Senior Medical Advisor , Swaziland

Employer: US Agency for International Development
Location: Swaziland
Closing date: 30 Sep 2016

Basic Functions

The USAID Senior Medical Advisor serves a critical management and technical advisory role on the Swaziland USG HIV/AIDS Team. This includes advising the PEPFAR programs, across agencies, on all aspects of the program including PMTCT, VMMC, PrEP, treatment as prevention (TaSP); and specific technical and managerial support for the USAID comprehensive clinical and mobile clinical programs across the entire continuum of care and including design, procurement and management, and technical direction. The incumbent serves as the PEPFAR medical advisor including PMTCT and VMMC, and the PEPFAR point of contact (POC) for family planning integration, and PrEP. The incumbent will work closely with PEPFAR interagency prevention, clinical, and community teams, as well as with the various Care and Treatment, TB/HIV, HTC, lab, Health systems, prevention, OVC, and SI team leads.

The USAID HIV/AIDS portfolio spans across the continuum of the HIV response as noted above. In addition to important specific program advisory functions, the Senior Clinical Advisor will work closely with the USAID Country Director and technical leads to advise on strategic direction to the USAID portfolio in alignment with PEPFAR 3.0 and the achievement of 90-90-90. The Incumbent will provide support and mentorship to team members and technical leads as needed to achieve these results. This will include providing biomedical and clinical guidance and advice across USAID program areas – such as other prevention, OVC, Key Populations, DREAMS, health systems, and strategic information. In addition, the Senior Medical Advisor provides technical and program advice on USAID-supported comprehensive clinical services in Swaziland’s Hhohho and Shiselweni regions (half of Swaziland), and the mobile clinical services across the four regions that include; provider-initiated counseling and testing (PIHTC), PMTCT, pediatric and adult HIV care and treatment, TB/HIV care services, family planning and sexual reproductive health; and post violence care. The Incumbent will serve as the primary USAID/Swaziland’s subject matter expert focal point with senior level host government officials, OGAC, USAID HQ, other donors, and civil society for all aspects related to Biomedical Prevention and clinical HIV care (PMTCT, VMMC, PrEP, Tasp, ART, Pediatric Care, HIV/TB etc). The Incumbent will provide regular technical area analysis and reporting, and representing USAID on internal and external technical meetings, technical working groups and task forces.

The incumbent is supervised by the USAID PEPFAR Program Director.

Duties and Responsibilities of Assignee

Technical Team Coordination (35%)

The Senior Medical Advisor guides the technical development and oversight of the Swaziland PEPFAR biomedical prevention and comprehensive HIV clinical care portfolio in collaboration with the USAID/Swaziland PEPFAR Program Director and other team members. The Incumbent supports the PEPFAR team lead for biomedical HIV prevention (PMTCT, VMMC and other high impact biomedical prevention interventions including PrEP), and the PEPFAR Family Planning HIV integration and PrEP POC. In addition, the incumbent collaborates with the PEPFAR Senior Care & Treatment, TB/HIV, Lab, and other relevant Specialists in the development of the Swaziland HIV care and treatment and TB/HIV portfolios in support of high impact, efficient delivery of comprehensive HIV care services.

This responsibility includes:
Maintaining state-of-the-art familiarity with relevant research in HIV biomedical prevention, pediatric and adult treatment, TB/HIV, viral load monitoring and other critical HIV clinical services and interventions.
Providing technical assistance for the design, implementation and evaluation of HIV biomedical prevention, and comprehensive HIV clinical care programs to senior and technical level GKOS counterparts, USG staff, implementing partners and other institutions in Swaziland.
Representing USAID/Swaziland as appropriate by participating in and providing technical assistance to HIV biomedical prevention and comprehensive HIV clinical care national, regional and international Technical Working Groups (TWG), task teams, workshops, meetings and campaigns.
Providing strategic advice to Global Fund for AIDS Tuberculosis and Malaria (GFATM) processes related to HIV biomedical prevention and comprehensive HIV clinical care activities.
Identifying and documenting technically sound, cost-effective, and practical approaches to HIV biomedical prevention and comprehensive HIV clinical care programming consistent with GKOS, OGAC and USAID policies and priorities. This includes assisting in the preparation of design and other pre-obligation documentation; assisting in the preparation of the annual PEPFAR Country Operational Plan (COP); ensuring the integration of gender considerations and environmental mitigation into activity design; and reviewing and ranking proposals of those worthy of funding to the PEPFAR Program Director.
Collecting, analyzing, synthesizing, and managing data and information related to HIV, PEPFAR, and USAID activities focused on program monitoring, evaluation, and improvement of performance in HIV biomedical prevention, comprehensive HIV clinical care and mobile HIV service portfolios.
Promoting information exchange between partners, regional institutions and networks regarding effective biomedical prevention, comprehensive HIV clinical services and mobile HIV interventions as well as the interface with community programs.
Remaining informed and up-to-date on the most recent relevant research, technical and management issues affecting the design, implementation and evaluation of HIV biomedical prevention, comprehensive HIV care and mobile HIV services, including keeping senior and technical counterparts current on USAID and OGAC policies and procedures.
Supporting efforts to ensure that state-of-the-art gender and stigma reduction programming are effectively incorporated across biomedical prevention, comprehensive HIV clinical care and mobile HIV services and interventions and to ensure robust linkages between the community and HIV care and prevention services.
Soliciting and utilizing the input of technical advisors, USG staff and consultants, both local and international as needed.

