Job Description:
BACKGROUND:
In 2011, the World Health Organisation (WHO) released Guidelines for Ethical TB Treatment, Care and Control. This guidance is meant to address all dilemmas related to the rights of TB patients, the community, TB programmes, and health care workers in the management of TB patients. The guidance covers all aspects of TB care including:
• Obligation to provide access to care
• Information, counseling and the role of consent
• Adherence support
• Gap between drug susceptibility testing and access to treatment for drug-resistance
• Health care workers’ rights and obligations
• Involuntary isolation and detention
• TB research
The document can be found at http://www.who.int/tb/challenges/mdr/ethics/en/.
The purpose of this project is to disseminate the guidelines through a utility-based process, for programmes to assess their own ethical practices. As a pilot, this project will be conducted in a limited fashion, processes documented, and feedback incorporated for future dissemination of a self-assessment tool on ethics.
SPECIFIC OBJECTIVES:
(Obtain feedback from in-country partners on the use of the ethics tool.)
1. Obtain final approval of protocol and facilitate the Project Research registration with MOHSS
2. Source consent from respondents at NTLP at proposed sites for pilot testing
3. Pilot Testing (Data collection) at the proposed sites
4. Focus group discussions
5. Data processing, entry and Analysis
6. Write country-level report
7. Stakeholder Dissemination Meeting of Report findings
8. Produce a summary of feedback from sites
Who is involved: The following partners are involved in the development and pilot-testing of the tool:
• University Research Corporation (URC) - A global company with the mission to improve the quality of health care, social services, and health education worldwide. With its non-profit affiliate, the Center for Human Services (CHS), URC manages projects in over 30 countries and is the prime holder of the TB CARE II contract with the US Agency for International Development (USAID) which is funding this project
• New Jersey Medical School Global Tuberculosis Institute (GTBI) – An academically- based training, research, and clinical TB center in Newark, New Jersey, United States
• Project HOPE, Inc. (PH) – A non-governmental global health organisation focusing on education of health professionals and community health workers, strengthening health facilities, and disease prevention.
Target Audience: The tool can potentially be completed by personnel who possess an understanding the following issues in the country:
• Medicine procurement
• Access to care
• Resource availability
• Support for vulnerable populations
• Diagnostic procedures
• Contact tracing
• Research
• Legal interventions
• Provider practices
• Adherence enhancing interventions
Personnel should not only be National Tuberculosis and Leprosy Programme (NTLP) staff, but representatives from district level programmes. Additional persons may include providers and other health care workers, academic partners, patient group representatives, researchers, and policy experts.
Country Selection: Pilot sites were chosen based on staffing by both URC and PH. USAID’s in-country mission staff members have approached the Ministries of Health in several countries with such representation to assess whether they can participate in the piloting of this tool. If a health ministry has stated that they currently do not have the capacity nor time to complete the process, they were not included in the piloting process.
PROTOCOL:
Site Selection:
Representative sites will be selected and the following characteristics will be considered in site selection:
1. Type of facility: policy/management body, hospital and clinic
2. Location of facility (urban vs. rural; TB burden in the surrounding catchment area and availability of HOPE program support staff)
3. Level of facility (hospital versus clinic)
The following sites are proposed:
1) National Level: NTLP
2) Two Proposed District hospitals: Nkurenkuru and Onandjokwe
3) Three clinics: Two Kavango Region and One Oshikoto Region, minimum caseload 8 patients, preferably some MDR patients on treatment
Site Visit Team:
The team performing the pilot testing will consist of the following individuals:
1. One Regional or National MOHSS representative
2. The Consultant
Data Collection:
The Ethical TB Treatment, Care and Control Tool Pilot Testing Project has two primary components: completion of a paper based assessment tool by providers, managers and health information staff and an interview with them subsequent to completing the tool to gain their thoughts and improve the tool. Annex 1 includes the tool and Annex 2 includes the proposed interview questions. Additional basic information about the site will be collected as noted in Annex 3.
Interviews:
After completion of the assessment tool, the team will interview facility managers, providers and data collection staff at sites as noted above based on the tool attached in Annex 2
Recording:
The completed assessment tool and the written record from the interviews will be collected from each individual participant.
Process:
The tool will be completed by individuals; it may take 1 to 2 hours per respondent to complete. Some of the questions cannot be completed by all individuals based on their knowledge and type of role they have in TB care and control.
The consultant will then conduct a group interview with the individuals who completed the tool about their experience using the tool in Annex 2.
Responses will be used to refine the tool and make recommendations about how to use it.
DELIVERABLES:
Upon tool completion by all persons involved as well as the interviews of respondents, the information collected must be clarified and summarized. This will be done by the Consultant and Ministry of Health (MOH) staff. The information should best reflect what was stated by respondents without any major editing.
The information collected will be reviewed by the MOHSS NTLP and then sent to GTBI for review. The data will be combined with information collected from the Mozambique pilot testing. Information will be shared with both countries’ MOHs - the country-specific responses to the tools will be shared with each country only. General pilot-testing information about the use of the tool will be shared with both countries. URC and USAID staff will receive and final combined country report.
