Population Services International

  • Consultant

    Posted Date 8 months ago(10/28/2018 5:49 PM)
    Job ID
    # of Openings
    Country Program Operations
    Position Location: City
    Position Location: Country

    Title: Consultant for HIVST Implementation Plan

    Department: Southern Africa

    Based in: Harare, Zimabwe


    Who we are

    With over 45 years of experience, working in over 50 countries, Population Services International (PSI) is the world’s leading non-profit social marketing organization. PSI is reimagining healthcare, by putting the consumer at the center, and wherever possible – bringing care to the front door. We are working to fix market failures, shape future health markets and shift policy and funding to better support consumer powered healthcare.


    There are over 7,000 “PSI’ers” around the world. We are a diverse group of entrepreneurial development professionals with a wide range of backgrounds and experience. All with unique skills that we bring to the critically important work that we do.



    Zimbabwe had approximately 1.400 000 people living with HIV in 2017, among whom 75% (60% - 87%) know their HIV status. While the scale-up of HIV testing and treatment has been significant, a substantial testing gap remains with 13-40% of people living with HIV remaining undiagnosed in the country. Closing this testing gap through increased coverage and the scaling-up of approaches that can reach individuals with undiagnosed HIV and at high ongoing HIV risk will be critical to achieving the first 90. HIV self-testing (HIV-ST) is a new approach that has significant potential to extend access to HIV testing beyond the limitations of the current infrastructure and address barriers to testing. HIV-ST is the process whereby an individual who wants to know their HIV status collects their specimen, performs the test and interprets the test result on their own or in the presence of a trusted other. It may be offered through a diversity of existing and new channels, including health facilities, community-based programs and pharmacies. HIVST delivered through these channels may provide directly assisted or unassisted HIV self-testing. HIVST has the potential to support efforts to achieve global HIV testing goals in several ways:

    • Reach people with higher HIV risk and vulnerability who have not tested. Many of those currently unreached by existing services (key populations, men, and young people) have been shown to find HIVST acceptable and to increase testing uptake and frequency. Because of this, HIVST provides an opportunity for programmes to improve access to and uptake of testing, as well as uptake of prevention and treatment, in those who would not otherwise test.
    • Create demand for HIV prevention and increase efficiencies for those who test HIV negative. Since the majority of those with a negative self-test result will not immediately need further testing, HIVST can direct those who test negative to HIV prevention services– i.e. condoms, harm reduction, voluntary medical male circumcision (VMMC), and pre-exposure prophylaxis (PrEP, STI screening and treatment)) As a result, the majority of those who self-test negative and the health system will save time and resources of an unnecessary test or facility visit.
    • Improve testing coverage by integrating HIVST into clinical services where testing is needed but not currently routinely provided or is poorly implemented, such as high-volume clinics in high HIV burden settings and STI or family planning clinics. Offering HIVST while patients wait for clinical services maximizes their waiting time and ensures patients will have their self-test results on site and can be followed by further testing and treatment initiation when relevant.
    • Facilitate partner testing. HIVST has been shown to facilitate couples and partner testing which is an effective but often underutilised testing approach. Providing HIVST kits, along with social harm and intimate partner violence screening, to people with HIV, or at high HIV risk, to offer to their partners and persons in their social network can be a highly effective and acceptable way to reach people with HIV who do not their status, as well as to support disclosure where beneficial and provide HIV prevention to serodiscordant couples.


    Recognizing the potential for HIV-ST, UNITAID supported the first pilot of the HIV Self-Testing Africa (STAR) Project as a four-year initiative in Malawi, Zambia and Zimbabwe to catalyze the market. Zimbabwe has since started the nationwide roll-out phase of this programme.



    In order to effectively and efficiently implement HIVST, there is a need for the country to develop an evidence-based plan to guide the implementation of HIVST. The HIVST Implementation Plan will include the different components of the health delivery system, including community component, which is critical in reaching those populations that do not normally access the health institutions for HIV service provision. The Ministry of Health and Child Care in Zimbabwe, in collaboration with partners, is, therefore, embarking on a process of developing HIVST implementation plan that is in line with the current HIV testing strategy and ZINASP.To inform HIV-ST rollout, there is need to conduct an exhaustive review of evidence gathered to date, examine potential channels, develop an understanding of the dynamics and trends in the existing HIV testing market. The gathered information will be leveraged as the best evidence available to lay out a number of potential scenarios in which HIVST could play a role in achieving the first 90 target.



    The main objective is to develop a HIVST implementation plan that aligns with the National HIV Testing Strategic plan 2017-2020   for the provision of comprehensive HIV-ST services in Zimbabwe. The implementation plan should be guided by the WHO framework for HIVST and should contain the following components: National registration and regulations; Product selection; HIVST distribution strategie; Key considerations and messages; Training; QA for products and AE monitoring and reporting.

    Specific objectives of the assignment are:

    1. Review existing international, regional and country guidance and good practices on implementing different service delivery packages for the provision of quality HIV-ST services that can be adapted to Zimbabwe’s context.
    2. Review existing international, regional and country HIVST strategies and services deliverymodels and their impact on filling the gaps in the 90/90/90 cascade.
    3. Review all implementation research, costing and cost-effectiveness modelling, market research and landscaping of HIVST.
    4. Conduct Key informant interviews with MOHCC, technical and implementing partners of the MoHCC HIV Prevention partnership fora and relevant stakeholders to input into the development of the HIV-ST Implementation plan.
    5. Develop a costed Implementation plan for the provision of comprehensive HIV-ST services suitable for Zimbabwe
    6. Select minimum set of indicators for HIVST to measure impact and progress Supply chain management and product forecasting based on needs assessment and development of the HIVST market.
    7. Quality Assurance for HIVST.
    8. Detailed costing of the implementation plan.

    Expected outputs and deliverables

    The main output of the assignment is a costed 3 year implementation plan for comprehensive HIV self-testing services in Zimbabwe.

    Specific deliverables for this task are:

    1. Desk review report on the evidence and review of existing international, regional and country guidance and good practices on HIVST. T
    2.  Summary report of input of the MoHCC HIV partnership fora and stakeholders into the HIVST implementation plan that is suitable for Zimbabwe.
    3. (a) PDF, (b) word versions and (c) sample graphically designed printed copy of HIVST implementation plan  
    4. An oral PPT presentation on components of the HIVST implementation plan presented to the MoHCC and relevant stakeholders as guided by the MOHCC.  
    5. Submit a PDF and word versions of the implementation plan after review by MOHCC and stakeholders based on the oral presentation.


    Methodology and Timelines

    Desk review of evidence, research and market research, secondary data analysis,  key informant interviews with MOHCC, technical and implementing partners at country level, leading a workshop to gather input from stakeholders to develop the implementation plan, development of first draft, review by MOHCC and stakeholders, second and third and final draft.


    The anticipated timeframe for the work is 90 days.  October – December 2018


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