Call for Application: Lay Case Manager - Achieving : Job Details

Duration: 9 months with possibility of extension (based on availability of funds)

No of Adhoc: 93

Commencement Date: 2nd January 2024

The Lay Case Manager shall be based in the health facility and serve as a point of contact for the panel of Stable Adult clients accessing antiretroviral therapy (ART) services in the facility. S/he will work with the facility personnel to ensure optimal user experience for clients receiving treatment in the facility. S/he will be responsible for the provision of treatment literacy, attendance to clients' inquiries/complaints, facilitating access to all services for which the client is eligible, and be responsible for the overall well-being of the client, even after the client can sustain self-care. S/he shall be knowledgeable in contextual and cultural issues relevant to communication and relationship management. S/he will be expected to maintain a database of clients and maintain optimal contact with assigned clients through various communication channels, including telephones, emails, social media platforms, and scheduled home visits.

Specific Roles and Responsibilities:

The services of the Professional Case Manager will include but not limited to the following:

• Adherence Counselling
• This is counselling provided to clients to enable them to overcome challenges associated with living with HIV/AIDS. Adherence counselling is important as it ensures better treatment outcomes for clients. A client must be fully involved at every stage of adherence counselling. In particular, the case manager should:
• Build and maintain formidable healthcare worker-client relationships to reinforce clients' trust in and loyalty to the healthcare system.
• Ensure every client's health needs, requirements, and expectations are thoroughly realized; and that they maintain optimal levels of ART adherence.
• Maintain an appointment schedule for each client, containing dates of thenext visit and purpose of thevisit, such as thedate of next laboratory test and nature of the test, date of next drug pick-up at the pharmacy, etc.
• Maintain a database of clients in cohort groups, based on common factors such as dates of enrolment, dates of appointment, etc., andmanage and maintain up-to-date reports on clients' progress towards attaining medication adherence, treatment retention and viral suppression.
• Record details of client inquiries, comments, and complaints/compliments, as well as appropriate actions taken; and record eventual feedback/satisfaction levels obtained. Referral to other service delivery units for appropriate care should also be appropriately documented in relevant data capture tools.
• Help the clients develop an understanding of ART treatment and its challenges.
• Provide the client with ongoing support and facilitate linkage to both facility and community-based support groups to enable the client to adhere to ART. Provide routine check-in for clients on MMD refills.
• Address concerns/questions arising from the client's treatment with empathy.
  • Client Tracking
• Generate a list of clients daily for appointment reminders using LAMIS and/or appointment dairy.
• Ensures immediate tracking of clients after a missed clinic/drug pickup appointment. Ensures reasons for missed appointments are identified by returning clients and working with the client to identify suitable strategies to address the identified cause.
• Conduct routine mortality audit to identify / document causes of client death.
• Time-to-time adherence check provided to clients on a differentiated model (MMD3&6).
• Generate aline list and track clients who interrupted treatment (IIT) within the reporting period.
• Ensure documentation of tracking attempts in client tracking and termination forms, tracking register, and LAMIS.
• Promote a culture of appointment keeping by clients.
  • Viral Load
• Ensure clients are well informed on the importance of viral load assessment
• Ensure clients know when they are due for viral load assessment
• Work with the Lab Support Officer to facilitate sample collection for clients eligible for VL
• Support clients to maintain undetectable VL levels (