Information from the interviews about the tool completion will be used to revise the tool as needed.
DISSEMMINATION:
The final tool will be posted to the TB CARE II website for use by other countries. Based on what information was collected from this process, the MOHs from Mozambique and Namibia may be approached about sharing the collected information about the process to share in a presentation for an international TB conference. The presentation may include the information collected from the ethics tools and/or it may include the information about the process of developing, pilot-testing, revising, and disseminating the tool. This will be decided in concurrence with all parties involved in the information collection.
In addition, a representative of GTBI and the Consultant will present the findings from the Namibia at a one national meeting or 3 meetings (1 national and 2 regional). In the former case, regional representatives involved in the pilot testing will be provided travel to Windhoek. If the latter approach is chosen, the project implementation team will travel to the regions.
STRUCTURE OF THE OFFER:
Time schedule:
The project is expected to commence in April 2013 and be finalised by the 31st July 2013. It is also expected that the final project report be handed in hard copy and soft copy to the Project HOPE Head Quarters on the same date at 17h00
Number of Experts:
One consultant required, 30 (thirty working days)
Support provided to the Experts:
(Car hire, Outside Windhoek Accommodation, printing costs) To be taken care of by Project HOPE
Language:
All documents are to be submitted in English
Requirements:
1. Detailed proposal (technical and financial)
2. Time frame including proposed tasks (specific objectives) with approximate timelines
3. Experience of proposed consultant(s) on similar tasks (CVs required);
4. Excellent proven analytical, methodological and organisational skills and;
5. Excellent English writing and speaking skills
Project hope will review the proposals based on quality, timeframe and costs
Specific tasks for the consultancy include:
1. Obtain final approval of protocol and facilitate the Project Research registration with MOHSS
2. Source consent from respondents at NTLP at proposed sites for pilot testing
3. Pilot Testing (Data collection) at the proposed sites
4. Focus group discussions
5. Data processing, entry and Analysis
6. Write country-level report
7. Stakeholder Dissemination Meeting of Report findings
8. Produce a summary of feedback from sites
Requirements:
• Work experience in conducting health service surveys, pilot project feedback quantitative and qualitative assessments (at least 5 years);
• Experience with Public Health, Tuberculosis and the Ministry of Health and Social Services
• Experience of proposed consultant(s) on similar tasks (CVs required);
• Excellent proven analytical, methodological and organisational skills and;
• Fluency in English both written and verbal
Applicants are requested to submit online application outlining how the assignment would be undertaken by latest March 29, 2013 at 17h00 (local time)
Late applications will not be considered!!!
We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing.
BACKGROUND:
In 2011, the World Health Organisation (WHO) released Guidelines for Ethical TB Treatment, Care and Control. This guidance is meant to address all dilemmas related to the rights of TB patients, the community, TB programmes, and health care workers in the management of TB patients. The guidance covers all aspects of TB care including:
• Obligation to provide access to care
• Information, counseling and the role of consent
• Adherence support
• Gap between drug susceptibility testing and access to treatment for drug-resistance
• Health care workers’ rights and obligations
• Involuntary isolation and detention
• TB research
The document can be found at http://www.who.int/tb/challenges/mdr/ethics/en/.
The purpose of this project is to disseminate the guidelines through a utility-based process, for programmes to assess their own ethical practices. As a pilot, this project will be conducted in a limited fashion, processes documented, and feedback incorporated for future dissemination of a self-assessment tool on ethics.
SPECIFIC OBJECTIVES:
(Obtain feedback from in-country partners on the use of the ethics tool.)
1. Obtain final approval of protocol and facilitate the Project Research registration with MOHSS
2. Source consent from respondents at NTLP at proposed sites for pilot testing
3. Pilot Testing (Data collection) at the proposed sites
4. Focus group discussions
5. Data processing, entry and Analysis
6. Write country-level report
7. Stakeholder Dissemination Meeting of Report findings
8. Produce a summary of feedback from sites
Who is involved: The following partners are involved in the development and pilot-testing of the tool:
• University Research Corporation (URC) - A global company with the mission to improve the quality of health care, social services, and health education worldwide. With its non-profit affiliate, the Center for Human Services (CHS), URC manages projects in over 30 countries and is the prime holder of the TB CARE II contract with the US Agency for International Development (USAID) which is funding this project
• New Jersey Medical School Global Tuberculosis Institute (GTBI) – An academically- based training, research, and clinical TB center in Newark, New Jersey, United States
• Project HOPE, Inc. (PH) – A non-governmental global health organisation focusing on education of health professionals and community health workers, strengthening health facilities, and disease prevention.
Target Audience: The tool can potentially be completed by personnel who possess an understanding the following issues in the country:
• Medicine procurement
• Access to care
• Resource availability
• Support for vulnerable populations
• Diagnostic procedures
• Contact tracing
• Research
• Legal interventions
• Provider practices
• Adherence enhancing interventions
Personnel should not only be National Tuberculosis and Leprosy Programme (NTLP) staff, but representatives from district level programmes. Additional persons may include providers and other health care workers, academic partners, patient group representatives, researchers, and policy experts.
