Sun. Nov 18th, 2018

Vacancy Announcement for Outreach worker

Terms of Reference

Position title: Peer Educator/Outreach Worker – for key and vulnerable populations.

Total Number of Post – 12

SLno

No of Position

Station

1

1

Thimphu HISC

2

3

Phuntsholing HISC

3

2

Gelephu HISC

4

2

Samdrup Jongkhar HISC

5

2

Lobesa HISC, Punakha

6

2

Kinga Rabten HISC, Trongsa

Duration: 1st December 2018 to 30th June 2021

Background:

The cumulative number of HIV cases since 1993 until June 2018 was 597 (309 males and 288 females). The increasing trend of HIV over the period has been further worsened by the increasing trend of STIs in Bhutan. In addition the existing evidence shows that high risky sexual behavior among the key and vulnerable population like female sex workers (FSW), men having sex with men (MSM), transgender (TG) and injecting Drug Users (IDUs). These populations are considered as hard to reach because of social issues like stigma and discrimination. As a result, it has become very difficult to reach these groups of populations with the comprehensive package of HIV preventions services. Therefore, the likelihood of HIV and STIs transmission is high among them thus ultimately impacting the HIV and STIs among the general population.

The needs to provide these groups of population with comprehensive prevention package of HIV services are very important to ensure timely diagnosis and treatment. The timely diagnosis is important to ensure that high risk populations know their HIV status on time thus they can be linked to appropriate care, support and treatment. The timely treatment is needed to improve the quality life of people living with HIV (PLHIV) and to prevent the HIV and STIs transmission from the source. Further, at present going by the 2018 UNAIDS estimation of 1265 cases of PLHIV, Bhutan still has the case detection gap of 53%.

In view of above challenges, the need to have a peer outreach program is one of key strategies to reach the unreached populations with the needed services. Such programs are designed to gear towards achieving the goal of 90-100-90. (90% diagnosis, 100% of those diagnosed on treatment and 90% of those on treatment to achieve the viral suppression. The national program and allied health workers cannot reach these populations as result of prevailing stigma and discrimination with their life styles. The only way to reach them is to recruit peer educators representing each community so that every community will be reach with the required HIV prevention services on time.

Objectives

  1. To reach the un-reach key population with comprehensive HIV and STIs prevention services.

  2. To enhance the HIV/STIs case detection to bridge the current case detection gap of 53% in lieu of 90-100-90 goal.

  3. To enhance the knowledge on HIV and STIs prevention and transmission and associated risk factors for their peers.

Scope of work:

Under the overall supervision of Program Manager, NACP and under the direct supervision of the HISC In-charges, the Peer Educators (PEs) or Outreach Workers (ORWs) will be responsible to execute the following responsibilities;

  1. Educating peers (FSWs, MSM, TGs and IDUs including the vulnerable population) on STIs and HIV in one-on-one and small group sessions.

  2. Assisting peers to access condoms, STIs and voluntary counseling and testing (VCT) services.

  3. Distributing condoms / lubricants and demonstrate correct condom use to their peers.

  4. Participating in HIV outreach and in-reach services and other public events to disseminate importance of HIV testing and benefit of timely treatment.

  5. Distributing educational materials to the peers on prevention and transmission of HIV and STIs.

  6. Teaching peers to negotiate safer sex (Hetero sex, anal sex and oral sex), prevention and transmission of HIV and STIs including the benefit of timely diagnosis and treatment.

  7. Functioning as leaders, change agents, role models and innovators in the community.

  8. Facilitating and catalyzing the development of positive self-image and self-esteem within the key populations.

  9. Facilitating community mobilization and the process of individual and community empowerment through networking and mapping of the hotspots.

  10. Maintaining recording and reporting of day to day outreach and in-research activities to HISC for onwards submission to NACP.

  11. Perform any other tasks related to HIV, AIDS and STIs prevention under the stewardship of NACP and HISCs.

Qualities required

  • Ability to keep abreast of new information and knowledge in the area of HIV/AIDS and related subjects, such as reproductive health and family planning.

  • Ability to listen and communicate effectively.

  • Ability to deal with emotions and difficult situations.

  • Non-judgmental attitude and ability to express emotions.

  • Adaptive and flexible nature.

  • Ability to encourage and provide support.

  • Ability to lead by example.

  • Ability to keep confidences and foster trust.

  • Ability to look at things from various perspectives.

  • Ability to make decisions and encourage others to do so.

Required Qualification

  • Should be literate with no specific qualification but person with formal education Class (X to XII and above) will be given preference.

  • Should be same sexual orientation (MSM and TG) and for those working with Sex workers should belong to or have experience working with the same community.

  • Should have an adequate writing skills in English (Preference will be given to applicants having good knowledge on use of Microsoft word, excel and power point)

  • Having multilingual will be an added benefit.

Experiences

  • No work experience required but preference will be given those to those having experience of working with Non-Governmental Organizations (NGOs) or Civil Society Organization (CSOs) in the areas of HIV, AIDS and STIs prevention.

Remuneration

  • Shall be paid with a lump sum amount of Nu. 8,000 per month with 10 days casual leave.

  • Travel allowances: DSA-Nu. 500 per day and actual bus fare (in absence of official vehicle)

  • No allowance or gratuity are entitled

  • Supported from the Global Fund HIV grant

Timing

  • Formally working hours from 9 a.m to 5 p.m.

  • For out-reach and in-reach activities time will depend upon the nature of the work.