Consultant – provide technical support to the Ministry of Health and the WHO country office to respond to the generalized HIV epidemic in Djibouti
- Job category: Consultancy
- Post date:4 Apr 2021
- Share job:
|Consultant – provide technical support to the Ministry of Health and the WHO country office to respond to the generalized HIV epidemic in Djibouti – (2101490)
Grade: No grade
Contractual Arrangement: External consultant
Contract Duration (Years, Months, Days): Please review in below schedule
Job Posting : Apr 1, 2021, 3:19:45 PM
Closing Date : Apr 12, 2021, 12:59:00 AM
Primary Location : Djibouti
Organization : EM_DJI WHO Representative’s Office, Djibouti
Schedule : Full-time
IMPORTANT NOTICE: Please note that the deadline for receipt of applications indicated above reflects your personal device’s system settings.
Purpose of the consultancy
The purpose of this consultancy is to provide technical support to the Ministry of Health and the WHO country office to respond to the generalized HIV epidemic in Djibouti, through the implementation of the operational plan resulting from the revised national HIV strategic plan for the mid-term period 2020-2022.The general objective is to provide technical guidance for the implementation of the three 90% objectives focused on detection, initiation of ART and suppression of viral load.
The Republic of Djibouti is located in the Horn of Africa with an area of 23,200 km² for a population of approximately 1 million inhabitants. It shares the natural border with 5 countries. Due to its geographical position and its socio-political and economic stability, it represents a host country and a destination for several populations of diverse backgrounds. Djibouti has been hosting refugees since 1978 in three refugee villages situated in Alisabieh and Obock region; and a few scattered throughout the city of Djibouti. The country is also the main passage corridor for migrants to the Arabian Peninsula for mainly economic reasons, and also houses foreign military bases.
Djibouti has been facing the generalized epidemic of HIV / AIDS for many years and a lot of effort has been made by the government supported by international technical and financial partners to combat the disease. Currently there is a downward trend and the vision of the 2030 agenda is to achieve elimination with “zero new infections, zero deaths and zero discrimination”
This generalized type of HIV epidemic is represented with an HIV prevalence in the general population estimated at 1.2% [1.1-1.5] in 2018, down from 2002 (2.3%) and similar to 2016.
In 2011, according to the HIV Transmission Modes Study, about 39% of new infections occurred in low-risk couples and 24% in sex workers and their clients. Sentinel surveillance shows a declining trend in HIV prevalence in certain vulnerable groups.: Young people aged 15 to 24; Pregnant women; Blood donors; Tuberculosis patients; Key and vulnerable populations; Refugees / Migrants; Co-infection Tuberculosis and HIV and other comorbidities.
Analysis of HIV testing data showed that transmission is predominantly heterosexual (83.5%).
Through the mid-term review of the 2019-2022 NSP, the orientation of phase II 2020-2022 was centered on the concretization of the commitment made by the heads of state of the African Union in Abuja. to put an end to the epidemic by 2030 and Synergistic links with the National Health Development Plan (NHDP) 2020-2024 and the Sustainable Development Goals including in particular goals 3 and 5 :
More specifically, the aim will be to achieve by 2022 the status of a country having: Zero new infections, Zero AIDS-related deaths, Zero discrimination. With the following effects:
1. At least 70% of key and vulnerable populations adopt low risk behaviors (condom use……)
2. “90-90-90” objectives achieved or in the process of being achieved:
2.1 At least 90% of people living with HIV know their HIV status by 2022
2.2 At least 45% of all people diagnosed with HIV receive sustained ARV treatment by 2022.
2.3 At least 76% of people on ARV treatment have an undetectable viral load in 2022
3. A maximum of 5% of key and vulnerable populations avoid accessing health services due to stigma and discrimination.
in order to make this vision effective and translate it into an operational action plan to be implemented on time. The Ministry of Health, through its HIV program, refers to the results of the mid-term review of the national strategic plan, to require international technical assistance in 2021. The expert will support the country in the development of screening and combined prevention strategies, update the management guide aligned with new WHO recommendations, and establish an ARV resistance surveillance system.
Work to be performed
Output 1: Update the HIV testing strategy.
Output 2: Update the HIV management guideline according to new WHO recommendations and in accordance with the dolutegravir transition plan.
Output 3: Provide technical expertise for training, and / or refresher courses, followed by coaching of these health care providers in the practical use of the new care guide in healthcare facilities.
Output 4: Provide technical expertise to develop a combined prevention strategy in Djibouti
Output 5: Provide technical guidance for the pilot implementation of the PrEP in specific health centers in the city of Djibouti:
Deliverable 5.1: Provide technical expertise in the preparatory phase for the identification of pilot health structures in the city of Djibouti and the provision of the necessary inputs to start PrEP.
Deliverable 5.2. Coach and mentor the conduct of the pilot phase of PreP in health structures in the Djibouti city.
Deliverable 5.3: Produce a report on the implementation of the pilot phase of the PreP in Djibouti with an emphasis on good practices and lessons learned.
Output 6: Provide technical expertise for the implementation of ART resistance surveillance in Djibouti
Deliverable 6.1: Provide technical expertise to develop an ART resistance guide.
Deliverable 6.2: To Build a consensus for the validation of the national ART resistance strategy
Deliverable 6.3: Provide expertise in the preparatory phase for the acquisition of prerequisite inputs (reagents, devices….) for the surveillance of ART resistance in the appropriate structures
Deliverable 6.4: Provide training and supervision of health care workers identified for the implementation of surveillance of primary and secondary ARV resistance in Djibouti.
Deliverable 6.5: Provide technical expertise to ensure the monitoring and evaluation of primary and secondary ART resistance surveillance in hospitals in Djibouti city.
Experience: Essential: Minimum 10 years of experience in developing national strategic plans to fight HIV / AIDS, and in developing HIV care guides and training health care providers in comprehensive care of PLHIV
Skills/ Technical knowledge
Medical clearance : The selected Consultant will be expected to provide a medical certificate of fitness for work.
Travel (If travel is involved, a medical certificate of fitness for work will be required.)
All travel arrangements will be made by WHO – WHO will not be responsible for tickets purchased by the Consultant without the express, prior authorization of WHO. While on mission under the terms of this consultancy, the Consultant will receive subsistence allowance.
Visas requirements: it is the consultant’s responsibility to fulfil visa requirements and ask for visa support letter(s) if needed.
The consultant is expected to travel according to the itinerary and estimated schedule below:
Remuneration and budget (travel costs excluded) Remuneration: international consultant (P level)
Additional Information section
JOIN SOMALIJOBS FACEBOOK GROUP: https://www.facebook.com/groups/3004585169828714
Apply for this Job
- No Tags
824 total views, 1 today