Country Selection: Pilot sites were chosen based on staffing by both URC and PH. USAID’s in-country mission staff members have approached the Ministries of Health in several countries with such representation to assess whether they can participate in the piloting of this tool. If a health ministry has stated that they currently do not have the capacity nor time to complete the process, they were not included in the piloting process.
PROTOCOL:
Site Selection:
Representative sites will be selected and the following characteristics will be considered in site selection:
1. Type of facility: policy/management body, hospital and clinic
2. Location of facility (urban vs. rural; TB burden in the surrounding catchment area and availability of HOPE program support staff)
3. Level of facility (hospital versus clinic)
The following sites are proposed:
1) National Level: NTLP
2) Two Proposed District hospitals: Nkurenkuru and Onandjokwe
3) Three clinics: Two Kavango Region and One Oshikoto Region, minimum caseload 8 patients, preferably some MDR patients on treatment
Site Visit Team:
The team performing the pilot testing will consist of the following individuals:
1. One Regional or National MOHSS representative
2. The Consultant
Data Collection:
The Ethical TB Treatment, Care and Control Tool Pilot Testing Project has two primary components: completion of a paper based assessment tool by providers, managers and health information staff and an interview with them subsequent to completing the tool to gain their thoughts and improve the tool. Annex 1 includes the tool and Annex 2 includes the proposed interview questions. Additional basic information about the site will be collected as noted in Annex 3.
Interviews:
After completion of the assessment tool, the team will interview facility managers, providers and data collection staff at sites as noted above based on the tool attached in Annex 2
Recording:
The completed assessment tool and the written record from the interviews will be collected from each individual participant.
Process:
The tool will be completed by individuals; it may take 1 to 2 hours per respondent to complete. Some of the questions cannot be completed by all individuals based on their knowledge and type of role they have in TB care and control.
The consultant will then conduct a group interview with the individuals who completed the tool about their experience using the tool in Annex 2.
Responses will be used to refine the tool and make recommendations about how to use it.
DELIVERABLES:
Upon tool completion by all persons involved as well as the interviews of respondents, the information collected must be clarified and summarized. This will be done by the Consultant and Ministry of Health (MOH) staff. The information should best reflect what was stated by respondents without any major editing.
The information collected will be reviewed by the MOHSS NTLP and then sent to GTBI for review. The data will be combined with information collected from the Mozambique pilot testing. Information will be shared with both countries’ MOHs - the country-specific responses to the tools will be shared with each country only. General pilot-testing information about the use of the tool will be shared with both countries. URC and USAID staff will receive and final combined country report.
Information from the interviews about the tool completion will be used to revise the tool as needed.
DISSEMMINATION:
The final tool will be posted to the TB CARE II website for use by other countries. Based on what information was collected from this process, the MOHs from Mozambique and Namibia may be approached about sharing the collected information about the process to share in a presentation for an international TB conference. The presentation may include the information collected from the ethics tools and/or it may include the information about the process of developing, pilot-testing, revising, and disseminating the tool. This will be decided in concurrence with all parties involved in the information collection.
In addition, a representative of GTBI and the Consultant will present the findings from the Namibia at a one national meeting or 3 meetings (1 national and 2 regional). In the former case, regional representatives involved in the pilot testing will be provided travel to Windhoek. If the latter approach is chosen, the project implementation team will travel to the regions.
STRUCTURE OF THE OFFER:
Time schedule:
The project is expected to commence in April 2013 and be finalised by the 31st July 2013. It is also expected that the final project report be handed in hard copy and soft copy to the Project HOPE Head Quarters on the same date at 17h00
Number of Experts:
One consultant required, 30 (thirty working days)
Support provided to the Experts:
(Car hire, Outside Windhoek Accommodation, printing costs) To be taken care of by Project HOPE
Language:
All documents are to be submitted in English
Requirements:
1. Detailed proposal (technical and financial)
2. Time frame including proposed tasks (specific objectives) with approximate timelines
3. Experience of proposed consultant(s) on similar tasks (CVs required);
4. Excellent proven analytical, methodological and organisational skills and;
5. Excellent English writing and speaking skills
Project hope will review the proposals based on quality, timeframe and costs
Specific tasks for the consultancy include:
1. Obtain final approval of protocol and facilitate the Project Research registration with MOHSS
2. Source consent from respondents at NTLP at proposed sites for pilot testing
3. Pilot Testing (Data collection) at the proposed sites
4. Focus group discussions
5. Data processing, entry and Analysis
6. Write country-level report
7. Stakeholder Dissemination Meeting of Report findings
8. Produce a summary of feedback from sites
Requirements:
• Work experience in conducting health service surveys, pilot project feedback quantitative and qualitative assessments (at least 5 years);
• Experience with Public Health, Tuberculosis and the Ministry of Health and Social Services
• Experience of proposed consultant(s) on similar tasks (CVs required);
• Excellent proven analytical, methodological and organisational skills and;
• Fluency in English both written and verbal
Applicants are requested to submit online application outlining how the assignment would be undertaken by latest March 29, 2013 at 17h00 (local time)
Late applications will not be considered!!!
We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing.
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