Ensuring that USG-supported biomedical prevention, comprehensive HIV care and mobile HIV services, interventions, programs and efforts address the organizational, technical and human dimensions of sustainability and the serious human resource crisis in Swaziland.

Project Advisement (40%)

Serving as advisor for designated activities awarded under the biomedical prevention and comprehensive HIV clinical care portfolios. Where appropriate, advise on other program activities to ensure their successful implementation.

Reviewing and determining the appropriateness of proposed agreement modifications and submit recommendations to the RHAP or USAID/W COR for follow-up action.

Interfacing directly with senior and technical level counterpart officials and partners regarding technical and program performance and based on critical analysis of the evidence and data, make appropriate recommendations for program improvement

Discuss with partners on all aspects of financial expenditures, and provide advice to the respective AOR/COR, Country Director, or most appropriate officer.

Carrying out routine monitoring and evaluation of project progress by reviewing technical documents and reports, completing site visits, and engaging in one-on-one reporting and meeting with key counterpart officials.

Undertaking regular site visits of implementing partners and maintain regular communication with implementing partners to ensure that they have feasible, results-oriented, gender-sensitive work plans and sound management and financial plans in place; that activity implementation is proceeding in accordance with the approved COP; that planned inputs and outputs are clearly identified and produced on schedule; that funding advances are requested, provided, expended and liquidated in accordance with financial plans and relevant USG procedures; that pipelines are reviewed with grantees at least quarterly; that timely audits are carried out in accordance with the respective activity agreements and any audit recommendations are closed; that completed activities are promptly closed out; and that implementing partners comply with the terms and conditions of activity agreements.

Coordinating and participating in the USAID/PEPFAR facility and community quality assurance/quality improvement (QA/QI) initiative – Site Improvement through Site Monitoring (SIMS) for biomedical prevention, comprehensive HIV clinical care and treatment and TB/HIV activities.

Assisting implementing partners to troubleshoot implementation problems, and bring any major management or politically sensitive issues to the attention of the USAID PEPFAR Program Director.

Program Planning and Reporting (15%)

Providing advice in developing program design and reporting documents, such as annual biomedical prevention and comprehensive care (including adult and pediatric care and treatment and TB/HIV) portfolios under the Country Operational Plan, and prepare annual reports and other necessary documents.

Ensuring that all program documentation meets both USG requirements and audit inspection standards. This includes analyzing and providing guidance to the USG HIV/AIDS Team on what kinds of documentation are required based on regulations; on requests/guidance from USAID/RHAP, OGAC and USAID/W; on ADS and other relevant guidance; and on the experience of previous audits, other USAID programs, and other PEPFAR programs.

Ensuring that documentation of biomedical prevention, and comprehensive HIV clinical care (including adult and pediatric treatment and care and TB/HIV activities are prepared with input from other USG Team members and implementing partners; and is submitted in a timely fashion for review and clearance.

Budget Tracking and Analysis (10%)

Performing budget formulation duties for biomedical prevention and comprehensive HIV clinical care portfolios, including preparing detailed analyses and estimates of annual funding needs for one or more future budget years of PEPFAR funding.

Monitoring obligations, commitments, expenditures, and results against targets.

Ensuring that the budget system is used effectively as an evaluating tool in measuring program performance and effectiveness.

Required Minimum Qualifications and Experience


A minimum of two advanced degrees of which one must be Medical Doctor. Other degrees should be related to the position.

Work Experience:
A minimum of 8 years of increasingly responsible experience in HIV biomedical and clinical programming and/or implementation.
Experience working in technical oversight, design and implementation of biomedical prevention and clinical HIV programs in Africa.
Experience working with PEPFAR and U.S. government operations, rules, regulations, procedures, policies, and programs

Knowledge, Skills and Abilities:
Strong knowledge of USAID procedures and experience with USAID missions.
Excellent management, interpersonal, oral/written communication and computer skills.
Proven ability to work collaboratively in a team environment and to proactively build consensus.
Ability in dealing effectively and diplomatically with multiple U.S. and host country government agencies, non-governmental organizations, faith-based organizations, and the private sector.
Excellent communication skills in English [Level IV written/verbal (fluent) required] and diplomacy.

Desired Qualifications and Experience
The following are highly desirable:

HIV clinical experience
Adept in epidemiology and quantitative research methods.
Previous relevant working experience with USAID.
Previous experience working in Swaziland and/or the southern Africa region.
Knowledge and experience working with PEPFAR and specifically with USAID procurement, management, performance monitoring and other systems.
This is an opportunity for employment or a contract, but we reserve the right to make no selection or award.

CAMRIS International and IAP World Services Inc. offer competitive salaries and comprehensive benefits. Please submit your resume online at Candidates meeting the requirements for the position will be required to provide a USAID 1420-17 Contractor Employee Biographical Data Sheet to document employment and salary history.

CAMRIS and IAP are Equal Opportunity Employers EOE M/F/D/V

Please submit your resume online at