These Potitions are CLOSED
CONSULTANCY: TO COLLECT DATA DURING THE IMPLEMENTATION AND EVALUATION OF THE DESK GUIDE IN FOUR HEALTH CARE FACILITIES UGANDA
TECHNICAL AREA: INFECTIOUS DISEASES TB
TECHNICAL MANAGER: PROFESSOR FRED WABWIRE - MANGEN
CONTRACTED BY: REGIONAL CENTER FOR QUALITY OF HEALTH CARE (RCQHC)
DURATION: 1ST DECEMBER 2013– 30TH DECEMBER 2014
TOTAL NUMBER OF MONTHS: 13 MONTHS
Regional Centre for Quality of Health Care (RCQHC) was established in August 1999 by USAID/REDSO (now USAID East Africa), under the auspices of Makerere University school of public health. Its establishment followed rising concerns about the deteriorating quality of health care in many African countries. In light of this, the World Health Organization (WHO) passed a resolution in 1994 to establish quality of care programmes in member countries. In 1996, an African quality of care Network was formed consisting of over 1000 organizations and individuals. At its annual conference in 1999, the network resolved to establish a regional centre for the Africa region to advance and promote quality of health care and hence the birth of RCQHC. Since its establishment, RCQHC has fostered good working relationships with key stakeholders, providing leadership at international, regional and national levels to improve the quality of health services in areas of Family planning and reproductive health, Maternal and child health and nutrition and infectious diseases including HIV/AIDS and TB.
Globally, an estimated 64,000 children die from tuberculosis (TB) every year. TB in children aged less than 15 year accounts for about 490, 000 of the 8.7million annual cases of active TB (WHO,2012). However, many health facilities in high TB-burden settings have historically been poorly equipped to diagnose and treat TB disease in children. Routine TB recording and reporting systems have not prioritized paediatric data, leading to uncertainties about the extent of the problem of tuberculosis in children. These reflect the limited priority given to the problem of childhood tuberculosis in most National TB Programs and the resulting poor attention paid to addressing the TB epidemic in children. Some of the reasons for the limited interest in childhood TB may include a degree of resignation about the ability to confidently diagnose TB in young children given that routine inexpensive methods like smear microscopy are unreliable in this population. In the same vein, children are rarely considered contagious because they are less likely to have smear-positive disease. The apparent lacks of a ‘gold standard’ diagnostic method in children, coupled with the fore-going issues, have meant that diagnosing TB in children remains a challenge. In response to these specific challenges related to pediatric TB in resource-limited settings, the International Union Against Tuberculosis and Lung Disease (IUATLD) recently developed a Desk-guide for diagnosis and management of TB in children. The aim of the desk-guide is to improve TB diagnosis and management in children through the following key actions: (1) early and accurate case notification, (2) improved child contact screening and management and (3) improved TB treatment outcomes. Developed on the basis of the WHO childhood TB and HIV case management guidance and National Tuberculosis Program (NTP) guidelines, the desk-guide is also an important tool for improving the exclusion of TB in suspected cases.
Study Goals and Objectives
Our goal is to implement the desk-guide at specified relevant clinical settings in Uganda, with the aim of achieving improvements in childhood TB case notification, monitoring, and treatment outcomes, as well as child contact-tracing. Additionally we aim to use this opportunity to determine at the implementing facilities, the baseline burden of reported childhood TB. Specifically, we aim to accomplish the following objectives:
- To assess whether the implementation of the desk guide impacts the proportion of notified childhood TB cases in health care facilities providing TB and HIV clinical care.
- To evaluate whether the implementation of the desk guide increases the proportion of children receiving there commended TB treatment regimens and treatment monitoring.
- To assess changes, if any, in the proportion of children diagnosed with TB for whom a source case is identified (reverse contact tracing).
- To examine the operational feasibility and acceptability of implementing the desk-guide at various levels of health care facilities providing TB and HIV health care.
- To evaluate whether implementation of the desk-guide improves reported quality of TB care from the perspective of children diagnosed with TB and/or their caregivers.
The activity is to collect quantitative data on child TB in four health facilities in Uganda implementing and evaluating the adapted desk guide for diagnosis and management of TB in children.
Mechanism of the Activity
RCQHC will recruit research assistants to collect quantitative data on the implementation and evaluation of the adapted desk guide for diagnosis and management of TB in children in four health facilities in Uganda. The research assistants will be required to collect and report data on child TB from four health care facilities in Uganda participating in the implementation and evaluation of the adapted desk guide for diagnosis and management of TB in children.
Duties and Responsibilities of the Study Abstractor
Duties and Responsibilities of the Research Assistant
I) Conduct inquiry based on tools provided and legibly record responses.
II) Conduct checks in the data recorded and clarify issues prior to submission for data entry.
III) Participate in data cleaning and other activities of the study.
IV) Managing discomfort that may arise as a result of the inquiry.
V) Report any matters that may affect the data entry process.
VI) Maintain security of tools such as computers that are placed under your care till they are handed back to the study coordinator.
VII) Strictly observe study ethics and confidentiality.
VIII) Participate in other activities and duties as may be assigned from time to time.
Qualification and Experience
The Research Assistant must:
1. Be qualified in Social, Behavioral or Public Health Research, at graduate level with at least 2 years experience in research. Knowledge of counseling in health is added advantage.
2. Be of mature stature and able to identify with the study subjects.
3. Possess demonstrable knowledge and understanding of issues TB and HIV/AIDS
4. Possess evidence of having conducted and completed such assignments in the recent past (must present at least 2 samples of products).
5. Must have good knowledge and fluency in the English Language.
6. Possess excellent handwriting and recording skills.
7. Must be available to work consistently and complete the project in the specified time.
- The RCQHC will co-ordinate and over see the all activities of the program and ensure that ALL LOGISTICS to enable the process are available.
- RCQHC will provide technical over-sight of process and monitor the deliverables from the consultant as specified in this scope of work.
- RCQHC will receive regular reports from the consultant with a final evaluation of the quality of work at the end of the consultancy.
- RCQHC will work with and advise the consultant on each of the responsibilities and tasks indicated above.
- RCQHC will ensure that remuneration for consultancy services offered is remitted to the consultant as per contract.
- All written deliverables produced under this work order shall be submitted as scheduled to the RCQHC Director and Infectious diseases TB program officer in electronic format, using MS Word, followed by hard copies.
- Changes in the scope of work shall require prior discussion and approval by the RCQHC Director and the Infectious diseases TB program officer, and shall be defined in writing through a modification to this work order.
Execution of payments
The payment will be remitted after the consultant has submitted all deliverables (as specified in the scope of work and contract documents) and an invoice requesting for payment against the deliverables.
Remuneration: Payment is per RCQHC standards and will be communicated to successful candidates.
Applications, Questions, clarifications & inquiries
Application should be submitted on the addresses below by way of a one page motivation letter together with curriculum vitae, 2 recent publications (abstracts) and any other relevant documents. Submission deadline is 15/11/2013. Any inquires may be made to the following officers and addresses.
Infectious Diseases TB- Program officer or the Administrator,
Regional Centre for Quality of Health Care,
Makerere University School of Public Health,
P. O. Box 29140, Kampala,Uganda.
NB: ONLY SUCCESSFUL CANDIDATES WILL BE CONTACTED.