Responsibility
Provide quality STI and GH services to the MSM and hijra at service centers, which include DICs, Sub-DICs, Outlets and Satellites.Provide HTS services to the MSM and hijra at service centers.Conduct physical examinations of the beneficiaries maintaining proper infection prevention procedure and ensure privacy during physical examination.Record present and past medical complaints of beneficiaries properly in the health card and prescribe medicines as per the treatment protocol; ensure proper dispensing of drugs including DOTs to beneficiaries of the service centers and maintain records accordingly.Provide prescriptions for STIs for the female partners of MSMEnsure availability of proper clinical set up (e.g. patient bed, spot light, patient screen, adequate lighting facilities, running water supply etc.), infection prevention equipment (autoclave, incinerator, etc.) and clinical equipment (e.g. BP machine, thermometer, weight machine etc.). Ensure that they are in operation and properly used.Ensure that adequate medicines are kept in the store in proper environment as per the standard practice; update medicine stock register regularly, review medicine stock, notify regarding any stock-out/short expiry situation to concerned authority at least four (4) months back and prepare medicine requisition when required.Ensure ethical issues like confidentiality, non-discriminatory attitude towards MSM and hijra populations are maintained; and treat beneficiaries with respect and dignityStore the blisters of DOTs medicine (i.e., Cefixime and Azythromycine) at service centers until the verification by PR or SR representatives. Keep records of incineration of the blisters after the verification by the PR or SR.Ensure proper application of all monitoring tools for monitoring clinical activities (STI, GH, TB) and HTS services; Review overall clinic performance regularly and guide the staff and report to the concern Programme specialist/ Programme coordinator.Provide counseling assistance in regards to personal risk assessments, safer sex behaviors and partner notification; perform 4Cs (i.e. compliance with treatment, counseling for prevention, condom demonstration, contact tracing) according to National as well as project guideline during counseling; demonstrate proper use of condoms;Perform TB screening of all patients attending the clinic; ensure accompanied referral of suspected TB cases to DOTS center for diagnosis and/or treatment and follow-up of TB positive cases to ensure treatment adherence.Perform HTS activities as per schedule; perform pre and post-test counseling, collect sample from HTS clients, perform rapid HIV testing according to algorithm, deliver report to the clients, keep record maintaining confidentiality; maintain appropriate bio-safety measures during testing in order to ensure quality of test, accompanied referral of HIV positive clients to the care, support and treatment center (CSTC).Prepare list of requisition for HTS reagent and consumables; maintain stock register of HTS reagent and consumable regularly.Store and document QC samples to be send to the icddr,b laboratory; store reagents and samples maintaining cold chain in order to organize and preserve samples properly.Ensure proper registration of clinic patients on each clinic day and maintain all relevant records and files; submit monthly report to the DIC Manger. Prepare monthly HTS report and submit to SR focal person timely.
