HST Careers



Health Systems Trust is an innovative non-profit organisation working to strengthen ongoing development of comprehensive health systems in southern Africa




eThekwini Metropolitan Municipality





Health Systems Trust (HST) wishes to appoint Lay Counsellors in eThekwini District, KwaZulu-Natal Province to support the District Department of Health in providing direct HIV and TB services as part of the South Africa Sustainable Response to HIV and TB (SA SURE) Project Health. These incumbents will provide HIV and TB counselling and testing services at Primary Health Care (PHC) clinics to patients in compliance with the project’s HIV and TB service profile and reporting requirements. They will also support community-based HIV Testing Services (HTS), working closely with the Outreach Teams. These are fixed-term contract positions, renewable based on funding.

Key Responsibilities

• Conduct health talks and HIV and TB literacy classes to raise awareness of HIV testing, treatment options and adherence guidance • Promote condom usage and distribute condoms • Implement case management of new clients who test positive for HIV or those newly initiated on antiretroviral therapy (ART) • Ensure that all HIV-positive clients receive same-day treatment initiation through the ‘handshake’ approach and are immediately linked to care • Review the HTS Register daily to ensure that all clients are tracked for ART initiation • Implement high-yield HTS modalities, including all entry-point testing, index case contact testing and partner notification, and HIV self-screening • Promote decanting of stable patients to differentiated care options by creating demand for the Central Chronic Medicine Dispensing and Distribution (CCMDD) service, transition of patients to TLD drug regimens, and identifying eligible patients for CCMDD enrolment • Provide enhanced treatment adherence counselling and referral to other prevention and care services • Participate in proficiency testing and Rapid Test Quality Improvement Initiative (RTQII) quality assurance • Participate in HTS-related training • Identify and document good HTS practices from implemented Quality Improvement Plan (QIP) activities • Actively transfer and check the successful transfer of patients to other clinics • Participate in data analysis (facility targets, tracer indicators, cascades) • Submit daily, weekly and monthly data internally and to the facility • Participate in the facility’s bi-weekly and monthly review meetings.

Key Attributes

• A strong work ethic and ability to work in a pressurised environment • Good communication skills and ability to communicate in English, isiZulu and/or another South African language • Understanding of the important of HTS as part of the universal test and treat (UTT) policy • Good understanding of the South African public health national and provincial policies • Ability to build and maintain relationships with multiple stakeholders • Ability to work with minimal supervision and be deadline-driven • Ability to work after hours, which may include weekends from time to time.

Education Required


Qualification Required

• Grade 12 Certificate • Certificate in HIV Counselling and Testing – approved by the National Department of Health • Certified training and competence in RTQII quality assurance would be an advantage.

Experience Required

• Three to five years’ experience in HIV and TB screening, counselling and testing services • Knowledge of HIV and AIDS, including the UNAIDS 95-95-95 strategic targets, and of TB management • Knowledge of the HTS testing algorithm, proficiency testing and quality assurance standard operating procedure (SOP) • Familiarity with the HTS Register and HTS module on TIER.Net is essential, and with HIV self-screening protocols and processes would be an advantage. • Solid experience in and knowledge of conducting HIV testing using high-yield modalities, including index case contact testing and partner notification techniques • Knowledge and skills in conducting proficiency testing and RCTQII activities • Competence in HTS Register data recording • Previous work experience in NGOs or funded programmes will be an advantage.


A salary package commensurate with the successful candidate’s experience and qualifications and in line with HST’s Job Grading System will be offered.

Other Job Details

• Interested applicants must complete their application online: • Applicants are to ensure that their on-line applications are completed in full, and that comprehensive CVs are uploaded with the on-line application in order to be considered. • Your CV must be saved with a filename reflecting your name and surname, e.g. SANELE NGUBANE CV. • No applications sent via e-mail will be considered for the job, as all applicants must submit their applications online at the provided link. PLEASE NOTE: • Shortlisted candidates will be requested to submit certified copies of all qualifications and identity documents. • Applications received after the closing date will not be considered. • Correspondence will be limited to shortlisted candidates. • All shortlisted candidates will be subjected to reference and credential checks. • If you have not been contacted within 30 days of the closing date of this advertisement, please accept that your application has been unsuccessful. • HST reserves the right to not fill this position. CLOSING DATE FOR APPLICATIONS: 19 October 2021 HEALTH SYSTEMS TRUST PROMOTES EMPLOYMENT EQUITY. People with disabilities are encouraged to apply.


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