali, MSF began focusing on the treatment of Kala azar-HIV co-infection in partnership with the Rajendra Memorial Research Institute of Medical Sciences (RMRIMS) in Patna in 2016.
Further, MSF has collaboration with All India Institute of Medical Sciences (AIIMS), Patna and Bihar State AIDS Control Society (BSACS) with whom MSF is conducting two qualitative studies focusing on the perception of quality of life by VL-HIV coinfected patients and the stigma which PLHIV group faces at health facilities and in the community. Anecdotal evidence from different sources suggests that there is a very high level of stigma attached with HIV in Bihar and PLHIV often presents with advanced stage HIV with multiple opportunistic infections. To make the matter worse, these patients do not get adequate and quality healthcare services leading them to no option but succumb to their illness at home. Hence, MSF endeavours to start a project for treating life-threatening opportunistic infections in people living with HIV in Bihar in collaboration with BSACS and Government of Bihar (GoB).
This seamless partnership over more than a decade between the Government of India, the State Government and other stakeholders has enabled MSF to provide the best quality, free of cost treatment to the people of Bihar without any discrimination on the basis of caste, colour, religion or economic status. The major beneficiaries of MSF services have been those who are at the bottom of the societal pyramid
Working in this area, HIV-VL confection, has led us to realise the systematised discrimination against HIV patients by the community but more so among health care providers in the public and private sector with them often being excluded from healthcare outside of government ART centres. Bihar, with a population of 110 million people is one of the largest states and least economically developed. It has an estimated adult HIV prevalence in the range of 0.21– 0.25% accounting for 150,000 PLHIV and 7,514 deaths (5,794-10,575) annually. Only 20,000 HIV patients were on ARVs in 2014.
As per July 2017 WHO guidelines for those above five years of age, Advanced HIV disease is defined as those presenting for care with a CD4 count below 200 cells/mm3 or presenting with an AIDS-defining event, regardless of the CD4 cell count. All children less than 5 years are considered to have Advanced HIV Disease.
The mortality rate of advanced HIV disease is estimated to be between 30 to 40%. In Bihar, within MSF´s existing HIV related project we have a number of observed cases of severe disease where specialised medical care is required including palliative and symptomatic care and end of life care for some of them, including psychosocial support for patients and family members. In such situations, where we have tried to refer the patients into the public or private sector, they have been refused admission or admitted, ignored and ultimately sent home to die.
In this situation, MSF in collaboration with Ministry of Health (BSACS and NACO) tends to set up a program as inpatient centre for the advanced HIV and Palliative care for all the admitted patients and those with life-threatening conditions.
The main purpose of the program is to provide a holistic centre for seriously sick advanced HIV patients in order to improve the quality of life by gaining comprehensive HIV care and support and palliative care with the focus of patient rights and dignity.
Referral Criteria to MSF Care Centre
- HIV patients with CD4 less than 100 regardless of opportunistic infections/comorbidities
- Suspected or diagnosed advanced HIV disease regardless of CD4 count (specific conditions for referral will be defined)
- Seriously ill HIV+ patients with danger signs
- Other HIV related life-threatening conditions such as IRIS, suspected clinical failure, drug hypersensitivity and so on
- Advanced HIV diagnosis and care package + Palliative care
- Linkage to care (from ART centres and community to MSF care centre)
- Retention in care and health promotion activities in the community
- Direct Beneficiaries: People living with advanced HIV (PLHIV) – estimated to be 10% of the 150,000 diagnosed HIV patients in Bihar
- Indirect Beneficiaries: General population of Bihar through the decreased spread and increased awareness, others living with HIV with regards to policy change in India.
Number of post available: 1
Location: Patna, Bihar
Availability: Minimum 1 year, annual renewal of the contract
Last application date: 6th January 2019
Starting date: ASAP
Guru Govind Singh Hospital, Patna City, Patna.
Purpose of Post
Empower specific health care providers through capacity building with the objective of ensuring that the recommendations of the NACO expert group on advanced HIV are met in their respective district Hospital and nodal/high endemic PHCs.
Functional and Hierarchical Lines
Hierarchically and Functional accountable to IEC Health Promotion Activity Manager
Main responsibilities and tasks
Coordination and Follow up
- Proper coordination with doctors and health staff at district level and above as guided by HPAM.
- Good coordination with medical colleges especially department of medicine and community medicine for referral HIV patients to MSF-RMRI and GGSH, Patna City.
- Regular calls with ART Doctors, Civil Surgeons, District NVBDCP Consultant.
- Regular calls with ART centres and Kala Azar responsible doctors.
- Organise and coordinate district/state level HIV workshops.
- Participate in the camps at ART centres to recruit patients for asymptomatic study.
- Coordinate the asymptomatic follow up calls with junior councillors and report it to HPAM.
- To ensure proper follow up of all HIV patients and Asymptomatic study patients, always in close collaboration with Doctors, Nurses and Psychologists / Junior Counsellors.
- Coordinate with all MSF HIV facilitators in districts for timely submission of monthly action plan and actual work done reports. Make sure all of the reports filing in a proper way.
- Prepare field trip reports of IEC team, IEC section for SitRep.
