TERMS OF REFERENCE
(Nurse Case Managers)
Position Title: Nurse Case Managers (NCMs)
Project: “Adolescent HIV Nursing Model for Community-based
Treatment, Care, and Support”
Position Location: Iloilo / Zamboanga (1o NCMs each site)
Opportunity Type: Project-based
Report to: Site Coordinator
Target Date of Training: May 2017 or June 2017
Target Date of Deployment: June 2017 to December 2017
Application Deadline: April 21, 2017
The Alliance of Young Nurse Leaders and Advocates International Inc. (AYNLA), is a non-profit professional organization of nurse advocates working on the achievement of the United Nations Sustainable Development Goals, access to Universal Health Care and protection of nurses’ rights and welfare. Relative thereto, it focuses on programs in improving maternal and child health, increasing awareness on HIV/AIDS, promoting sexual and reproductive health and rights of young people, and advancing the rights and welfare of nurses.
AYNLA was founded in 2009 and was registered in 2010 at the Philippine Securities and Exchange Commission with registration no. CN201009281 and TIN 007-794-285. AYNLA is also a registered young professional organization of the National Youth Commission, an international member of the World Health Organization Global Health Workforce Alliance, and an appointed Health Committee Chair of the National Anti-Poverty Commission, Youth & Students under the Office of the President in 2011.
Far from the global downward trend of HIV infections experience by many countries, the cases of HIV in the Philippines have increased exponentially in the last decade. In fact, the country is among the nine countries with ballooning epidemic and has recorded more than 25% increase of cases annually. Attributable to this increasing HIV prevalence include improvement and expansion of HIV testing services which increased case detection; further transmission among those undiagnosed infected groups which mostly occur among adolescents and young people, who engage in exploratory unprotected multiple sexual encounters; lack of national comprehensive sexuality education in schools in almost two (2) decades, and the poor health-seeking behavior of the key populations, including school-age children and young people.
With the current projections of the reported cases of HIV in the country, the service provision for the PLHIV has to be strengthened to augment the increasing demand. The service provision has always been facility-based with Social Hygiene Clinics (SHCs) in the frontline as the treatment hubs for treatment, care, and support. The government is actively enhancing capacities of some of these SHCs to expand services and eventually establish satellite treatment hubs as a means to unload clients. However, the establishment of health facilities would require a significant investments and time. There is also an attached stigma to the SHCs, as facilities exclusively for sex workers and people with sexually transmitted infection and/or HIV and AIDS. This issue discourages the PLHIV to access treatment and medical consultations at the SHCs especially those who are hiding their HIV status clandestinely.
In response, the idea of a patient-care approach outside the health facility through the case management coordinators (CMCs) has been developed. The role of the CMCs is to liaise between the patient and the health facility through establishing social and caring support system outside the health facility. They monitor the treatment adherence of the PLHIV, remind PLHIV of their medications and connects PLHIV with the groups and institutions that the patient needs. From a facility-focused, the CMCs offer patient-focused interventions in places that are comfortable to their respective clients. It also unloads treatment hubs by delegating simple tasks to the CMCs, especially now with the insurgence of the cases.
The CMC model on its current form is promising in addressing the treatment adherence challenges through its integrated strategies and by detaching the PLHIV from the stigma that blocks access to health services. However, it can be further enhanced if the basic health and clinical services can be linked to the care and support systems to provide a more holistic intervention. This proposal aims to create a more holistic approach to a personalized mobile HIV care with more extensive health interventions which would enhance caring and support systems, especially for adolescents who are not yet on ARV and may not need intensive facility-based interventions, allowing them to continue attendance to school or work, stay active in the community, and prevent further transmission with the help of their family. Currently, some of the duties to be performed by the nurses in this proposal is being done by the Site Implementing Officers (SIOs) under the Global Fund-New Funding Model (GF-NFM). The tasks include keeping track of the client status, facilitating access to services in the health facility and referrals to facilities for other services. These limitations prompt the need to explore the role of nurses in the Philippines and explore means to integrate it in the current Nurse Deployment Program of the Department of Health.
The Nurse Case Managers (NCMs), is expected to deliver the planned activities in accordance to the timeline provided by the organization in support of the project implementation “Adolescent HIV Nursing Model for Community-based Treatment, Care, and Support” in Iloilo and Zamboanga. The nurse must be favorable to providing basic HIV care services to adolescents living with HIV. He/she must believe in advancing the sexual and reproductive health and rights of adolescents.
Specific Duties & Responsibilities
Responsibilities include, but are not limited to, the following:
- Provide a client-centered treatment and psychosocial support to adolescent HIV clients;
- Provide a closer, convenient, safe and comfortable environment when dealing with the clients;
- Maintains and keeps in custody a client’s record and all information acquired be treated with utmost confidentiality;
- Participate in the personnel development trainings and capacity building conducted by the organization;
- Participate in periodic review meetings and other program monitoring activities;
- Ensure submission of reports to assigned focal person when deemed necessary;
- Participate in strengthening and expanding the existing HIV and AIDS prevention and control activities of the organization and its partners;
- Participate in identifying and conducting (as required) operational research activities related to HIV and AIDS in adolescents;
- Coordinate with treatment hubs and support groups for the health services; and
- Perform other tasks as may be assigned by the organization.
- Education: Bachelor of Science in Nursing
- Experience: 1 year of relevant clinical experience / community health practice
- Eligibility: R.A. 1080 (Licensed Nurse)
- Nursing and patient care procedures;
- Patient Assessment and safety standard procedures;
- Administrative Processess; and
- Performance managements
- Behavior : Building trust, building client loyalty, communication, teamwork, planning and organizing, decision making, continuous learning, adaptability.
- Motivation: Job has opportunities for relationship building, challenging work, and achievement.
- Others: Good communication, coordination, and reporting skills
The Nurse Case Managers will be provided stipends according to the SSF agreement (SSFA2017-001) or other future agreements, as the case may be, between UNICEF and AYNLA.
The Nurse Care Managers MUST be able to attend the training program in May or June 2017, and be ready to be deployed for 6 months thereafter.
Moreover, it is clear that this position is not a full-time job and may only require: (a) 4-8 hours per week of engagement; and (b) weekly meetings.
Applicants should send as soon as possible a letter of application and their updated Curriculum Vitae (CV) to email@example.com with “Adolescent HIV Nursing_NCM” written at the start of the subject line in your email.
Enquiries may be directed to the following:
- Joben Policarpio T. Rojas, RN via mobile: 09778228257 or email: firstname.lastname@example.org (Zamboanga Site)
- Mary Junillee C. Araño, RN via mobile: 09272880609 or email: email@example.com (Iloilo Site)
N.B. This Terms of Reference is subject to change without prior notice.