- Maintain proper filing of important letters related to HIV.
- Maintain media surveillance register.
- Proper IEC related documentation of all admitted patients; it includes HP sheet in treatment card.
- Maintain follow-up registers for the asymptomatic study.
- Maintain the Adherence follow-up register and report it to the HPAM.
- Support the HPAM for preparing the report like MMR, Sitrep and other kinds of reports as per the operation needs.
- Must have knowledge to do analysis and assessments for project operation needs.
- Responsible for the supervision of Junior Counsellors at districts and MSF-Ward both.
- Responsible for ensuring the provision of HIV adherence counselling by the Junior Counsellors according to MSF protocols.
- Participates in the updates of job profiles and descriptions of staff under his/her supervision.
- Participates in selection, follow up and evaluation of all staff under his/her supervision.
- Organise, implement and train the staff under her/his supervision.
- Undertakes regular evaluations of staff team under his/her supervision.
- Promotes communication and active participation of all staffs under her/his supervision.
- Must have knowledge to do assessments with analysis for team members and provide regular feedback.
- Ensures accurate diffusion of information to all staff under her/his supervision.Intensive Tracking of Lost to follow up / Follow ups patients in consultation with HPAM and ART Centres.
- Collect and look for material that could be useful for activities of department.
- Inform health facilities personnel and communities about MSF and services provided.
- Inform HIV co-infected cohort about health-related issues according to protocols.
- Provide educational material updates to the health care providers on recommendations of the NVBDCP / NACO expert group on HIV co-infection.
- Supervise and coach Junior Counsellor and Lay Counsellor Educators in all thematic areas of counsellor as per MSF Protocols Drug Adherence, Stigma Reduction, etc.
- Prepare material for health facilities and community group meetings.
- Deliver information to HIV co-infected patient regarding the diseases and prevention using tools, i.e. leaflets, condoms, pictures and interaction, but always respecting local customs.
- Organise training sessions & meetings as and when required.
- Liaison with District Level stakeholders and if require State Level on guidance by HPA Manager.
- Regular visit to health care facilities, taking care of advanced HIV patients;
- Facilitate and organise meetings, trainings and workshops always in cooperation with logistics and medical department;
- Coordinate meetings and workshops for health care providers. Organise and lead these meetings;
- Maintain confidentiality regarding all information observed or registered;
- Coordinate the patient referral from the field with facilitators and junior counsellors and pass the information to the HPAM outreach and the Medical team.
- Establish and maintain contacts with social partners, including other local NGOs, governmental health services that can provide answers to social problems.
- Participate in creation of material needed for the activities of IEC;
- Look after all equipment provided;
- Ensure that no material is taken out of IEC area without prior authorisation.
- Inform HPA manager about any possible serious problem or complication during meetings with health care providers or population in or outside health facility;
- Plan and report activities done on a regular basis.
- To perform any other tasks as required by your HPA Manager.
- Support and work in coordination with another IEC Officer as per project needs.
- To maintain a flexible approach and responds to the needs of the project even if outside of this job description.
- Should be able to perform the tasks of IEC officer whenever needed.
- Participate in MSF emergency interventions, if required.
Required Working Days
The nature of the work requires presence on Sundays and Public Holidays as per duty roster. Sundays are considered as a weekday. Special arrangement are only considered for official Public Holidays (as per Internal Rules and Regulations)
- Bachelor in Social Sciences or relevant graduate degree.
- Minimum 2 years of work experience.
- Relevant work experience in HIV / Kalazar /other thematic areas would be preferred.
- Good understanding of English, Hindi both for all types of communication.
- Absence of prejudges against PLHIVs.
- Cross-cultural awareness, able to work in an intercultural and international team.
- Good communication skills to connect with health care providers;
- Good communication and social skills to connect with the community;
- Able to integrate into a multi-cultural team and cooperate with co-workers;
- Able to work independently as well as part of a team;
- Good punctuality and ability to act with responsibility;
- Tactful, diplomatic & patient while interacting with different groups of people;
- Knowledge of computer skills like MS-Office, etc.
HR & Benefits
- Salary: Rupees 26,917 gross/month
- Benefit of 13th Month Salary
- PF and Gratuity are applicable as per law.
- Total Leaves: 18 days annual leave; 12 days paid leave as per specified list of holidays; Sick/Casual leave of 12 days as per calendar year (pro-rated based on hire date).
- Wide Medical coverage (Employee + Direct Relatives), as per organization policy.
To apply please email your CV and motivational letter mentioning why you would be interested to apply for the position with the subject Ref: Health Promoter IEC Officer to email@example.com AND firstname.lastname@example.org on or before 6th January 2019.
Applications that are no completed (CV + Covering letter) will not be considered.
ONLY FEMALE SHORT-LISTED CANDIDATES WILL BE CONTACTED AND INVITED FOR THE INTERVIEW.
Only Female is because of the fact that the position requires more interaction with female patients and need to council the female patients and also takes the sexual history from the female patients. Final listed candidate will be required to join on immediate notice.
Médecins Sans Frontières/Doctors Without Borders India is an equal opportunity employer. Women candidates are encouraged to apply.